Dr. Devin P. Atkinson, D.C.

By Dr. Devin P. Atkinson, D.C.

DENVER, NC – Any parent with a newborn, infant, toddler or preschooler knows about car seats. They’re the necessary evil that comes with any automobile trip, whether it’s a short jaunt to the grocery store or a three hour drive to visit relatives, the child restraint system is required by law for your child’s safety. But how safe is it?

NHTSA Recommendations

The National Highway Traffic Safety Administration (NHTSA) states that for your child’s safety you should consider the following guidelines [1]:

• Infants (birth to one year of age or weighing at least 22 pounds) require a rear-facing convertible seat; always make sure the harness straps are at or below shoulder level and never place a rear-facing car seat in the front seat.
• Toddlers (over one year of age and weighing 20-40 pounds) need a forward-facing convertible seat, with harness straps at or below shoulder level.
• Young Children (ages 4 – 8 years, unless at least 4’8” tall and weighing more than 40 pounds) need a seat belt-positioning booster seat in a forward-facing seat position; the best positioning booster seats must be used with both lap and shoulder belts making sure the lap belt fits low and tight across the lap and upper thigh area, and that the shoulder belt fits snug crossing the chest and shoulder, to avoid abdominal injuries. Any Children 12 and younger should ride in the backseat at all times.

Additional Features

The pursuit of the perfect car seat has created a variety of systems, checks and balances in the hope of making our children’s safety a little more secure.

LATCH, an acronym for the “Lower Anchors and Tethers for Children” system is one of the latest attempts to decrease the problems related to improperly installed car seats.

As of September of 2000, all new automobiles (except convertibles) are required to have a special attachment that secures the tether strap found on most new child restraint systems. The purpose of the adjustable straps is to secure the seat to the rear window shelf, floor or back of the vehicle seat. The strap will keep the top of the car seat from moving too far forward, reducing the possibility of head injuries during crashes.

In September of 2002, a second feature was required: a lower attachment bar with a matching feature on a safety seat (buckle, hook or connector) that snaps onto the lower anchor bar in the vehicle [1].

You would think that with all of these new safety measures being taken and car seat laws is every state, children would be completely safe during an auto accident, you would be wrong.

Still Number One

Despite all of our latest additions and changes in car seat safety, injuries caused by motor vehicle collisions remain the leading cause of death in children ages 2 to 14. It is also the leading cause of disabling injuries in that same age group [2].

Just as a seat belt is meant to restrain an adult during an auto accident, the car seat has the same purpose; they are called child restraint systems not child life preservers for that very reason. Parents mistakenly believe that if their child is in a car seat that they are immune from injury during a motor vehicle collision; when, in reality, the purpose of the car seat is only to lessen the degree of risk to the child.

Child Injury

Most insurance companies and many parents mistakenly believe that a child in a car seat is invulnerable. The parent will rush to the Chiropractor immediately after an automobile accident to get adjusted, not realizing that their child may be suffering the same discomfort.

Why is this? Generally, if a child doesn’t complain of pain, it will never occur to a pediatrician or parent that any injury was sustained during the collision. Child passengers who are involved in auto accidents frequently suffer injuries without showing any obvious symptoms. Due to their inability to communicate their pain or discomfort, symptoms such as irritability, lethargy, poor appetite and restlessness, night terrors, poor focus and/or appetite, change in bowel movements and being very clingy, may be the only sign that an infant or toddler has suffered an injury [3].

It’s important to realize that even a child in a safety seat can be injured. Despite the fact that they’re not being thrown around the car or into the back of the seat in front of them they are still suffering from the impact. Their body is held to the car by the restraint but their head and arms are thrown forward, which can cause severe damage to their spine and nervous system.

Even the best-positioned and properly installed car seat can only afford your child a certain amount of protection from injury.

The SUV and Your Child

The Sports Utility Vehicle is growing in popularity, and, partially due to their large size, they’re quickly becoming the newest, latest and greatest family car. It may be that parents believe because SUVs are bigger, that they’re safer. Pediatrics magazine recently published a study that would prove this theory wrong [4].

