Category Archives: Injury Prevention

’Tis the season – for injury?

The increase in toy-related injuries primarily is due to ride-on toys and scooters. (Children's Hospitals and Clinics photo)

The increase in toy-related injuries primarily is due to ride-on toys and scooters. (Children’s Hospitals and Clinics photo)

Dex Tuttle

Toddlers have a seemingly infinite amount of energy. This isn’t news to most of you, but as a new parent my expectations of my daughter’s energy level are always a significant underestimate of the stamina of which she’s capable. On a recent weekend, Quinnlyn and her “Namma” ran more than 50 laps around our kitchen and living room with little or no signs of slowing down.

As a result of this constant source of energy, I often struggle to keep my daughter occupied. My rationale is that she’s less likely to get into trouble if she’s busy with some toys or an activity; however, that may not be the case.

Q4_mighty_buttonA new study found that, nationally, toy-related injuries are sending another child to the emergency room every three minutes.

This increase in toy-related injuries primarily is due to ride-on toys and scooters. Nearly half of the kids injured by toys are hurt falling off of them, and of those, many of them break bones.

REPORT: Avoiding dangerous toys

Now may be a time of year that some of us are thinking about getting new toys for the little ones. Whether they play with new toys or hand-me-downs, it’s not likely we’ll ever totally protect our kids from injury, but this serves as a good reminder:

  • Always read the instructions and follow manufacturer guidelines on age and appropriate use.
  • Define a safe space for kids to use these high-risk toys, and always make rules about staying away from other hazards such as traffic, obstacles and other people.
  • It’s never too early to get kids in the habit of wearing helmets. If they’re on wheels, their helmets should be on – indoors or out.
  • Make sure the toys are in good repair and check the Consumer Product Safety Commission for recalls.

Dex Tuttle is the injury prevention program director at Children’s Hospitals and Clinics of Minnesota.

Facts on frostbite

Limit the amount of time spent outdoors during cold temperatures. (iStock photo / Getty Images)

By Erin Fritz, CNP

Minnesota winters offer many outdoor activities. While we can appreciate the fun of sledding, the thrill of skiing or the labor-intensive task of shoveling, these activities aren’t without risk. Specifically, prolonged exposure to the cold puts our skin at risk for frostbite, or — a lesser version — frostnip.

What is frostbite?

Frostbite is the damage to a body part caused by cold. While many instances are mild, frostbite can be quite severe. Typically the cold exposure occurs over minutes or hours, but frostbite can be instantaneous if exposed to cold metal. Frostbite is most common on the ears, nose, cheeks, chin, fingers, and toes.

What should I watch for?

It’s important to recognize the signs of frostbite as quickly as possible. Skin will feel cold, and may even be numb or tingling; it may have a gray or white appearance. Due to the numbness, the affected body part may feel clumsy or be difficult to move. Slightly worse symptoms may include blisters. Severe frostbite will have areas of black skin.

Q4_mighty_buttonWhat to do if I am concerned?

Once symptoms of frostbite or frostnip are identified, the affected area needs to be rapidly re-warmed. The American Academy of Pediatrics recommends that the water used to re-warm the skin should be warm, but not hot. Avoid rubbing the area as this could make the pain and tissue damage worse. Pain is commonly a factor with frostbite, and can be managed with over-the-counter pain medications or by health care professionals.

How can frostbite be prevented?

Most importantly, frostbite easily can be prevented. Limit the amount of time spent outdoors during cold temperatures. Dress in layers, and cover all areas of uncovered skin with a hat, mittens, face mask and goggles. Warm boots are important. And finally, stay dry. If clothing does get wet, seek shelter and remove wet clothes immediately.

Springtime will bring warmer temperatures. But until then, dress warmly, stay dry and prevent frostbite.

Top 10 reasons why kids have to go to the ER

At Children’s Hospitals and Clinics of Minnesota, our Level I Pediatric Trauma Center in Minneapolis is the only one of its kind in the state. When it’s critical, so is your choice. We see kids in our emergency room for a variety of reasons. Here are the top 10:

10. Poisoning

(iStock photo / Getty Images)

(iStock photo / Getty Images)

Be sure to keep medications, cleaners and other potential household hazards away from children.

9. Water activities

(iStock photo / Getty Images)

(iStock photo / Getty Images)

Injuries that happen in water, including slipping in the bathtub, boating accidents, swimming and diving, can lead to a trip to the ER.

