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Background Child passenger safety is an important initiative in hospitals across the country. State laws require that parents and caregivers secure a child into a car seat from birth through the age of eight or until they reach 4’9” in height. Car seats have an expiration date and any car seat that is involved in a moderate or significant motor vehicle crash should be replaced and yet, many parents resort to storing old car seats. Here, we sought to determine the barriers and facilitators to the establishment of car seat recycling programs as part of the injury prevention programs at American College of Surgeons (ACS) Level I Pediatric Trauma Centers. Methods Semi-structured phone interviews were conducted with Injury Prevention Coordinators at 58 ACS Level I pediatric trauma centers. Phone interviews were conducted over an 8-week period and 3 attempts were made to contact an Injury Prevention Coordinator at …