A child within reach of a seat belt may become entangled if he or she pulls the seat belt all the way out and wraps the belt around his or her head, neck, or waist, according to the National Highway Traffic Safety Administration.

The majority of seat belts have a locking mechanism that is activated when the seat belt is pulled all the way out from the retractor. This feature is designed for car seat installation. In instances when the locking feature activates, the child may not be able to free him or herself.

This can happen if you do not properly restrain your child, for example, if you let the child lie down or sleep on the vehicle seat instead of being properly restrained. Older children who are no longer in a car seat can become entangled by pulling a seat belt all the way out of the retractor or by playing with an unused seat belt.

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