Tag Archives: bestpractices

Are Car Seats Required in Cabs (Taxis, Uber, Lyft) to Travel with Kids?

Are Car Seats Required in Cabs (Taxis, Uber, Lyft) to Travel with Kids?
It doesn’t matter whether it’s a standard taxi or a 21st-century equivalent; if it’s not a bus, train, or plane, it needs a car seat.

When it comes to car seats and keeping kids safe in cars, there are a lot of myths that circle around the Internet and water coolers. Many parents think rear-facing is only necessary until 1 (it’s safest to rear-face until at least 4 or 5). Others think seat belts and car seats aren’t necessary for short trips (kids can get seriously injured or killed in 20 mph crashes). Still others feel it’s fine for kids 4, 5, or 6 and up to sit in the front seat (kids are safest in the back seat until at least 13).

Fortunately, the more we know, the better decisions we can make. Today we’re going to look at another common set of myths: that you don’t actually need car seats in cabs, whether in taxis or in ride-sharing programs like Lyft or Uber. The truth is that car seats *and seat belts* are just as necessary in taxis as they are in any other car, minivan, SUV, or pickup truck, and we’re going to go into why to use them and which ones work best at which ages and stages.

Are car seats and seat belts required in taxis, cabs, and ride-shares like Uber, Lyft, and carpooling?

A KeyFit 30 is affordable and takes seconds to install in a taxi, but it can mean the difference between a lifetime and a lifetime of grief.
A KeyFit 30 is affordable and takes seconds to install in a taxi, but it can mean the difference between a lifetime and a lifetime of grief.

Yes! Many people think there’s some kind of grace law or immunity when using hired cars, but the law doesn’t stop applying just because you’re paying someone to drive you around in a yellow (or any other colored) car. People can and do get pulled over for not using car seats or seat belts in taxis and Ubers. It doesn’t happen often, especially in big cities where the police are busier, but it does happen, and it is against the law in many locations, though not in all of them. For example, New York City doesn’t require car seats in yellow cabs (regulated taxis). Technically, they don’t even require seat belt use for passengers under 16. This is insane, because physics doesn’t take a break in a taxicab, but it’s one of many examples of how you need to go beyond the law to protect yourself, because laws in the US (and a number of other countries) aren’t written to benefit citizens, but corporations.

Basically, if you’re in a situation where you’d be expected to use a car seat or seat belt in your own car, you’ll be expected to use one, legally-speaking, in a cab. The driver isn’t going to call the police on you, but there are drivers who will refuse to drive unless you’re buckled up. Depending on their companies and insurance, they might be liable if something happens to you or your kids if you weren’t safely restrained. Alternatively, and more critically, they might not want to be killed by human cannonballs in their back and passenger seats. We’ll go into that next.

What are the risks of not using car seats and seat belts in taxis? Is it really dangerous?

An Extend2Fit will let you rear-face most kids until 5 and forward-face most kids until at least 6 while costing well under $200.
An Extend2Fit will let you rear-face most kids until 5 and forward-face most kids until at least 6 while costing well under $200.

Yes! The risks are identical to those you’d face driving anywhere on your own without placing your children (or yourself) in appropriate restraints. The risk of serious injury (e.g., broken bones, brain damage, death) is 7-8x higher for children who aren’t properly restrained than the risk for children who are.

The dangers aren’t just extended to children. Occupants in the front seats of cars who use lap and shoulder seat belts are 45% (roughly half) as likely to die in an otherwise fatal crash as occupants who don’t. If you’re buckled up in the front seat of a pickup truck, SUV, or van, your odds of death drop by 60%. If you’re in the back seats, buckling up in a car with lap and shoulder belts cuts your risk of death by 58%–this reduction jumps to 75% in vans, pickup trucks, and minivans.

These are huge odds to gamble. I’ve written about people who have made these gambles with tragic results. Taxi deaths happen in big cities–New York, Chicago, Los Angeles–but they also happen in suburbs and small towns every single day of the year. A lifetime of love and potential can never be recovered.

Additionally, the IIHS notes that unbelted occupants (e.g., any teen or adult out of a seat belt or any child out of a car seat) pose severe risks for every occupant in a vehicle, even safely restrained ones. If you’re in a frontal crash (e.g., a head-on collision or a crash into a tree or telephone pole), a belted driver is 137% more likely to die if the passenger behind him or her is unbelted. And in any kind of crash, the risk of every occupant in the vehicle dying increases by 40% with just one unbelted occupant. To put it simply, if anyone isn’t restrained properly, everyone is more likely to die, even if everyone else is safely restrained. And the unrestrained person or child has much, much higher odds of death.