Researchers considered a sample of 3,922 child occupants, ages 0-15, who suffered severe injuries in auto accidents comparing the injuries of those in passenger cars with those who were riding in SUVs. Severe injuries included but were not limited to:

• Concussions and other brain injuries
• Spinal cord injuries
• Facial fractures and lacerations
• Internal organ injuries
• Extremity fractures and
• Scalp lacerations

Among all the children in the study, those who were properly restrained were 75% less likely to be injured; whereas those who were in the front seat were 106% more likely to be seriously injured. In both vehicle types, children exposed to a passenger airbag were 370% more likely to be seriously injured, and rollover crashes increased the risk of injury by 229%.

While these numbers may seem average, the real shock came when the rollover crash factor was more thoroughly explored. In any type of auto accident, SUVs are four times more likely to roll over than any other passenger car, and a roll over crash increases the likelihood of serious injury by 229%. Risk of serious injury caused in an SUV increased an average of 2400% for the child that is not properly restrained; with that risk being as high as 9253%.

Despite the fact that the car is bigger, heavier and may feel like a tank, the increased tendency to roll after impact means that an SUV actually increases the risk of serious childhood injury.

The Safer Car Seat

Despite all the best intentions, there is no perfect car seat, safety seat or child restraint system because they all require installation. The NHTSA reports that more than 80% of all car seats are improperly installed and, when properly installed, they reduce the risk of childhood mortality by 54% when compared to a child riding completely unrestrained [5].

Your Doctor of Chiropractic is dedicated to your entire family’s overall wellness and encourages you to call 866-SEAT-CHECK (866-732-8243) or visit www.seatcheck.org to find a seat-inspection facility near you.

In Summary

No car seat, no matter how well it is installed, will guarantee that your child will not suffer injury in an auto accident. If you and your child have recently been involved in a motor vehicle collision, contact your Family Wellness Chiropractor to schedule a brief examination. It is better to have your child checked and find out that there is nothing wrong, than to assume they are fine and find out later that there was severe damage done to their still developing spine.
1. http://www.nhtsa.dot.gov
2. Children in Crashes by Daniel J. Murphy, DC, DABCO; Dynamic Chiropractic, Vol 16, Issue 21, October 1998
3. Kids Need Chiropractic Too by Peter Fysh, DC; Dynamic Chiropractic, Vol 11, Issue 22, October 1993
4. Daly, MD, et. al, Pediatrics, Vol. 117, No. 1, January 2006, pp. 9-14
5. The Seat-Belt Solution by Stephen Dubner and Steven Levitt; NY Times; Published July 10, 2005

This has been brought to you by Dr. Devin P. Atkinson, D.C. of Atkinson Family Chiropractic in Denver, NC. Dr. Devin is a 3rd generation chiropractor with 18 chiropractors in his family. He has been helping the Denver community regain their health for over 5 years.

Call us at 704-827-6560 or visit our website at www.AtkinsonFamilyChiro.com.

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Thanks in part to a new law, Minnesota children aren’t as likely to get hurt in motor vehicle crashes.

The state’s new child passenger safety law took effect in July 2009 and requires booster seats – seat lifts that help adult seat belts fit children properly. Under the law, a child cannot be secured in only a seat belt until they are 8 years old or 4 feet 9 inches tall – whichever comes first. It is strongly recommended, however, to keep a child in a booster until they are 4 feet 9 inches tall. The fine for booster seat non-use is $50, but can cost more than $100 with administrative fees.

According to the Minnesota Department of Public Safety (DPS), the law has generated a jump in booster seat use and has led to fewer child injuries.

Here are the stats: From 2007 to 2009, only 44 percent of booster-age children (ages 4 to 7) involved in crashes were riding in booster seats. In the year since the law became effective (July 1, 2009 to June 30, 2010), that percentage of children in boosters increased to 59 percent. DPS says this increase resulted in more than 250 children who suffered no injury in crashes.

“Booster seats are critical to a child’s safety in a vehicle,” said Heather Darby, DPS child passenger safety coordinator. “Safety should not be short-changed for our youngest and most vulnerable.”

Despite the law’s initial success, there are still some parents out there who are not securing their children properly.

The consequences can be deadly.

