Lube
up the little ones
By Gwenn Schurgin O’Keeffe, MD, FAAP
Your Kid’s
Health, The
Salem News, June
10, 2003 The
lazy days of summer are quickly approaching
and it won’t be long before carpools
and homework are replaced by outdoor fun,
summer camps and family vacations. Unfortunately,
the very features that make the summer so
fun and exciting also can be very dangerous
and can quickly turn an idyllic summer day
into a nightmare. Luckily, a bit of planning
and a tad of common sense can keep your family
safe without interfering with even an ounce
of fun. Today I’m going to cover the
basics of summer – the heat and the
sun. Next week I’ll cover the hidden
dangers in the recreational side of summer.
Do you know that the
heat and the sun do not necessarily go hand
in hand? It is possible to have sun without
intense heat and hot temperatures without
a lot of sun. And, when they occur together,
there is double the trouble. And, it is even
possible to burn in the shade!
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 its important to replace
those BEFORE there is a problem. This is especially
important in small children who tend to not
want to drink when they feel very warm.
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 of if 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 popcicles 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 its 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, stock up on
• rehydration
solutions and/or sports drinks
• sunblock SPF 15 or higher
• hats
• sunglasses
• stroller coverings or umbrella
• fans for your house or an air conditioning
unit if possible
• portable water bottles
• fans or air conditioning units if
your home/apartment allows
Here’s to beating
the heat this summer.
© 2005 Pediatrics
Now. All rights reserved. PEDIATRICS NOW is
a trademark of Pediatrics Now.
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