8. Wheeled sports (skateboards, inline skates, scooters)

(iStock photo / Getty Images)

(iStock photo / Getty Images)

It doesn’t matter if there’s no motor. If there’s wheels, there’s a way.

7. Seasonal activities

(iStock photo / Getty Images)

(iStock photo / Getty Images)

This category includes just about anything under the sun, as long as it’s not an activity that takes place year-round. Seasonal activities can include snowboarding, sledding, ice skating, ATV and horseback riding.

6. Violence

(iStock photo / Getty Images)

(iStock photo / Getty Images)

This one is fairly self-explanatory. Unfortunately, violent actions of all kinds are a reason we see kids in the ER.

5. Motor vehicle accidents

(iStock photo / Getty Images)

(iStock photo / Getty Images)

Accidents involving cars or other motor vehicles are the fifth-most-common reason kids visit the ER.

4. Bicycle accidents

(iStock photo / Getty Images)

(iStock photo / Getty Images)

This writer had countless spills off of his bike as a kid. Fortunately, none of them led to a hospital visit. When riding, be safe and make sure you wear a properly fitting helmet!

3. Playgrounds spills

(iStock photo / Getty Images)

(iStock photo / Getty Images)

Playgrounds are a common source of leading to ER trips. Play hard, but play safely.

2. Sports

(iStock photo / Getty Images)

(iStock photo / Getty Images)

It’s no surprise due to the popularity and abundant variety of sports that it’s one of the main reasons children can land in the emergency room.

1. Home injuries

 

(iStock photo / Getty Images)

(iStock photo / Getty Images)

Home may be where the heart is, but it’s also where most injuries happen. Simply due to the amount of time we spend at home compared to anywhere else, we’re bound to occasionally trip down the stairs or bump our head on a table. Make sure your home is appropriately set up for its occupants to maximize safety.

Define safe boundaries for kids and play

Encouraging the learning and exploration process will increase your child’s confidence and creativity, and defining safe boundaries and rules will keep you both happy. (iStock photo / Getty Images)

Encouraging the learning and exploration process will increase your child’s confidence and creativity, and defining safe boundaries and rules will keep you both happy. (iStock photo / Getty Images)

By Dex Tuttle

Not long ago, I watched my toddler daughter, Quinnlyn, as she played with her favorite blocks. She picked one up, stacked it carefully on top of another, and repeated until she had a tower four or five blocks high. Without warning, she pummeled the tower while sounding her signature high-pitched battle cry, sending blocks flying in all directions. She immediately seemed to regret not having a tower and ran to pick up the blocks to start the process over.

Young children begin to understand their world by cause-and-effect experimentation. Psychologist Jean Piaget was one of the first to put this concept into organized thought.

This behavior is apparent with my daughter: “If I stick my hand in the dog’s water dish, my shirt gets wet. This pleases me and I must do this each morning, preferably after mommy helps me put on a clean shirt.”

Then, something occurred to me as I watched Quinnlyn build and destroy her tower; there is a trigger missing in her young mind that could change her behavior: She does not understand consequence, the indirect product of an effect.

I began to notice this in her other activities as well. At dinnertime, we give her a plastic fork and spoon so she can work on her motor skills. If she’s unhappy with how dinner is going, she throws her fork and spoon on the floor in a fit of toddler rage. She is then immediately puzzled by how she’ll continue her meal now that her utensils are so far away.

Subscribe to MightyAs frustrating as toddler tantrums can sometimes be for parents, I’d love to be in my daughter’s shoes. Who wouldn’t want the satisfaction of taking all those dirty dishes that have been in the sink for two days and chucking them against the wall? That decision, of course, would be dangerous and reckless and I have no desire to clean up such a mess. And, with no dishes in the house, I’d be forced to take a toddler to the store to shop for breakable things; not a winning combination.

There’s an important lesson here for safety-minded parents: Kids will explore their environment in whatever way they can. It’s like the feeling you get when you find a $20 bill in the pocket of a pair of pants you haven’t worn in months, or when you discover the newest tool, gadget or fashion. For toddlers (and us adults), it’s fun finding new things and learning new skills; it’s motivating and creates a feeling of accomplishment. However, the cognitive skills of a toddler haven’t developed beyond that cause-effect understanding.