Lack of booster seat use results in poor seat belt fit that can contribute to serious injury and ejection from a vehicle in the event of a traffic crash. Darby says a sign that a seat belt does not fit properly and a booster is needed is if a child wraps the shoulder belt behind them to avoid the belt rubbing against their neck or crossing their face. Belts should be low and snug across the hips; shoulder straps should never be tucked under an arm or behind the back.

Parents should take note of these restraint steps a child should progress through as they age and grow:

• Rear-facing infant seats – infants until at least 1 year old and 20 pounds.

• Forward-facing toddler seats – 1 to approximately 4 years old.

• Booster seats – starting after children have outgrown the forward-facing toddler seat, usually after turning age 4, and is recommended until they are 4 feet 9 inches tall.

• Seat belts – older than 8 years old or taller than 4 feet 9 inches.

• Children should ride in the back seat until age 13; if riding in the front seat, passenger-side airbags should be turned off.

Parents should avoid these common child passenger safety mistakes:

• Turning a child from a rear-facing restraint to a forward-facing restraint too soon.

• Restraint not secured tight enough. The seat should not shift more than one inch side-to-side or out from the vehicle’s seat.

• Harness on the child is not tight enough. If you can pinch harness material, it’s too loose.

• Retainer clip is too high or too low. It should be at the child’s armpit level.

• The child is in the wrong restraint. Children must progress through the appropriate restraints as they age and grow.

The DPS also reminds parents that car seats are not designed to be used with bulky winter clothing, which can lead to a loose harness fit. It is recommended to use bulky coats and blankets above the harness, not beneath.

By obeying the law and following these simple steps, parents can significantly reduce the chances of their children getting seriously injured in a crash.

Echo Press editorials are the position of the newspaper’s editorial board, which includes Jody Hanson, publisher; Al Edenloff, editor; and news reporter, Celeste Beam.

The U.S. Consumer Product Safety Commission (CPSC) voted to extend the stay of enforcement for testing and certification of lead content in children's products (except for metal components of children's metal jewelry) until December 31, 2011.

Starting on December 31, 2011, manufacturers and importers of children's products that are subject to the lead content limit must have the appropriate certificates that indicate that their products have been tested by a CPSC-approved third party laboratory, in order for their products to be sold in the United States.

The law has been criticized by makers and sellers of children's toys and clothing, particularly small businesses. The Handmade Toy Alliance has been trying to get reform passed to fix what it calls the unintended consequences of the CPSIA, claiming that their members' business are struggling to navigate the costly labeling and third-party testing protocols that they say do not add to overall product safety.

Despite the stay of enforcement on testing and certification, manufacturers, importers and retailers of children's products must continue to comply with the federal restrictions for total lead content.

The Consumer Product Safety Improvement Act of 2008 (CPSIA) requires that all children's products have no more than 300 parts per million (ppm) of lead content. The lead content limit will drop to 100 ppm on August 14, 2011, unless CPSC determines that it is not technologically feasible to establish this lower limit for a product or product category. The CPSIA also establishes a limit of 90 ppm for lead in paint and surface coatings.

The stay of enforcement does not apply to the 90 ppm limit on lead in paint and surface coatings or to the current 300 ppm limit on lead content in metal components of children's jewelry. Certification based on third party testing is currently required for children's products in these categories.

Crib bumpers, the pillow-like lining used to separate the sides of the crib with an infant’s head, may be one step closer to extinction due to beefed up safety guidelines by the U.S. Consumer Product Safety Commission (CPSC).

While the CPSC doesn't specifically discourage use of bumpers, it does recommend keeping all extraneous items out of cribs like stuffed animals, pillows and heavy quilts.

Plus, whether it was intended or not, bumpers are nowhere to be seen among the examples of safe cribs featured in the commission’s informational video online.

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Crib bumper safety

The safety of crib bumpers has been a hotly debated topic over the last decade. Consumer advocacy groups and children’s safety organizations believe bumpers can cause suffocation, strangulation, or contribute to Sudden Infant Death Syndrome (SIDS).  However, the government has been slow to take a stand on the controversial crib accessory.

Still, the commission is not ignoring the subject of safe sleep areas for infants and young toddlers.

In December 2010, it unanimously approved new, stricter safety standards for all cribs; standards that had not been updated in thirty years.

