Category Archives: Parenting

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.

Be smart, safe with fireworks

For many families, the Fourth of July celebration includes fireworks. It's important to take the proper safety measures when using fireworks (iStock photo / Getty Images)

For many families, the Fourth of July celebration includes fireworks. It’s important to take the proper safety measures when using fireworks (iStock photo / Getty Images)

Subscribe to MightyBy Luul Mohamed and Alicia Youssef

The Fourth of July is a day filled with fun, excitement and celebration. Across the nation, families and friends gather to celebrate our nation’s independence. Follow these tips to ensure maximum fun and prevent injuries.

Firework safety tips

Each year in the U.S., thousands of adults and children are treated in emergency rooms for fireworks-related injuries.

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.

The safest way to enjoy fireworks and avoid a visit to the emergency room is to attend a public fireworks display. However, if you choose to light them yourself, here are a few ways to enjoy the fun while keeping you and your children safe:

  • Keep fireworks of any kind away from children, even after they have gone off. Parts of the firework can still be hot or even explosive after fireworks have been lit.
  • Older teens should only use fireworks under close adult supervision.
  • Keep fireworks far away from dense areas where there are a lot of buildings and/or people.
  • Do not light fireworks around flammable items such as dead leaves, gas-powered equipment or fabrics, and be sure they’re pointed away from people, animals and buildings.
  • Always have a fire extinguisher, water bucket and/or hose readily available in case of an accidental fire.
  • After you have enjoyed your fireworks, be sure to pick up any debris or pieces of the firework that may be left in the area. These small pieces may pose as a choking hazard for young children.

The Fourth of July weekend also is a great time for travel and spending time in the water. Please view these articles for tips on water safety and traveling:

Fireworks references: The National Council on Fireworks Safety, Parents: Fireworks Safety

Luul Mohamed and Alicia Youssef are members of Children’s injury prevention program team.

Making magic happen: The infant-toddler brain

Anna Youngerman is the director of advocacy and health policy at Children's Hospitals and Clinics of Minnesota and a proud parent of her 2-year-old son.

Anna Youngerman is the director of advocacy and health policy at Children’s Hospitals and Clinics of Minnesota and a proud parent of her 2-year-old son.

By Anna Youngerman

For many parents, sleep-deprived might be how we choose to describe the first three years of a child’s life — at least it has been for me. But as I look through the haze of too few hours of sleep, there’s also magic to these early years. I frequently find myself in a state of awe and wonder at my growing child. The first time your baby catches your eye and holds your gaze, the first time he says “mommy,” the cobbling together of phrases to describe his day and even the frustration-driven tantrums — those are all magical moments.

It turns out there’s a reason the awe-inspiring moments come fast and furious during these earliest years. The brain wiring is on hyper-drive:

  • 80 percent of brain development happens by the time a child is 3 years old.
  • 700 new neural connections are made every second in the first few years of life.

This naturally occurring development can serve as a springboard for a productive, healthy life. Yet, just as a magician must carefully prepare for a trick so it appears both astonishing and seamless, helping every child realize the powerful potential of these years also requires intentional support.

Inspiring action

Though our paper, “Foundation for Life: The Significance of Birth to Three,” we want to inspire more robust discussion and action around the value of investments in and attention to our youngest children. We want to invite the tough questions and – more importantly – be part of answering them:

  • What can we do, collectively, to reach the most vulnerable children?
  • How do we mitigate toxic stress factors that tear away at a child’s potential?
  • What’s the community’s role in ensuring that no child lacks the positive relationships so crucial to healthy development?
  • How do we build a coordinated system that focuses on what a child needs and not what the system needs?
  • Subscribe to MightyHow do we reach children at an age (0-3) when they often are cared for by family, friends and neighbors and not always tied to existing systems?

These aren’t easy questions, but just because they’re tough doesn’t mean we shouldn’t take them on and figure out how to work together toward getting answers. The stakes are just too high and the opportunity too great.

