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AAP Grand Rounds 16:15-16 (2006) Increased Booster Seat Use after ED InterventionSource: Gittelman MA, Pomerantz WJ, Laurence S. An emergency department intervention to increase booster seat use for lower socioeconomic families. Acad Emerg Med. 2006;13:396400; doi:10.1197/j.aem.2005.11.002[Medline]
Booster seats are recommended by the National Highway Traffic Safety Administration for children who are at least 4 years old and weigh 40 pounds or more.1 The AAP Car Safety Seat guide states that children should be in booster seats until the lap/shoulder seat belts fit correctly, which is usually when a child reaches 4 feet, 9 inches and is between 8 and 12 years of age.2 Despite national recommendations, studies have shown that only 11%28% of children aged 48 years use booster seats.3,4 Serious injuries can occur when families do not follow national guidelines or manufacturer recommendations.5
Researchers from the Divisions of Emergency Medicine and Trauma Services at Cincinnati Childrens Hospital Medical Center conducted a prospective randomized trial comparing 2 intervention strategies to increase the use of booster seats. Families from low socioeconomic areas
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