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If you’re in Australia and your child may be injured in a crash, call Triple Zero (000) and ask for an ambulance. Follow the operator’s instructions. Unless there is immediate danger or someone needs first aid, avoid moving an injured person; at the scene, your priority is immediate safety and getting emergency help.
What to do immediately after a crash
- Check for immediate danger. If there is a risk such as fire or another collision, act to get yourself and your child out of danger if you can do so safely.
- Call Triple Zero (000) and ask for an ambulance if anyone may be injured. Healthdirect lists injury from a major car accident as a reason to call. Give the operator your location and follow their instructions. Healthdirect explains when and how to call 000.
- Avoid moving an injured person unless they are in immediate danger or need first aid. This is general crash-scene guidance from the NSW Government, not a child-specific medical protocol. Read the NSW Government’s road-accident guidance.
- Tell paramedics what happened. Explain the impact, any airbag deployment, visible damage and what you have noticed about your child. Do not delay calling for help to assess the vehicle or restraint.
Should you take your child out of the car seat?
There is no universal rule in the official guidance cited here that says a child must stay in, or always be removed from, a car seat after every crash. Avoid unnecessary movement if your child may be injured, but immediate danger or a need to give first aid can change what is safest. Call 000 and follow the operator’s directions.
A PerthNow report published on 29 August 2024 described Tiny Hearts co-founder and former paramedic Nikki Jurcutz’s advice to call 000 and leave a child in the seat until paramedics give instructions in specified higher-risk circumstances. The report listed a crash above 60 km/h, a side impact, significant vehicle damage, an apparent injury to the child or another occupant, signs of possible head, neck or spine injury, airbag deployment near the child, and situations without immediate danger or risk of another collision. Read PerthNow’s report on the Tiny Hearts advice.
That list and its 60 km/h threshold are reported advice, not a universal clinical cutoff established by the official sources cited here. Jurcutz told PerthNow that assessing the mechanism of injury—the force and type of impact—can reveal risks that are not obvious from a child’s appearance. If you are unsure what to do at the scene, call 000 and ask the operator.
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Replace a restraint involved in a crash
Do not assume a child restraint is safe to use again because it looks undamaged. The ACCC says a restraint should not be used if it has been involved in a car accident. Its mandatory-standard page says to destroy a restraint involved in a severe crash even if no damage is visible, and the Royal Children’s Hospital also advises against reusing a restraint after a crash because damage may be internal.
- Check the restraint manufacturer’s instructions and contact the manufacturer about the specific crash.
- Check applicable state or territory guidance before deciding what to do with the restraint.
- When choosing a replacement, confirm it meets the Australian mandatory standard, fits your child’s size and is compatible with your vehicle.
- Follow the installation instructions. The ACCC recommends using an authorised fitting service if you need help.
Sources: ACCC guidance on child car seats; ACCC child-restraint mandatory standard; Royal Children’s Hospital child car-seat guidance.
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Prepare for emergencies before you travel
Know how to call Triple Zero and where you are travelling, and keep a first-aid kit in the car. Healthdirect recommends a kit for home and car; it is a preparedness measure, not a substitute for calling emergency services after a serious crash. Healthdirect’s first-aid kit advice covers what to keep available.
For broader preparation, Tiny Hearts Education offers a self-paced baby and child first-aid course covering topics including CPR, emergency escalation, injury mechanisms, bleeding and head injuries. See Tiny Hearts Education for its current course details.
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