Like most parents, I’ll gladly navigate my sleep deprivation in exchange for giving my kiddo every opportunity he deserves. That’s the hope and dedication we want to inspire. I hope you’ll join us.

Anna Youngerman is the director of advocacy and health policy at Children’s Hospitals and Clinics of Minnesota and a proud parent of her 2-year-old son.

Animals are great family members, except when they’re not

Teach kids to respect your animal’s space. (iStock photo / Getty Images)

By Dex Tuttle

Even before the pitter-patter of toddler feet, our house was plenty busy. My wife and I jokingly referred to our dog, Sprocket, and cat, Harvey, as training for parenthood. By the time our daughter, Quinnlyn, came around, we already had learned to keep valuables out of reach and close the doors to the rooms where we didn’t want roaming paws. And we quickly learned the value of eating our meals after distracting the animals to avoid begging eyes.

In addition to providing safety challenges, animals have an uncanny way of creating rules for your house, with or without your approval. Regardless of your expectations of them, they almost always get their way. (Those with toddlers will recognize the similarity here.) In our case, for example, we insisted that Sprocket not be allowed on the furniture – and he most definitely would not be allowed to sleep in our bed. He had different plans, though, and now I’m regularly curled up in the only free corner of our king-sized bed and rarely leave the house without fur-covered pants.

After we introduced the pets to Quinnlyn, Harvey disappeared for what seemed like the better part of a year while Sprocket was quite concerned about losing out on time with us. What remained to be seen was how these interspecies siblings would get along once Quinn became more mobile. We had two animals who thought they owned the house and a new queen who demanded nearly all of our attention. Naturally, there was some ruffled fur.

Recently, Sprocket was lying comfortably on the couch while I was typing away in the recliner near him. Quinn recognized the quiet, relaxing vibe and felt it needed a little chaos. She grabbed her step stool, crawled up on the couch and tried to climb up on Sprocket’s back, hoping to get a free doggie ride. Sprocket alerted me with the warning signs – he first tried to move away then let out a little growl before licking Quinn’s face. Thankfully, I was able to intervene before he got increasingly upset, but his behavior understandably is confusing to Quinn, so she continued to try to climb aboard.

Therein lays the challenge: No matter how well trained, animals are instinctual beings that are territorial, protective and usually inflexible on changing the rules they created. Young children are curious beings who discover their world by poking, prodding, throwing, climbing and chasing. Pairing children and pets can be simultaneously developmentally rewarding and potentially dangerous.

Here are some tips to help keep your kids safe around dogs:

Household pets

  • Dogs typically don’t like hugs and kisses, particularly when it’s not on their own terms. Teach kids to respect your animal’s space.
  • Don’t stare at a dog in close proximity to its face as this can be interpreted as an act of aggression.
  • Dogs that are tied up, cooped in or curled up (sleeping or relaxing) may be more agitated if approached – they either want to get out or be left alone.
  • Know that dogs don’t only attack when they’re angry (growling, barking, hair standing up); they can attack because they’re scared; a dog with its mouth closed, eyes wide and ears forward may indicate that it’s scared or worried.
  • Recognize these behaviors in your family dog to know it’s time to stop playing and give your pet some space:
    • Avoidance – hiding behind something or someone or turning its head away
    • Submission – rolling on its back, licking, or leaving the room; even though the dog is giving up now, it may not some day
    • Body language – tail between legs or low with only the end wagging, ears in a non-neutral position, rapid panting, licking its chops, or shaking out its fur
    • Acting out – tearing up or destroying personal possessions such as toys or other items your family uses frequently, or urinating or defecating in the house; these may be signs that your dog should be seen by a behavioral professional – don’t delay!

Pets outside of your family (tips courtesy of Children’s Hospital of Michigan)

  • Always ask an adult’s permission before approaching or petting a dog. Start by letting the dog sniff you, then gently pet under its chin or on top of its head, but never its tail, back or legs.
    • Never run or scream if a dog comes up to you
    • Never try to ride a bike away from a dog; they can run faster than you can bike
    • Always be calm around dogs and don’t look them in the eye; they may see this as an act of aggression
    • Stand still like a tree or rock and let the dog sniff you. If a dog starts biting, put whatever you have (backpack, stick, toy, etc.) in its mouth.
      • Avoid dogs that are eating, playing with toys, tied up in a yard, or behind a fence; also avoid dogs who look ill or angry
      • Never tease a dog by throwing things at it, barking at it, etc.