Under the new guidelines, crib manufacturers must ensure mattress supports are stronger, the crib hardware is more durable, and the safety testing of their products is more rigorous.

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The commission’s standards also stop the manufacture and sale of traditional drop-side cribs, which they warned parents about in May, 2010 and issued almost a dozen recalls for since 2005.

According to the commission, over seven million drop-side cribs were included in the recalls due to suffocation and strangulation hazards created by the drop side.

While these are steps in a positive direction, when (or if) the commission will address the possible safety hazards of crib bumpers is anyone’s guess.

Bumper ban

Illinois Attorney General Lisa Madigan has been calling for the end of crib bumpers since December 2010.

Last month, she urged the Juvenile Products Manufacturers Association (JPMA), the national industry trade group overseeing manufacturers of crib bumpers, to release the results of a study it conducted on the safety of bumpers.  As of mid-January 2011, the results have yet to be released.

Madigan continues to warn parents and care-givers of the potentially fatal risk of using crib bumpers.

Along with discouraging keeping bulky items out of cribs, the CPSC’s safety guidelines included other important tips to keep babies and young toddlers safe while they sleep:

• To prevent suffocation, never place pillows or thick quilts in a baby's sleep environment. Also, make sure there are no gaps larger than two fingers between the sides of the crib and the mattress.
• Proper assembly of cribs is paramount - Follow the instructions provided and make sure that every part is installed correctly. If you are not sure, call the manufacturer for assistance.
• Do not use cribs older than 10 years or broken or modified cribs. Infants can strangle to death if their bodies pass through gaps between loose components or broken slats while their heads remain entrapped.
• Set up play yards properly according to manufacturers' directions. Only use the mattress pad provided with the play yard; do not add extra padding.
• Never place a crib near a window with blind, curtain cords or baby monitor cords; babies can strangle on cords.

The commission also has resources for parents and care-givers to see if their child’s crib has been included in any of the recalls.

Strollers Recalled to Repair by phil&teds USA Due to Amputation and Laceration Hazards

WASHINGTON, D.C. - The U.S. Consumer Product Safety Commission and Health Canada, in cooperation with the firm named below, today announced a voluntary recall of the following consumer product. Consumers should stop using recalled products immediately unless otherwise instructed. It is illegal to resell or attempt to resell a recalled consumer product.

Name of Product: Jogging Strollers

Units: About 22,000 in the United States and 7,200 in Canada

Importer: phil&teds USA Inc., of Fort Collins, CO

Hazard: When folding and unfolding the stroller, a consumer’s finger can become caught in the hinge mechanism, posing amputation and laceration hazards.

Incidents/Injuries: phil&teds has received three reports of incidents resulting in injuries to the adult users including a finger tip amputation and two reports of lacerations.

Description: This recall involves sport v2 and classic v1 model single-seat jogging strollers. The three-wheel strollers have a metal frame, cloth seat and a canopy. The sport v2 model stroller was sold in red, orange, green, black, charcoal, navy and in graffiti print. Sport v2 serial numbers included in the recall are 0308/0001 to 0510/0840. The classic v1 model strollers were only sold in red. Serial numbers for the classic v1 are 0308/0001 to 0510/0906. The first four digits of the serial number is a month/year date code and the last four digits are for the individual stroller. Serial numbers are printed on the inside of the folding hinge. The phil&teds logo is located on the crotch piece of the harness on both models.

Sold by: Specialty juvenile stores nationwide from May 2008 through July 2010 for between $350 and $450.

Manufactured in: China

Remedy: Consumers should immediately stop using the recalled strollers and contact phil&ted USA to arrange for the shipping of a free hinge-cover kit and repair instructions.

Consumer Contact: For additional information, contact phil&teds USA at (877) 432-1642 between 9 a.m. and 7 p.m. ET Monday through Friday or visit the company’s website at www.philandteds.com/support

Note: Health Canada's press release is available at http://cpsr-rspc.hc-sc.gc.ca/PR-RP/recall-retrait-eng.jsp?re_id=1252

  

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CPSC is still interested in receiving incident or injury reports that are either directly related to this product recall or involve a different hazard with the same product. Please tell us about it by visiting https://www.saferproducts.gov/CPSRMSPublic/Incidents/ReportIncident.aspx

The U.S. Consumer Product Safety Commission is charged with protecting the public from unreasonable risks of serious injury or death from thousands of types of consumer products under the agency's jurisdiction. The CPSC is committed to protecting consumers and families from products that pose a fire, electrical, chemical, or mechanical hazard. The CPSC's work to ensure the safety of consumer products - such as toys, cribs, power tools, cigarette lighters, and household chemicals - contributed significantly to the decline in the rate of deaths and injuries associated with consumer products over the past 30 years.