What about on short trips in the city / town / suburbs or at low speeds? Do I still need car seats and seat belts then?

A RodiFix will let you booster your kids from 5 until 12, safely restraining them from kindergarten until adolescence, when they'll no longer need car seats.
A RodiFix will let you booster your kids from 5 until 12, safely restraining them from kindergarten until adolescence, when they’ll no longer need car seats.

Yes! I cover this in detail in this article on using restraints on short trips. Even if you’re in your neighborhood or subdivision, if your children aren’t restrained or if you aren’t restrained, the same risks apply. It doesn’t take much speed at all to cause serious harm in a vehicle. While a 10 mph crash is the equivalent of being pushed off a 3.3 foot tall desk, a 15 mph crash jumps to the equivalent of being pushed off a 7.5 foot ladder. A 20 mph crash raises the stakes even more quickly to the equivalent of being pushed off the roof of a one story house–a 13.4 foot fall. A 25 mph crash is like being pushed off the roof of a 2 story building–a 20.5 foot fall. And finally, a 30 mph crash is the equivalent of being pushed off the roof of a 3 story building–a 30 foot fall.

When you keep in mind the fact that most cities, suburbs, and towns haveĀ at least 25-30 mph speed limits in residential areas and that most people universally exceed speed limits, it’s hopefully clear that it takes very little speed to result in a severe to fatal injury to anyone unrestrained. Or to put it mildly, if you wouldn’t push your child off the roof of a house, why would you allow a taxi driver to by bypassing a car seat or attempting to hold a child in your lap?

What kinds of car seats should I use for my baby / child when taking a taxi?

Now that we know what the law states and, far more importantly, what the laws of physics will do to your loved ones, it’s hopefully clear that it’s necessary for all adults and adolescents to be restrained with seat belts and for all children under 12 to be restrained in appropriate car seats. The final question to address involves what constitutes appropriate car seats. Fortunately, this question is quite easy to answer, and the answers are quite affordable.

Start with rear-facing; it’s most important. Rear-face until kids are at least 4-5, although the longer the better. The Graco Extend2Fit and Clek Fllo are two of many seats that will allow you to rear-face until 50 pounds. From then on, you can either forward-face or move directly to a high-back booster like the Clek Oobr, Peg Perego Viaggio Flex 120, or Maxi-Cosi RodiFix; you can use these from when your child is 5 to when s/he is physically capable of passing the 5-step test for seat belt use, which most kids will pass by the ages of 10 to 12. From then on, your children will use seat belts in taxis every time–just like you will.

Keeping kids safe in taxis doesn’t have to be difficult; it simply requires the commitment to safely restrain them (and their parents) every time. Don’t place the next 70 to 80 years of your kids’ lives in the balance of 7-8 potentially fatal minutes unrestrained in a taxi.

If you find my information on best practices in car and car seat safety helpful, you canĀ buy my books hereĀ orĀ do your shopping through this Amazon link.Ā CanadiansĀ canĀ shop here for Canadian purchases.Ā  It costs nothing extra to do so, but when you shop through my links, a small portion of your purchase, regardless of what you buy, will go toward the maintenance of The Car Crash Detective.

After a Crash or Accident, Do You Need to Replace Your Car Seat, or Is it Still Safe to Use?

No one wants to be involved in a crash. But sometimes they happen. Here's what you need to know about your car seats afterward.
No one wants to be involved in a crash. But sometimes they happen. Here’s what you need to know about your car seats afterward.

No matter how closely we follow best practices for safe driving, eventually, we or someone we know might be involved in a car crash.Ā  With luck, it won’t be anything more than a fender bender, but it could also be something severe. No matter the situation, you might need to replace your child’s car safety restraints (i.e., your car seats). There are a number of seats that follow the criteria set by the NHTSA for reusing car seats after minor crashes (I’ll review those in a moment), but most car seat manufacturers will ask you to replace your car seats after any crash, no matter how minor, even if no children were using the seats.

The number one rule to keep in mind is that the manual (or car seat manufacturer) is the absolute authority in determining whether or not to replace a car seat after a crash. If you can’t find the manual, send an email or make a phone call to the manufacturer. The number will almost always be on the seat itself, and if it’s not, you can find it online (as well as email information). Let’s take a look at what to do immediately after a crash, whether you’ll need to replace your car seat, whether your insurance company will cover your seats, and the policies and contact information for a variety of car seat manufacturers with a US and Canadian presence.

