This paper focuses on an important aspect of the problem of occupant deaths and injuries -- namely, failure to adequately restrain children traveling in motor vehicles. Illustrative cases are drawn from a series of 89 deaths of children age 0-14 who were killed in Maryland crashes during 1973-77. Much of the emphasis is on occupant deaths during infancy, because little attention has been given to the especially high risk of death during the first 6 months of life (1).