This is why we need to consider the environment in which our young children play. I recommend giving them plenty of space and opportunity to experiment without worry of the consequence:

  • Make sure stairs are blocked off securely and unsafe climbing hazards are eliminated; encourage kids to explore the space you define.
  • Create a space to explore free of choking hazards, potential poisons and breakable or valuable items; leave plenty of new objects for children to discover, and change the objects out when the kids seem to grow tired of them.
  • Allow children to fail at certain tasks; be encouraging and positive without intervening as they try again.
  • If possible, discuss their actions and consequences with them to help them understand the reason for your rules.

Encouraging the learning and exploration process will increase your child’s confidence and creativity, and defining safe boundaries and rules will keep you both happy.

At Children’s Hospitals and Clinics of Minnesota, we care for more pediatric emergency and trauma patients than any other health care system in our region, seeing about 90,000 kids each year between our St. Paul and Minneapolis hospitals. Children’s Hospital in Minneapolis is the area’s only Level I pediatric trauma center in a hospital dedicated to only kids, which means we offer the highest level of care to critically injured kids. When it’s critical, so is your choice – Children’s Level I Pediatric Trauma Center, Minneapolis.

Dex Tuttle is the injury prevention program coordinator at Children’s Hospitals and Clinics of Minnesota and the father of a curious and mobile toddler. He has a Master of Education degree from Penn State University.

Life jackets greatly reduce risk of drowning

(iStock photo / Getty Images)

(iStock photo / Getty Images)

By Dex Tuttle

According to the Minnesota Water Safety Coalition, it’s estimated that half of all drowning events among recreational boaters could have been prevented if life jackets were worn.

As a parent, it doesn’t take much to convince me that the safety of my daughter is important, and more specifically, directly my responsibility. This statistic is alarming. Especially since drowning is the second-leading cause of unintentional injury-related death among children ages 14 and younger.

My daughter, Quinnlyn, loves the water. It’s easy to get caught up in her excitement and joy as she splashes around and giggles that addicting toddler laugh, so much so that I often forget the dangers inherent in water for a child who is oblivious to them.

Subscribe to MightyStill, as an attentive parent, it’s hard for me to believe that drowning is an ever-present danger for my little one. That’s why it’s important to consider the staggering statistics around near-drowning incidents.

Since 2001, an average of 3,700 children sustained nonfatal near-drowning-related injuries.  To spare you the details, check out this article.

When protecting your children around water, there’s little to nothing that can supplement uninterrupted supervision. However, a life jacket will provide significant protection for your little ones and help instill a culture of safety in your family. Here’s how to know if it fits right (thanks to the United States Coast Guard):

  • Make sure your life jacket is U.S. Coast Guard-approved on the label on the inside of the jacket.
  • Ensure that the jacket you select for your child is appropriate for his or her weight, and be sure it’s in good condition. A ripped or worn-out jacket can drastically reduce its effectiveness.
  • Football season is here again (YES!), so consider the universal signal for a touchdown – after the life jacket is on and buckled, have your child raise his or her arms straight in the air. Pull up on the arm openings and make sure the jacket doesn’t ride up to the chin; it’s best to find out that it’s too loose before getting in the water.

At Children’s Hospitals and Clinics of Minnesota, we care for more pediatric emergency and trauma patients than any other health care system in our region, seeing about 90,000 kids each year between our St. Paul and Minneapolis hospitals. Children’s Hospital in Minneapolis is the area’s only Level I pediatric trauma center in a hospital dedicated to only kids, which means we offer the highest level of care to critically injured kids. From the seriously sick to the critically injured, we’re ready for anything.

When it’s critical, so is your choice – Children’s Level I Pediatric Trauma Center, Minneapolis.

Dex Tuttle is Children’s injury prevention program coordinator.

Volunteers needed for Minnesota State Fair

Want a free ticket to the Minnesota State Fair?

We’re looking for fun volunteers to help staff our Making Safe Simple booth. We have four interactive stations: helmet safety, car safety, household safety and water safety. All volunteers receive free entry to the fair and a T-shirt.

There still are several volunteer spots available — Labor Day weekend is our greatest need for champion volunteers:

Subscribe to MightySaturday, Aug. 30

  • 5-8:30 p.m.

Sunday, Aug. 31

  • 2-5:30 p.m.
  • 5-8:30 p.m.

Monday, Sept. 1

  • 2-5:30 p.m.
  • 5-8:30 p.m.