What to do right after a crash when you have children in car seats

After a crash, you're probably going to need to replace your car seat. For a minor crash, a visibly undamaged car seat may well be safer than a seat belt if you have no other alternative.
After a crash, you’re probably going to need to replace your car seat. For a minor crash, a visibly undamaged car seat may well be safer than a seat belt if you have no other alternative.

Immediately after a crash, the first thing to do is to call for help (911 in the United States and Canada). Barring an absolute emergency (e.g., a risk of fire, water immersion, falling over a cliff, etc), you’ll want to remain in your vehicle and keep all children in their car seats. Child restraints are designed to stabilize injured children, and paramedics will almost always use them to transport children to hospitals after serious crashes.

Many parents and caregivers often ask themselves if they can use potentially damaged seats to drive away from crashes (e.g., home) in crashes that don’t require that children be transported to a hospital. The best answer here is to do what seems best at the time. If you can immediately buy replacement car seats or have someone bring replacement seats to you, this is best. However, we rarely crash in the parking lots of stores that sell car seats, and we rarely have trusted friends or family available to bring us car seats within minutes of a crash. As a result, you’ll want to use your best judgment.

If your car restraint needs to be replaced after a crash, per the manufacturer, no matter how minor the crash, this suggests you shouldn’t use it. However, between using a seat that a manufacturer tells me not to reuse after a minor crash and driving my pre-adolescent child home in a seat belt, I’ll use the car seat every single time. Children younger than 10-12 won’t pass the 5-step test for seat belt safety, and that’s not a risk I’d recommend parents take unless absolutely necessary (e.g., no car seats whatsoever or severely damaged car seats).

How to tell if you need to replace your kids’ car seats after a crash – minor, moderate, or severe

For a moderate or major crash, you’re going to need to replace your seats, even if you didn’t have children inside them at the time. Car seats, like bicycle helmets, aren’t made to handle more than one significant impact; they won’t necessarily perform the same way twice.

For a minor crash, most manufacturers will still want you to replace the seat. However, there are a few manufacturers that allow you to follow the NHTSA’s guidelines for reuse following mild crashes. These are the criteria:

  1. You were able to drive your vehicle away from the crash site.
  2. The vehicle door closest to the car seat had no damage.
  3. None of the vehicle’s occupants were injured.
  4. If you had airbags (and hopefully you did), they did not deploy, AND…
  5. The car seat itself was not visibly damaged.

All of these criteria need to be fulfilled for the crash to count as minor. If you’re not sure if what occurred was even serious enough to count as a crash (e.g., if you backed into a car while parallel parking or if you nosed into your garage), the best thing to do is to get in touch with your car seat’s manufacturer; they have experience with such calls and emails and will be happy to help you figure out whether what you experienced even counted as a crash or whether it was so minor it was irrelevant to your car seat’s safety.

When will my car insurance provider replace car seats that have been involved in a crash?

The only sure answer here is “it depends.” To fully know, you’ll need to contact your insurance company. Your odds of replacement will be significantly greater if the other party is judged to be at fault or if you have complete coverage. However, there are plenty of no-fault states and each company is different. In California, the insurance code requires insurance companies to replace car seats if they were occupied or damaged in a collision, but this provision doesn’t exist in other states.

Insurance companies will frequently try to avoid replacing seats based on their interpretations of crash severity, but the car seat manufacturer’s regulations override those of any insurance company, and if the company states it will replace a seat if they judge it to be necessary for safety, a referral to the manual or a statement from the manufacturer will frequently be enough to convince them of its necessity. Similarly, you’ll want to make sure any reimbursement offers are at least equal to the value of the seats; if you spend money on a Clek Fllo or Peg Perego Flex 120, you don’t want to receive a $50 all-in-one seat from WalMart as its replacement. While both may pass the same crash tests, there’s presumably a reason you picked the seats you did to begin with (e.g., to allow for extended rear-facing or boosters that would allow your kids to pass the 5-step test).

Keep in mind that if your insurance company chooses not to replace your seats, that doesn’t mean that they don’t need replacing; if your car seat manual or manufacturer indicates the seat needs to be replaced, it needs to be replaced. Your kids are worth it.

What are the car seat replacement policies for each car seat manufacturer in the US / Canada?

As noted above, the absolute best way to find out your car seat’s replacement policy is to read the manual or contact the car seat manufacturer. The list below is a general one, and as everything else on this site, is not intended as legal counsel. If you have any questions whatsoever on what to do with a car seat after a crash, it’s time to reach for the manual or for the manufacturer; they made the seat and they know their policies on replacement better than anyone else.

