We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
The Pediatric Forum |

Increasing Infant Safety in Air Travel: Deficiencies Are Not Limited to Child Restraint Systems

Eleanor J. Molloy, MB, PhD, MRCPI, MRCPCH
Arch Pediatr Adolesc Med. 2004;158(11):1089-1093. doi:10.1001/archpedi.158.11.1093.
Text Size: A A A
Published online


I read with great interest the article by Newman et al1 in the October 2003 issue of the ARCHIVES. Future federal aviation regulations may recommend that all infants have their own seat with a child restraint system (CRS), which may in turn influence more families to travel by car and cause an increased mortality due to road traffic accidents.1 However, providing parents who opt to fly with the best safety information available needs to be improved. In addition to the lack of adequate child restraints on aircraft, young children are also excluded from many other safety devices. Age-appropriate flotation devices are not uniformly available for young children. Oxygen masks are not only unavailable but are also of incorrect size. To assess available parent information and safety education, we studied the Web sites of 20 international airlines. This revealed that 12 airlines had a special children’s section and 13 mentioned reduced children’s fares, although all fares had restricted availability. Infant CRSs were not allowed on 2 airlines, and 6 did not mention them. Only 1 carrier supplied infant CRSs, and 9 gave advice and CRS specifications. Infant oxygen masks and flotation devices were not mentioned by any airline. A single airline had specific staff training, and 3 had information for parents of infants. We suggest that airline companies provide information to parents regarding practices that maximize the safety of flying with young children. This includes advice on booking bulkhead seats, the quietest time for travel, and use of restraints, flotation devices, and oxygen masks. In addition, we propose that airlines create a child safety package that contains an age-appropriate CRS, oxygen mask attachment, and flotation device for each infant booked. These infant safety kits could be stored in airports and loaded once the infant has been checked in. Parents could then be instructed on the use of the devices and management of the infant in an emergency. Increased parental education about safety guidelines and accommodation on the airline could be considerably improved. While appreciating that the design of the Newman et al article is “risk and economic analyses” with comparison with car travel options, most international flights entail a passage over water without road travel choice. Furthermore, parents of infants deserve to be offered the best advice and safety equipment available, in accordance with the American Academy of Pediatrics (Elk Grove Village, Ill) guidelines.2

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

2 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles