Medical Experts and Safety Coalition: Proper Air Bag Use Saves Lives
18 November 1997
Medical Experts and Safety Coalition Remind Consumers: When Used Properly, Air Bags Save Lives and Put Few at RiskWASHINGTON, Nov. 18 -- The overwhelming majority of Americans and their families are safer with air bags in their vehicles, as long as they follow a few common sense safety steps: * Always slide the seat back as far as possible and sit back; * Buckle everyone; * Children 12 and under ride properly restrained in the back seat. Only a limited number of people can make themselves or their passengers safer by turning off their air bags. That's the message the Air Bag Safety Campaign and the American College of Emergency Physicians, the Emergency Nurses Association, the American Academy of Family Physicians, the American Academy of Pediatrics and the Brain Injury Association delivered today immediately following the National Highway Traffic Safety Administration's (NHTSA) announcement allowing some vehicle owners to install air bag on/off switches. NHTSA's new rule permits auto makers to offer an on/off switch to people who fit into one of four risk profiles, or who transport someone in one of the profile groups. The four risk profiles are: those who cannot avoid placing rear-facing infant seats in the front passenger seat; those who have a medical condition that places them at specific risk; those who cannot adjust their driver's position to keep back 10 inches from the steering wheel; and those who cannot avoid situations -- such as a car pool -- that require a child 12 or under to ride in the front seat. "NHTSA's announcement indicates that a limited number of people may want to consider having an on/off switch installed," said Janet Dewey, Executive Director of the Air Bag Safety Campaign. "But, most families, if they can follow the recommended safety steps, will be safer with an air bag." "Air bags save lives -- that's clear," said Dr. Tilman Jolly, Associate Professor of Emergency Medicine at The George Washington University Medical Center (GWUMC). "Only a very limited number of people would actually benefit, medically, from deactivating their air bags. Most people are much better off with their air bags left on." Dr. Jolly directed a conference of medical specialists, convened by GWUMC at NETSA's request, that studied the medical indications necessary for air bag disconnection and, today, released its findings. The Final Report of the National Conference on Medical Indications for Air Bag Disconnection identifies the categories of people who, for medical reasons, should consider installing an on/off switch. The report concludes that air bags only pose unacceptable risks to people who suffer from rare conditions such as achondroplasia (short limbs) or severe scoliosis. While NHTSA's rule permits people who must transport children in the front seat to have an on/off switch installed, a recent study by Ford Motor Company shows that only 3.5 percent of children involved in car crashes had to be placed in the front seat because there were not enough rear seats in the vehicle. The percentage of children actually seated in the front seats (39 percent) was ten times larger than the percentage of children who had to be seated in the front seats (3.5 percent). "Right now, when people are evaluating their choices regarding air bags they want the facts," said Dewey. "And, the facts are, according to crash investigations, almost all of the people who've died from air bag-related injuries were either unrestrained, improperly restrained or sitting too close to an air bag when it deployed." To date, air bags have saved more than 2,600 lives. In roughly 1.8 million air bag deployments, 38 adults and 49 children have been killed. "The leading risk our children face is not air bags -- it's being unrestrained in a crash," said Dr. Marilyn Bull, Member of the American Academy of Pediatrics Committee on Injury and Poison Prevention and a Conference participant. "The risks that air bags pose to children can be entirely eliminated when kids ride properly restrained in the back seat. In fact, the back seat is the safest place for children, whether or not your car has an air bag." NHTSA estimates that the combination of an air bag plus a lap/shoulder belt produces the risk of serious head injury by 75 percent, compared with a 38 percent reduction for belts alone. Air bags reduce the risk of fatal injury by 14 percent in all crashes. "The steering wheel itself is a primary cause of serious head injury to drivers during a crash," said George A. Zitnay, Ph.D., President and CEO of the Brain Injury Association. "That is why it is important to sit back as far as possible from the steering wheel whether or not the vehicle is equipped with air bags." Air bags must come out fast to create the instant buffer that, with safety belts, protects people from serious injuries in a head on collision. During pre-crash braking, unrestrained drivers and passengers may be thrown against the hub of the steering wheel or dashboard, where the air bags are housed. Individuals who are not wearing their lap and shoulder belts and/or are riding too close to where the air bag is housed can receive serious or even fatal injuries from deploying air bags. According to NHTSA, 49 children have died as a result of serious fatal head or neck injuries caused by an air bag. According to crash investigations, virtually all of these children were unrestrained or improperly restrained. Of those who were improperly restrained, twelve were infants riding in rear-facing child safety seats that were improperly placed in front of a passenger air bag, two five year olds and a two year old each weighing under 40 pounds were wearing adult lap and shoulder belts, and others had slipped the shoulder strap behind them. The Air Bag Safety Campaign is an intensive education and action campaign by a public/private partnership of automobile manufacturers, insurance companies, occupant restraint manufacturers, government agencies, health professionals, and child health and safety organizations. The goal of the campaign is to increase the proper use of safety belts and child safety seats and to inform the public about how to maximize the lifesaving capabilities of air bags while minimizing the risks. SOURCE Air Bag Safety Campaign