Generally speaking, Britax and UPPAbaby are the only major car seat manufacturers that follow the minor crash criteria of the NHTSA while urging replacement after moderate to severe crashes. Every other manufacturer either recommends replacement after any crash, no matter how minor, or requires manual review and manufacturer contact. In other words, for BabyTrend, BubbleBum, Chicco, Clek, Combi, Cosco, Dorel, Maxi-Cosi, Safety 1st (both Maxi-Cosi and Safety 1st are divisions of Dorel), Cybex, Diono, EvenFlo, Graco, Harmony, KidsEmbrace, Orbit Baby, Peg Perego, Recaro, RideSafer, and The First Years all require you to either replace the seats, read the manuals, or contact the manufacturers.

To sum things up, in the vast majority of cases, you’re going to need to check with the manufacturers or replace seats anyway. While this may seem onerous and expensive, the goals here are to keep your children safe, and a few hundred dollars in car seats are much cheaper than any hospital stay, or worse. Remember that your insurance company might be able to help you replace your car seats, depending on your policy and the circumstances of the crash. And above all, if you’re in the market for a new car seat, please see my reviews on recommended car seats (or Canadian recommended car seats if in Canada) for suggestions on the best new and old car seats for children between birth and 12. See here for best practices in child car seat use and here for best practices in overall auto safety, whether in driving technique, vehicle selection, or road design.

If you find my information on best practices in car and car seat safety helpful, you can buy my books here or do your shopping through this Amazon link. Canadians can shop here for Canadian purchases. Have a question or want to discuss best practices? Send me an email at carcrashdetective [at] gmail [dot] com.

What are the safety differences, if any, between Swedish car seats and American ones? (With a Britax Max-Way Review)

This is an example of a typical Swedish convertible car seat, the Britax Max-Wise. One of the closest US equivalents is probably the Clek Fllo. We'll discuss similarities and differences below.
This is an example of a typical Swedish convertible car seat, the Britax Max-Way. One of the closest US equivalents is probably the Clek Fllo. We’ll discuss similarities and differences below.

Several years ago, I started this blog to spread the news about the dangers of auto travel and the various ways we could keep our kids and loved ones safe. On one hand, that involves how, where, and what we drive. On the other, it involves how we safely restrain kids in our cars–and I’ve spent a lot of time talking about how the Swedes are the closest adherents to best practices in car seat safety on the planet.

One of the most frequently asked questions I get from parents who’ve come across my articles about how Swedish parents use car seats and what Swedes consider best practices in car seat safety involves the actual seats Swedes use and how they compare to the car seats we have available in the United States. Today we’re going to take a look at which safety differences, if any, exist between car seats sold in Sweden and those available in the United States. The answers will likely surprise you.

What’s a typical Swedish car seat (e.g., a convertible seat), and where is it sold?

The Britax Max-Way can be used to rear-face (and only rear-face) from 20-55 lbs. Think of it as a convertible seat that only rear-faces...because Britax knows that's what really matters.
The Britax Max-Way can be used to rear-face (and only rear-face) from 20-55 lbs. Think of it as a convertible seat that only rear-faces…because Britax knows that’s what really matters.

While there are many examples of Swedish car seats, one of the most popular models sold there today is the Britax Max-Way. Sold throughout Europe, including in the UK, Norway, Finland, Denmark, and Sweden, it’s a car seat designed for use with children between 9 kg and 25 kg, or 20lbs-55lbs. Under the Group classification system, this makes it a Group 1 & 2, or 1/2 seat. Roughly speaking, it will fit kids between 9 months and 6 years of age. Although it looks like a convertible seat, it only rear-faces. Like many US seats, it’s designed to be smaller to offer more leg room, it can be installed with 3-point seat belts or 2-point lap belts in addition to ISOFIX (LATCH), it includes side wings for side impact protection, a multi-position recline, an adjustable headrest, and a no-rethread harness. Like most American seats, you can remove the padding to wash it or simplyĀ  clean it with a handheld vacuum.

The installation manual is here.

Which safety features does the Max-Way have that an American car seat would not?

The Max-Way does include a pair of features not typically found in seats sold in the US--a foot prop and a pair of lower rear-facing tethers.
The Max-Way does include a pair of features not typically found in seats sold in the US–a foot prop and a pair of lower rear-facing tethers.

First of all, the Max-Way can rear-face longer than any American seat available as of 2017. The leading US seats–the Clek Fllo, the Clek Foonf, the Diono Rainier, the Graco Extend2Fit, the Graco Extend2Fit 3-in-1, the Graco 4Ever Extend2Fit, the Nuna Rava, the Safety 1st Advance EX 65 Air+, and the Safety 1st Grow and Go EX Air–all top out at 50 pounds. At 55 pounds, the Max-Way, which has been out for years, blows all of them away.

