Do Not Run at the Pool (and Other Summer Safety Tips)

Aw summer, we are so ready!

However, it will be a great summer only if our little ones remain safe. Breaking this down by the elements seems to make sense to me.

WATER

Swimming

Learning to swim is so much fun, but safety should be a priority. The American Academy recommends learning how to swim by the age of 4 but starting that process as early as 12 months. As drowning is the second most common cause of unintentional injury death in children in the United States (in children aged 1-14yr), it makes sense that learning to swim could potentially save a life. Children are very curious and should never be unattended near water. Having a fence around the pool is a must. If you are in a watercraft, all children need to be in a life vest that fits well.

Stay hydrated

Children are more susceptible to dehydration than adults, so be sure to push water frequently while active outdoors. Fluids and electrolytes are lost with sweating so electrolyte solutions, such as Gatorade, can be helpful tools for older children who are active outside. Cool wet clothes or actual cooling towels on the neck, wrist and ankles help to dissipate the heat from circulating blood.

SUN

Sunscreen

It is important for sunscreen to be “broad spectrum” -which means that it will screen out both UVB and UVA rays. I would recommend SPF of 30+ as a minimum and something hypoallergenic would be appropriate for those with sensitive skin. SPF stands for sun protection factor and specifically is a measure of how well the sunscreen will protect you from UVB rays. Sunscreen should be applied at least 15 minutes before skin exposure and should be reapplied at least every 2 hours (more frequently if in the water). There is much discussion of what components of sunscreen to avoid, and oxybenzone is one of those. Due to concerns of mild hormonal properties, it is to be avoided. Zinc oxide is a more aggressive way to cover sensitive areas such as cheeks, tops of ears, shoulders and nose. Even cloudy days can provide significant UV rays — so keep it in your bag!

Is there an age where sunscreen is not allowed? I would use sunscreen in the under 6 month group ONLY if swimsuits with sleeves and shade are not available. Be careful around the face!!

Sunburn

Sometimes, “things” happen — so some treatments for sunburn are listed below:

• A cool bath can be soothing but I would avoid soap. 
• Oatmeal can be added to the bath to help reduce inflammation and itching. 
• Try to avoid rubbing skin dry after bathing, as this can abrade sensitive skin so a good pat dry does the trick. 
• Ice in a damp cloth for nastier burns can reduce swelling by constricting blood vessels. This can be done several times per day but can be trickier in the younger age group. 
• Hydrocortisone cream can be used to help reduce inflammation up to 2 to 3 times per day if skin is intact. 
• Aloe vera can be used and feels great if chilled. 
• Avoid opening blisters as the skin underneath is very susceptible to infection and irritation. 

Sunglasses

I am not sure if there is anything more cute that a chubby baby in sunglasses!

However, not all sunglasses were created equal. Sunglasses that do not protect against both UVA and UVB rays are downright dangerous. They cause dilation of the pupil and let in the harmful rays. All of a sudden they are not so cute!! Do your research when buying sunglasses for children and make sure they do prevent these rays and are impact/shatter-resistant.

EARTH

Protective gear

“Go outside for heaven’s sake!” Well I sure heard that a lot as a kid. And for good reason, as getting good exercise is never easier than in the summer. The days are long and school is a distant memory. The importance of protective gear in play cannot be overstated. When riding a bicycle — just wear the helmet already!! The good news is that they are now cool and decorative as well as a great way to protect your noggin. Elbow and knee pads are also important, especially with skateboarding. If you are in organized sports, be sure to have the head/face and arm gear appropriate for that sport.

Children need to run and play. It is our job to make sure that they are safe. And no, bubble wrap is not the answer. The American Academy of Pediatrics is dedicated to health and wellness of children and is a great resource for information. Go to healthychildren.org for questions related to all child safety topics.

By Paula Stuebben, MD