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Seat Belt Buckle Burn

EDWARD W. SAITZ, MD
Am J Dis Child. 1975;129(12):1456-1457. doi:10.1001/archpedi.1975.02120490064021.
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Seat belts and other child restraining devices remain underutilized immunizing agents that could greatly reduce the morbidity and mortality of automobile accidents. On rare occasions, they cause injury, and this report describes one such unusual case.

Report of a Case.—A 2½-year-old girl was strapped in an adult seat belt in the middle front seat. Although her mother normally used a child safety harness in the rear seat, the car was filled with adults and other children she was taking home. The car had been parked in the summer sun for several hours with the windows closed. As the mother fastened the belt around her daughter, the child cried and the mother noticed some reddening of the skin where it was in direct contact with the undersurface of the buckle. Only when arriving home did she notice the burns, which later vesiculated. The Figure shows three parallel second-degree burns on

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