Second, the Max-Way includes a foot prop and a pair of lower rear-facing tethers to stabilize the seat beyond the seat belt. The foot prop is basically a monopod that extends toward the front of the vehicle and braces against the vehicle floor while being additionally stabilized with tethers. The foot prop is designed to reduce downward (forward) rotation of the car seat after a frontal collision. The separate rear-facing tethers connect to anchors toward the front of the vehicle to prevent rebound (upward rotation) in the car seat after a frontal collision.

In the US, rear-facing tethering is available on select US seats, but it’s very, very rare. Anti-rebound bars, which serve the same function as foot props, are somewhat more common. It’s important to note, however, that while the Max-Way includes both features, there are a number of seats sold in Sweden that don’t feature or require neither foot props nor rear tethers while passing the same crash standards and being rated to the same weight limits. In other words, they’re beneficial features, but car seats can be safe without them.

Do the differences between a seat like the Max-Way and an American seat explain the greater safety of Swedish children?

To keep your babies safe in cars, drive them as little as possible, follow the speed limit wherever you go, and rear-face as long as possible. That's the lion's share of the Swedish approach.
To keep your babies safe in cars, drive them as little as possible, follow the speed limit wherever you go, and rear-face as long as possible. That’s the lion’s share of the Swedish approach.

Actually, no. The Swedes themselves are quite clear on this; they credit their low child death rates to a combination of Vision Zero principles–safer driving habits, safer vehicles, and much, much safer infrastructure. Safer driving habits generally means following the speed limit and driving as little as possible (roughly half as many miles as Americans per year). Safer vehicles simply means vehicles with ESC and side airbags (which are available in the US used market for well under $5,000). And safer infrastructure means replacing undivided roads with divided ones while limiting speeds to survivable limits throughout the road network.

The car seats themselves aren’t particularly significant; what’s significant with respect to children are the use of best practices in transporting them. In a nutshell, that means rear-facing them until at least 4 or 5 and keeping them boostered until 10 to 12. Between those two factors, the bigger one by far is rear-facing.

But I’ve always heard that Swedish seats are tougher / unique / just “better” / not comparable to US seats

There are many magical things about Sweden. Their car seats aren't one of them.
There are many magical things about Sweden. Their car seats aren’t one of them.

There are a lot of people who, for some reason, enjoy cultivating an aura of mysticism about Swedish car seat usage, particularly in the United States. I’m not sure why, as the goal should be to share knowledge to help make all children safer, not to make it seem like best practices are magical, unattainable things. Whatever the reasoning behind this line of thinking, it’s also incorrect from a factual perspective. Swedish car seats aren’t magically different from car seats available in most other parts of the world with the notable exception of how they can be used to rear-face longer. They aren’t exclusively available in Sweden; they can be bought throughout Europe. In fact, most car seats used in Sweden aren’t even made in Sweden. The Max-Way, for example, is made in the UK. Whenever you hear someone tell you or anyone else that Swedish seats simply aren’t comparable to US ones, that person is uninformed and spreading unhelpful misinformation, to put it mildly. Feel free to redirect them here.

What’s an American equivalent of a Swedish convertible car seat like the Britax Max-Way?

You don't need a Max-Way--or any Swedish car seat--to keep your kids safe. A Fllo is a perfectly safe alternative.
You don’t need a Max-Way–or any Swedish car seat–to keep your kids safe. A Fllo is a perfectly safe alternative.

While there isn’t a direct American version of any given Swedish car seat, you can get the core safety feature of the Max-Way–the ability to extended rear-face in a compact, convertible car-seat-shaped package–through any seat in the US that will let you rear-face to 50 pounds. That’s not as long as the Max-Way, but it’s long enough to get almost all children to 4 and a great many to 5 and beyond depending on height. Personally, my two favorite 50-pound rear-facing convertibles are the Clek Fllo and the Graco Extend2Fit. The Fllo is the narrowest 50-pounder on the market, and is the seat to get if you need as many 3 across car seat options as possible. It also includes an anti-rebound bar, which very few US car seats do. As noted above, an anti-rebound bar serves the same function as a foot prop.

The Extend2Fit, on the other hand, is one of the cheapest 50-pound seats you can currently buy. Using either to its limits will give you most of the safety benefits of the Max-Way, which, again, are primarily related to the extent to which it allows you to rear-face.