Encourage your family and friends to volunteer, too!  Please note that volunteers must be 18 years or older. To sign up, please contact Ana Nugent at Ana.Nugent@childrensmn.org. We hope to see you at the fair!

Don’t forget kids in cars

Cracking a window does little to reduce the heat inside a car. Never leave your child unattended in the car. (iStock photo / Getty Images)

Cracking a window does little to reduce the heat inside a car. Never leave your child unattended in the car. (iStock photo / Getty Images)

By Dex Tuttle

I’ve often surprised myself by how forgetful I am as a parent. It’s possible I’m the only dad who has nearly forgotten that his daughter needs to eat and, more specifically, that he’s responsible for making sure that happens. I know for a FACT, however, that I’m not the only dad who has forgotten the diaper bag in the car and been forced to speed-run the grocery shopping to get a stinky child out of the store as fast as possible. On tired days after sleepless nights, I’ve forgotten that my keys are in the ignition of the car I’m driving and seriously debated being late for work to turn around and go get them.

I’m exposing a vulnerable part of myself a little when I admit this type of fault, but I know I’m not alone. As the injury prevention program coordinator at Children’s, I feel even more responsible to be mistake-free in providing a safe environment for my child, and I feel that much more silly when I fail to do so.

Subscribe to MightyWhen Quinnlyn was learning to walk, she pulled herself up on me as I sat in my “dad chair” in the living room. (I’ll admit, realizing that the recliner was a crucial part of fatherhood was a huge part of my excitement for becoming a dad, but I digress.) She grabbed my hands and smiled at her accomplishment. After a few happy moments, she started to turn and walk away, and I forgot that she wasn’t yet able to stand on her own. I let go of her hands and down she went, flat on her back. Thankfully, she was OK. She actually laughed it off (her reaction to near-injury that would soon give me anxiety) and got herself back up.

So far, my follies have been rather benign. Still, I live in eternal fear of finding myself in that vulnerable, forgetful moment when something more serious happens.

As the summer ramps into full swing, one such mistake I’m determined NOT to make is forgetting Quinn in the car. This can happen for one of two reasons: we don’t realize the danger, or we find ourselves in a moment of distraction and leave out one very important detail.

Let me first convince you that this is extraordinarily dangerous:

  • Children have lower water reserves, so their body temperatures rise three to four times faster than an adult.
  • The temperature inside a car can rise 50-60 degrees Fahrenheit every 15 minutes (on a 70-degree day, the temperature inside a car can reach 116 degrees).
  • Since 1998, more than 580 children in the United States have died from being left in vehicles.
  • In car seats, children are insulated, making it more difficult for their bodies to regulate overheating.
  • Signs of hyperthermia set in when body temperature reaches just 100.9 degrees Fahrenheit, which children will surpass in only a matter of minutes; internal organs can begin to fail at 104 degrees, and death can occur when body temp reaches 107.
  • Cracking a window does little to reduce the heat inside a car.

On most days, strapping my daughter into her car seat easily could be the final challenge on a reality game show that tests strength, patience and fortitude. Therefore, I’m admittedly hesitant to take her in and out of the car more than I need. However, you never know what will happen; on an average day, there are so many things that are out of your control and could delay a quick stop or create catastrophic failure of your car’s air conditioning. Please take control of what you can and never, ever leave your child unattended in the car.

But as I’ve already admitted, I’m forgetful. Here are some tips on making sure you don’t forget your most-precious package:

  • Place an important item in the backseat. My recommendation is to leave your phone there – thus removing a major distraction while driving – but it can be a purse, wallet, computer, jacket or any other item you know you’ll need when you arrive at your destination.
  • If you don’t carry items often and you drive a car with an automatic transmission, take the shoe off the foot you don’t use for the pedals and put it in the back seat. This can be a fun game where everyone in the family participates.
  • Leave yourself a note on the dashboard: “BABY IN BACK!”
  • Put a stuffed animal or doll in the car seat when your child isn’t in it. When you strap your kid in for a trip, put the stuffed animal in the seat next to you up front – a reminder that something is out of place.
  • If you have a GPS-enabled device, set location reminders when arriving at your favorite locations – the grocery store, work, restaurants, etc. Kars 4 Kids is developing an app that works with your car’s Bluetooth capabilities to remind you as you walk away from the vehicle.