To report a dangerous product or a product-related injury, call CPSC's Hotline at (800) 638-2772 or CPSC's teletypewriter at (301) 595-7054. To join a CPSC e-mail subscription list, please go to https://www.cpsc.gov/cpsclist.aspx. Consumers can obtain recall and general safety information by logging on to CPSC's Web site at www.cpsc.gov.

The Mommy Doctors Commend Surgeon General “Call to Action” on Breastfeeding

The Mommy Doctors commend U.S. Surgeon General Dr. Regina Benjamin today for "The Surgeon General’s Call to Action to Support Breastfeeding."

FOR IMMEDIATE RELEASE

PRLog (Press Release) – Jan 20, 2011 – U.S. Surgeon General Dr. Regina Benjamin today released “The Surgeon General’s Call to Action to Support Breastfeeding,” which outlined evidence-based steps that can help communities across the nation create an environment supportive of mothers choosing to breastfeed and urged everyone - from government leaders to husbands - to make a commitment to support nursing mothers. Dr. Cheri Wiggins and Dr. Lennox McNeary, The Mommy Doctors, applaud the steps outlined and commend Dr. Benjamin for making this a public health priority.

“Society makes women feel as though they should be embarrassed for breastfeeding. This is ridiculous. It is a natural and normal experience between a mother and her baby,” says Wiggins. “Women who want to breastfeed face many obstacles, including insufficient break time during work hours and the overall perception from society. It is really encouraging to see the U.S. Surgeon General supporting the benefits of breastfeeding and urging communities to remove these obstacles.”

The Surgeon General’s Call to Action to Support Breastfeeding highlights:

•   In the United States, bottle feeding is viewed by many as the “normal” way to feed infants.
•   A study that analyzed data from a national public opinion survey conducted in 2001 found that only 43 percent of U.S. adults believed that women should have the right to breastfeed in public places.
•   Embarrassment remains a formidable barrier to breastfeeding in the United States and is closely related to disapproval of breastfeeding in public.
•   Concern about insufficient milk supply is another frequently cited reason for early weaning of the infant.

The report found that most women in the United States are aware that breastfeeding is the best source of nutrition for most infants, but they seem to lack knowledge about its specific benefits and are unable to cite the risks associated with not breastfeeding. The World Health Organization recommends that infants should be exclusively breastfed for the first six months of life. While 75 percent of mothers’ breastfeed their children in the days after birth, only 33 percent still exclusively breastfeed at three months. Breastfeeding has been shown to be beneficial to both mother and baby, including decreasing the risk of Sudden Infant Death Syndrome, protecting against childhood obesity and leukemia, and decreasing the risk of breast cancer and type 2 diabetes in mothers.

"You wouldn't believe the places I've had to go to pump breastmilk for my son," says McNeary. "New moms have enough stress without having to figure out how to balance working and pumping. We're thrilled to see this public support for nursing moms."

The Surgeon General’s Call to Action to Support Breastfeeding is available online and as an archive webcast at: http://www.surgeongeneral.gov/.  

The report also states that 50 percent of mothers cited insufficient milk supply as their reason for stopping breastfeeding. The Mommy Doctors developed Milkin' Cookies to help these mothers. Milkin’ Cookies are lactation cookies that boost milk supply using all-natural ingredients. Wiggins and McNeary are practicing physicians and nursing moms, who fully understand the benefits of breastfeeding. For more information or to order online, please visit http://www.milkin-cookies.com/.

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Contact Email		:	***@milkin-cookies.com
Issued By		:	The Mommy Doctors Bakery
Categories		:	Health, Medical, Government
Last Updated		:	Jan 20, 2011
Shortcut		:	http://prlog.org/11237759

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