If you find my information on best practices in car and car seat safety helpful, you can buy my books here or do your shopping through this Amazon link. Canadians can shop here for Canadian purchases. Have a question or want to discuss best practices? Send me an email at carcrashdetective [at] gmail [dot] com.

In Sweden, When is a Booster Seat as Safe as a Forward-Facing Seat?

If your kids are under 5, rear-face them. Once you can't, forward-face them until 6, 7, or 8, and then high-back booster them. Save seat belts until 10, 11, or 12. Save the front seat until at least 13, and save driving alone until at least 18.
Per Sweden, if your kids are under 5, rear-face them. Once you can’t, high-back booster them. Save seat belts until 10, 11, or 12 and the front seat until at least 13.

Just as with rear-facing, there’s a lot of debate in the United States over what actually constitute best practices when it comes to when to switch from harnessed front-facing seats to booster seats. However, just as with rear-facing, the Swedes are more than happy to provide guidelines for what to do and when, no matter how much we go back and forth over the basics in the United States.

As a review, rear-facing best practices means doing so for as long as possible, and ideally at least until 4 or 5. This is standard practice in Sweden, where they’ve enjoyed the best child auto safety records on Earth for decades, and it’s now becoming standard practice in neighboring Norway, which has joined Sweden at the top of the mountain in terms of the all-important task of keeping children alive in and around car traffic. While most parents in the United States are still forward-facing shortly after 1, more and more are learning about the benefits of extended rear-facing and are following the Swedish (and now Norwegian) example. So what can they teach us about forward-facing and boostering? We’ll review their practices today.

When do parents forward-face children in Sweden?

Rear-facing, forward-facing, and booster guidelines for car seats in Sweden, via The Car Crash Detective.
A high-back booster like the Flex 120 is the next step after rear-facing until 4 or 5 in Sweden.

This is actually a trick question, because parents in Sweden don’t typically forward-face. Yes, there are some parents who do (just as there are some parents who forward-face their kids before 4 in Sweden), but the vast majority of parents there don’t use forward-facing seats. If they rear-face with convertible seats, which almost all parents do, they simply stop using the seats when their kids outgrow them and switch to…booster seats.

Booster seats?

Yes! In Sweden, the standard practice is to start boostering kids once they outgrow rear-facing seats. This is visible here directly from the NTF, Sweden’s equivalent of the NHTSA:

“Question: At what weight/height/age, the child can be placed on the booster seat instead of in a car seat?

Answer: Children should travel rearward facing car seat (seat for the infant) as long as possible, to the age of 4-5 years. When the child has grown out of its rearward-facing child safety seat (seat for the infant seat) recommend NTF to move on to a booster seat.”

There is no mention whatsoever of a forward-facing harnessed seat; the standard recommendation is to move directly from a rear-facing seat to a booster seat after spending the first 4-5 years (or as long as possible) in a rear-facing seat.

Why do Swedish parents switch to high-back booster seats instead of harnessed or forward-facing seats?

Swedish booster / forward-facing guidelines on The Car Crash Detective.
In Sweden, once you stop rear-facing (at 4 or 5), you move directly into a high-back booster (e.g., something like the Clek Oobr).

This is done for a few different reasons. One involves the Swedish belief that older children who are harnessed absorb the tremendous collision forces in the head, neck, and shoulders, which is something to be avoided. In fact, this is the reason why rear-facing is so much safer–when rear-facing, the much stronger muscles and much larger surface area of the back are available to absorb forces instead of having them concentrated in the head, neck, and shoulders. The Swedish belief is that when boostered (which is essentially using a seat belt that’s adjusted to fit children as well as adults), the entire torso can move forward in a collision, spreading crash forces throughout the upper body instead of concentrating them in two of the most fragile areas of the body (the head and neck).

Does this mean that “extended harnessing” is not considered best practices in Sweden?

This is correct; in Sweden, virtually no parents practice harnessing, extended or otherwise, because it’s not believed to be safe. What’s done is to move directly from rear-facing in the first 4-5 years to using a high-back booster.

It’s also worth noting that a number of studies in the US have also shown that high-backed boosters are as safe as forward-facing (harnessed) seats once children are mature enough to sit safely in both. In other words, if you raise your child to sit upright and still in a high-back booster seat (and not reach out of it, play with the seat belt, unbuckle himself/herself, or do anything else unsafe), s/he’ll be equally safe in both kinds of seats. In Sweden, the expectation is for kids to do this from 4 or 5 onward, and kids are taught to do so the same way they’re taught not to play in the street or touch stove tops.

If forward-facing isn’t safer than boostering, then why is it recommended in the US?

