Childish
Fun in the Sun
By
Gwenn Schurgin O’Keeffe, MD, FAAP
Your Childs’s
Health, Parents
and Kids and MetroWest
Daily News
May
24, 2005
The lazy days of summer
are quickly approaching. Before long, carpools
and homework will be a distant memory and
we will fill our days with all sorts of
outdoor adventures. Unfortunately, the very
features that make the summer so wonderful
can also be very dangerous, especially for
children. Luckily, a bit of planning and
a tad of common sense can keep your family
safe without interfering with even an ounce
of fun.
Fun in the sun and
fun in motion are what makes the summer so
spectacular and dangerous at the same time.
You may be surprised to learn that the heat
and the sun do not necessarily go hand in
hand. We can burn in the shade and get dehydrated
on a cloudy day. It is possible to get too
much sun without intense heat and it is also
possible to experience hot temperatures without
a lot of sun. And, when they occur together,
there is double the trouble.
A child’s age
dictates a great deal of what they can handle
for heat and sun. Babies under 6 months of
age should never be in direct sunlight –
they burn too easily and sunscreens are not
safe for children so young. Try to keep these
tots covered in light clothing or shaded by
an umbrella or stroller cover – and
don’t forget the hat.
Small infants and children
dehydrate quickly in the sun and heat so keep
on hand some rehydration solutions or some
good sports drinks. We all lose sugars and
salts when we sweat and it’s important
to replenish what we lose as we go to avoid
a later problem. This is especially important
in small children who tend to not want to
drink when they feel very warm. Monitor small
children for excessive sweating and sleepiness
and encourage them to drink continuously.
For older kids, sunscreen
SPF 15 or higher, hats with a brim, sunglasses
and limiting sun exposure during the peak
sun times (10am to 4pm) are the current recommendations
of the American Academies of Pediatrics and
Dermatology. Lube the entire body including
feet, hands, noses, ears, back of the ears,
lips. And, don’t forget to reapply sunscreen
every 2 hours when playing sports or swimming.
It’s also important to have your children
rest and have some sun-free time complete
with lots of fluids. Keep popsicles on hand
as well as sports drinks and encourage your
child to carry a water bottle filled with
either ice water or a sports drink.
Sunburns are true burns
of the skin and can be serious if large and
blistered. The discomfort of simple sunburns
can be relieved with cool baths, moisturizers
with aloe, and hydrocortisone. Large blistering
areas many require more elaborate medical
management and you should consult your doctor
if large areas of blistering occur.
Bodies can get overheated
to very dangerous temperatures. Any sunburn
with headache, chills, fever is a medical
emergency and it’s important to call
your doctor or take your child to the nearest
emergency room. Other warning signs to seek
help for include lethargy, not tearing, vomiting
and not urinating. Also remember not to leave
a child in a car on a summer’s day even
for a few minutes – a car can quickly
heat up like an oven to temperatures that
can and do take lives each summer.
So, as you prepare
for the summer heat, keep these items on hand:
1. rehydration solutions
and/or sports drinks
2. sunblock SPF 15 or higher
3. hats
4. sunglasses
5. stroller coverings or umbrella
6. fans for your house or an air conditioning
unit if possible
7. portable water bottles
In addition to the
sun, the summer months provide us with endless
opportunities for outdoor and most of the
best loves recreational activities all involve
either motion, water or both. Kids love things
that move and most kids nowadays wear helmets
and appropriate pads naturally. This is one
area that you should never compromise with
your children. Any child old enough to learn
to ride a bike, rollerblades, scooter, or
skateboard is old enough to understand what
will happen if they hurt their heads without
wearing a helmet. Keep it simple: no helmet,
no ride.
Keep in mind that small
children, younger than ages 5 or 6, simply
do not have the coordination or strength to
master the skills needed to ride anything
other than a cozy coupe, tricycle, 3-wheeled
scooter, bike with training wheels, or bigwheel
safely. And, kids younger than 8 years of
age should never be allowed to ride a scooter.
These young kids may very well be able to
tell you all the rules of the road by heart
but not yet the experience or developmental
maturity to remember to follow them.
Here’s to safe
outdoor fun – all year long.
© 2005-2006 Pediatrics
Now.
All rights reserved. PEDIATRICS NOW is a trademark
of Pediatrics Now.
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