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Do This Right Now

1

Check for danger

Make sure the scene is safe before approaching. Turn on hazard lights. If the car is in traffic, do NOT unbuckle your child until it is safe to do so.

Do NOT move your child unless there is immediate danger (fire, sinking vehicle). Spinal injuries are possible.

2

Call 911

Call 911 immediately. Even if everyone looks fine, call if the crash was significant. Children can have internal injuries that are not immediately visible.

3

Check consciousness and breathing

Talk to your child. Are they awake? Are they breathing? Are they crying? A crying child is breathing. If they are not breathing, start CPR immediately.

4

Do NOT move them from the car seat

Keep your child in their car seat unless the vehicle is on fire or sinking. The car seat is designed to protect them. Let paramedics remove them properly.

Moving a child with a spinal injury can cause permanent damage. Let paramedics handle it.

5

Control any visible bleeding

If there is bleeding, apply gentle pressure with a clean cloth. For head wounds, press firmly but gently. Do NOT remove glass or objects stuck in wounds.

When to Seek Immediate Care

Call 911 or go to the ER if you see any of these signs

  • Loss of consciousness at any point
  • Not responding or very drowsy
  • Severe headache or vomiting
  • Blood or fluid from ears or nose
  • Unable to move a limb or severe deformity
  • Abdominal pain or tenderness
  • Difficulty breathing or chest pain
  • Seizure after the crash

Normal After a Car Accident

These reactions are usually fine

  • Crying and being very upset (means they are alert)
  • Mild fussiness or clinginess for a few days
  • Small bruise from the car seat harness
  • Not wanting to get back in the car (temporary fear)
  • Trouble sleeping for a night or two

Frequently Asked Questions

Should I take my child out of the car seat?

No, unless there is immediate danger like fire or the vehicle is sinking. The car seat is protecting their spine. Let paramedics remove them using proper technique. If you must move them, support their head and neck and keep them as still as possible.

My child seems fine. Do we still need the ER?

For any significant crash (high speed, rollover, airbag deployment, major damage), yes. Children can have internal injuries that do not show symptoms for hours. For very minor fender benders at low speed where the child is completely normal, call your paediatrician for guidance.

Do I need to replace the car seat?

Yes, after any moderate to severe crash. Most manufacturers and safety organizations recommend replacing the car seat even after minor crashes. Your insurance should cover it. Some fire departments and hospitals will provide a replacement. The car seat may have hidden structural damage that makes it unsafe.

Should I take my child to the ER or call 911?

Call 911 if your child is unconscious, in severe pain, trapped, or if you suspect spinal injury. For alert children in significant crashes, you can drive to the ER if it is faster and safe to do so. When in doubt, call 911.

My child is scared of the car now. Is that normal?

Yes, this is very common and usually temporary. Let them express their feelings. Some children benefit from short, positive car rides to rebuild confidence. If the fear persists beyond a few weeks or affects daily life, talk to your paediatrician about a child psychologist.

This guide is for quick reference and does not replace professional medical advice. When in doubt, call your pediatrician or go to the ER.