Forward-facing, or harnessing, is recommended in the US due to a mixture of a lack of knowledge of best practices and due to efforts to mitigate the additional risks of premature boostering.

First of all, most parents in the US aren’t rear-facing until 4 to 5 as in Sweden. Three out of four kids are forward-facing before they turn 2, and only around 1 out of every 100 children will still be rear-facing at 4, which means that forward-facing is the only stage between most 1 year olds in the US and being placed in a booster seat. We know booster seats are absolutely inappropriate for toddlers, so recommending forward-facing at least keeps children in a better position than they’d otherwise face in most homes.

Second, as noted above, most parents aren’t aware of how much safer it is to rear-face instead of forward-face, and this is largely because extended rear-facing isn’t propagated by any large-scale authority in the United States. The NHTSA simply says to rear-face “as long as possible” but fills their diagrams and pamphlets online with references to children forward facing from 1 or 2. The AAP is hopelessly out of date with their recommendations and only switched to recommending rear-facing until 2 a few years ago. The vast majority of states don’t require rear-facing past 1. To put it simply, the US is backwards when it comes to car safety, and the main Americans you’ll see advocating extended rear-facing (for example, yours truly) are those who have taken the time to learn about best practices in car seat safety, which are nearly-exclusively found in Sweden.

This adds up to a vicious circle. Parents stop rear-facing after 1 because they don’t know any better, and they don’t know any better because all of the authorities are telling them that they only actually need to rear-face until 1. Meanwhile, they’re told to forward-face with the focus on keeping very young children out of booster seats, which leads to very little emphasis on rear-facing and a lack of understanding of the fact that harnessed seating doesn’t necessarily offer any advantages over boostering once children are mature enough to sit in booster seats. This maturity point, additionally, will vary tremendously with how children have been raised, as well as with individual differences between children.

So what’s best if I want to follow best practices for my child?

Here’s a guide to the first 13 years:

From birth to 5, rear-face. If your child still fits at 5, keep rear-facing. There are several seats that will let you rear-face until 6 or 7, including the the Clek Fllo, the Clek Foonf, the Diono Rainier, the Graco Extend2Fit, the Graco Extend2Fit 3-in-1, the Graco 4Ever Extend2Fit, the Nuna Rava, the Safety 1st Advance EX 65 Air+, and the Safety 1st Grow and Go EX Air.

From 5 (or later, if you can still rear-face) to 10, 11, or 12, use a high-back, then low-back booster. Keep boostering until your child passes the 5-step test. Two of my favorite high-back boosters include the Clek Oobr and Maxi-Cosi RodiFix. Low-back boosters are fine once kids are about 7; high-back boosters are designed to keep kids’ heads in place even if they fall asleep.

Keep your child in the back seat at least until s/he turns 13. Later is always better here. For tips beyond the first 13 years, see the best practices page for teens and drivers of all ages.

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Swedish Car Seat Safety FAQ – Frequently Asked Questions Answered By Swedes

Some things in life never change. Children need adults who love them. And if they're in cars, they're safest rear-facing.
Some things in life never change. Children need adults who love them. And if they’re in cars, they’re safest rear-facing.

Every now and then a pop science article or research paper comes out stating forward-facing is safer than rear-facing (it isn’t), or insisting boosters are just fine for 2 year olds (they aren’t) or that preschoolers are just as safe in seat belts as they are in car seats (that’s wrong too). Unfortunately, with the influence corporations and ad dollars have over the dissemination of information in the United States, it’s quite easy to get tricked into believing nonsense (or “fake news”, to use recent parlance). Fortunately, good ideas remain good ideas no matter whether we believe in them or not. Let’s see what best practices look like by people who practice them.

Here’s a look at what the NTF, the Swedish National Society for Road Safety (their version of the NHTSA) has to say about car seats and car seat safety. As the Swedes continue to have the best record in child traffic safety as well as in overall traffic safety (two titles they’ve held for decades), I’ll continue to follow their lead and not the outdated or just plan bad advice bandied about in the US (where the AAP only recently began recommending rear-facing until 2, and where almost all states continue to require it only until 1).

How Long Should Children Rear-Face, Per SwedishĀ  Recommendations?

Per the NTF, children should rear-face as long as possible and be turned forward facing earliest at 4-5 years of age.

Note how the response doesn’t state that children should stop rear-facing at 4 or 5; it says they should be rear-facing as long as possible, but no earlier than when they are 4 to 5. In other words, if you can rear-face past 4 or 5 due to a child continuing to fit in his or her car seat, that’s a good idea. But your baseline goal should be 4 to 5. As I’ve noted in previous articles, that means preschool. That means kindergarten. It means prioritizing rear-facing and not forward-facing earlier than necessary, regardless of what fellow parents or family members are saying. It’s easier in Sweden since fellow parents and family members will be doing the same thing. But whether in Sweden or in the US, these are best practices.