Make arrival habits:

  • Always do a walk-around of your vehicle to ensure you’re a safe distance from other hazards and make note of items that will help you remember where you parked.
  • Always use the passenger-side doors to load and unload for trips. This will force you to walk around the car to collect your items.
  • Make a game with your child where you always sing a song, say a phrase, do an activity each time you stop at a destination. Even if your child is sleeping, the habit will keep your mind thinking about the little person in the backseat.

Other resources:

Dex Tuttle is the injury prevention program coordinator at Children’s Hospitals and Clinics of Minnesota.

Five things to know about heat exhaustion

With sun and humidity a factor during summer in Minnesota, we thought it was a good time to talk about ways to keep kids safe in the heat. In addition to our quick tips for protecting your kids from dehydration, here are tips on avoiding heat exhaustion. We believe in Making Safe Simple, so take a few moments to review these tips!

  1. Subscribe to MightyChildren adjust more slowly than adults do to changes in environmental heat. They also produce more heat with activity than adults and sweat less. Sweating is one of the body’s normal cooling mechanisms. Children often don’t think to rest when having fun and may not drink enough fluids when playing or exercising.
  2. Heat exhaustion results from a loss of water and salt in the body due to excessive sweating. It occurs when the body is unable to cool itself properly and, if left untreated, can progress to heat stroke.
  3. Signs of heat exhaustion in children are: profuse sweating, pale skin that’s cool and damp to the touch, rapid and shallow breathing, headache, nausea, normal or below-normal body temperature, vomiting or diarrhea, dizziness, weakness or fainting, and muscle cramps.
  4. If your child is experiencing heat exhaustion, move him or her to a cool place right away to rest. You should remove extra clothing and apply cool cloths (towels with cold water) and fan the child’s skin. Give him or her cool sports drinks containing salt and sugar such as Gatorade (if the child doesn’t feel nauseated).
  5. Call your doctor or go to the emergency department if their condition hasn’t improved or your child is unable to take fluids within an hour.

At Children’s Hospitals and Clinics of Minnesota, we care for more pediatric emergency and trauma patients than any other health care system in our region, seeing about 90,000 kids each year between our St. Paul and Minneapolis hospitals. Children’s Hospital in Minneapolis is the area’s only Level I pediatric trauma center in a hospital dedicated to only kids, which means we offer the highest level of care to critically injured kids. From the seriously sick to the critically injured, we’re ready for anything.

Stay safe and avoid dehydration in hot weather

Follow these quick tips to keep your kids safe from dehydration when they’re out playing in hot temperatures.

Summertime is definitely here, and what kid can’t wait to get outside and play? But staying safe in the sun, and avoiding dehydration, is important.

Subscribe to MightyWe believe in Making Safe Simple. Here are some quick tips to help your kids avoid dehydration:

  • On hot days, make sure you drink plenty of water to stay hydrated. The human body requires at least one liter of water daily.
  • Dehydration means that a child’s body doesn’t have enough fluid. Dehydration can result from not drinking, vomiting, diarrhea, or any combination of these conditions. Sweating or urinating too much rarely causes it.
  • Thirst is not a good early indicator of dehydration. By the time a child feels thirsty, he or she may already be dehydrated. And thirst can be quenched before the necessary body fluids have been replaced.
  • Signs of dehydration in children include the following: sticky or dry mouth, few or no tears when crying, eyes that look sunken into the head, lack of urine or wet diapers for six to eight hours in an infant (or only a small amount of dark yellow urine), lack of urine for 12 hours in an older child (or only a small amount of dark yellow urine); dry, cool skin; irritability, and fatigue or dizziness in an older child.
  • If you suspect your child is dehydrated, start by replenishing his or her body with fluids. Plain water is the best option for the first hour or two. The child can drink as much as he or she wants. After this, the child might need drinks containing sugar and electrolytes (salts) or regular food. Also, the child should rest in a cool, shaded environment until the lost fluid has been replaced.
  • Call your doctor immediately or take your child to the nearest emergency department if there is no improvement or condition is worsening.

At Children’s Hospitals and Clinics of Minnesota, we care for more pediatric emergency and trauma patients than any other health care system in our region, seeing about 90,000 kids each year between our St. Paul and Minneapolis hospitals. Children’s Hospital in Minneapolis is the area’s only Level I pediatric trauma center in a hospital dedicated to only kids, which means we offer the highest level of care to critically injured kids. From the seriously sick to the critically injured, we’re ready for anything.