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Within the ISO/TC22/SC12/WG1 „Child Restraint Systems” an ad-hoc group was founded to develop a test standard for side impact protection for children in child seats. Within this task an international database of accidents with MAIS 2+ injured children has been established. This material, from 10 research institutes, compiling a total database of 139 side impacts of children from 0-12 years, has been analyzed. From this sample a selected database with 69 cases has been assembled, where cases with misuse, ejection and catastrophic intrusions have been excluded to focus on accidents with correct working restraint systems. A detailed description of the selected accidents is given. For children sitting in a CRS, severe to critical injuries were observed mostly for head and cervical-spine, whereas 2/3- point belted children showed a higher incidence of thorax and abdominal injuries.