What About Rear-Facing Safety For Side and Rear Impacts, Per Swedish Recommendations?

Per the NTF, rear-facing is always the safest position for young children. They note it would also be safer for adults, but that because we have stronger necks, we’re slightly more capable of handling crash stresses. They then note that forward-facing might be slightly safer for rear-impacts, but because most collisions are frontal collisions, while rear-enders are typically not at the high speeds inherent in frontal collisions, it’s best to always rear-face. They add that the best position for a side impact is away from the point of impact, but that this is of course impossible to predict. They concede that other factors are probably more important than rear- or forward-facing in side impacts, but that rear-facing is still not a bad position in such collisions.

This recommendation is in line with those I’ve made indicating that rear-facing is still overall the safest orientation for a car seat when aggregating all crash positions and risks. By extension, it supports the argument that the 3rd row is a safe one for child and adult passengers (I posit the safest). The Swedes additionally believe that the front and back rows are equally safe for rear-facing children as long as the frontal airbag can be disabled. This isn’t the case in the US for 99% of passenger vehicles, so on this side of the Atlantic, the back rows are safer.

How Long Should Children Use Booster Seats, Per Swedish Recommendations?

Per the NTF, children should remain using booster seats until they are 10 to 12 years old. They note this is because children’s hips aren’t fully formed until then and that controlling the belt path around the child is necessary to keep the lap belt from penetrating a child’s abdomen and causing internal injuries. They note that the amount of time a child will be able to sit on a booster seat will depend on the child’s length as well as on the vehicle one uses. If the shoulder belt path is affected, they suggest bypassing the booster seat and ensuring that the shoulder belt path is appropriate.

This recommendation is directly in line with those from the 5-step test, which most children are typically not able to pass until they are between 10 and 12 years old. While the 5-step test is not specifically mentioned, the principles are the same, as are the risks of bypassing the recommendation (internal organ damage).

What Makes a Car Seat Dangerous, Per Swedish Recommendations?

Per the NTF, what makes a car seat dangerous is allowing a child to forward face from age 1. They recommend car seats capable of rear-facing up to 25 kg, or 55 lbs, and state once again that the safest way to travel in a car is rear-facing. They then state that children should rear-face for as long as possible, and preferably until they are 4-5 years old.

This section is rather self-explanatory. To the Swedes, the main danger in a car seat is using it to forward face young children. They explicitly recommend rear-facing for all occupants and car seats that allow rear-facing until 55 pounds. Such seats don’t yet exist in the US as of 2017, but as late as Spring 2014, there was only one car seat sold in the entire country that allowed rear-facing until 50 pounds (the Clek Foonf). Now there are many more–the Clek Fllo, the Clek Foonf, the Diono Rainier, the Graco Extend2Fit, the Graco Extend2Fit 3-in-1, the Graco 4Ever Extend2Fit, the Nuna Rava, the Safety 1st Advance EX 65 Air+, and the Safety 1st Grow and Go EX Air. Things have improved immensely, but we still have a ways to go in all elements of transportation safety and in child traffic safety. The key takeaway is to max out your seat to its height and weight limits, and ideally to do whatever possible to rear-face until at least 4 or 5.

What Do I Do With This Information? What If I Want To Know More?

There are more questions to answer, but this is a good start. You can read far more on the NTF site; if you don’t read Swedish, you can use built-in browser translators or head over to Google Translate or your favorite translation tool. But the answers are rather clear in most cases. Resist the urge to follow one breathless study after another suggesting something’s good one week and bad the next. Rear-facing is what’s safest no matter how young or old a passenger vehicle occupant is. Aim for at least 4-5, and continue to booster until 10 to 12. Beyond that, drive as little as possible, and choose safe speeds and choose safe roads whenever you do. None of these steps require any money whatsoever aside from that for convertible or all-in-one seats, which are available for well under $200 (e.g., the Graco Extend2Fit, the Graco 4Ever Extend2Fit, the Safety 1st Advance EX 65 Air+, and the Safety 1st Grow and Go EX Air). The driving techniques are completely free and will far, far, far more of a difference than the safety benefits from buying the latest and greatest vehicles.

If you find my information on best practices in car and car seat safety helpful, you can do your shopping through this Amazon link. Canadians canĀ  shop here for Canadian purchases. Have a question or want to discuss best practices? Join us in the forums!