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

Trustworthy: Vaccines have earned that title

Two doses of measles-mumps-rubella vaccine will prevent measles in 99 percent of those vaccinated.

By Patsy Stinchfield, PNP

The confirmation of 83 cases of measles in Ohio this month and the recent quick diagnosis of a 19-month-old with measles in Minneapolis, Minnesota’s first case of measles this year, brought a timely reminder that the potentially deadly virus has not been eradicated and of the importance of vaccination. Having just wrapped World Immunization Week and National Infant Immunization Week, the importance of immunization is as great as ever.

In fact, the U.S. Centers for Disease Control and Prevention reported today that the 288 cases of measles in the country so far this year are the highest since 2000. The number of cases reported this year is the highest for the first five months of a year since 1994.

I worry that the numbers are a sign of growing credibility for a small band of celebrities and others who have thrown up an online smoke screen of fear of vaccines against measles, whooping cough and other common childhood diseases.

If even a relatively small percentage of Americans buy into this criticism, it would be disastrous. Measles, one of the most contagious airborne diseases, can be extremely serious, leading in rare cases to pneumonia and fatal brain infections. Infants too young to be vaccinated particularly are at risk.

We’re fortunate that the child in Minnesota, who actually had one of two measles shots and apparently contracted the disease during a visit to India, was diagnosed within minutes at Children’s – Minneapolis. Because the alert medical team picked up the symptoms so quickly, only 16 potentially exposed people had to be notified after the child was quarantined.

Three years ago, as many as 700 contacts had to be reached for some patients during an outbreak at Children’s.

What’s most frustrating is that it’s all so unnecessary.

The virus hasn’t changed all that much. It’s not like the HIV virus, constantly mutating. No; with measles the culprit purely is social – a breakdown in trust of medical experts whose longtime vaccine advocacy made measles and other common childhood infections a footnote.

Fear-mongering online vaccine critics are not winning, in a classical political sense. Thankfully, more than 90 percent of parents still trust their health care providers and nationally recommended vaccines. If they didn’t, we would see frequent headlines about deaths from measles, whooping cough and other diseases.

However, the remaining 10 percent of parents are hesitant, have vague fears and wonder who to trust. They routinely hear or read vehement vaccine bashing in social media circles, which feeds fear and denial – and new outbreaks. New York City and Orange County, Calif., currently are dealing with measles outbreaks.

Measles is so highly contagious that just passing through a clinic waiting room two hours after someone with measles has been there can expose an unvaccinated newborn, which may be devastating.

We all must protect the vulnerable in our community by forming a protective barrier of our own vaccination. That’s a simple point seemingly lost on the peddlers of myth and pseudoscience who have infected too many parents with baseless fear of vaccines that protect their own children and the community at large.

Parents should trust health care professionals who urge vaccination on schedule. At Children’s, we speak from experience. We have seen children die or become permanently impaired from vaccine-preventable disease. Ask our specialists how many unvaccinated, critically ill children they have cared for, and they would answer “too many to count.” And how many they’ve seen with severe vaccine side effect? You’ll get a blank stare, or “I don’t recall any; maybe one at most.”

We have seen children with measles on a ventilator, fighting for their lives. That’s a bitter sight when you recognize that two doses of measles-mumps-rubella vaccine will prevent measles in 99 percent of those vaccinated. There’s no contest between the benefits of vaccines and their extremely rare risks.

Before the measles vaccine was developed in the 1960s, there were 2.6 million measles-related deaths per year worldwide. In 2012, that number was down to 122,000, mostly in children younger than 5 in parts of the world where vaccines are scarce or their parents refuse to allow vaccination. The point is that we can’t afford to let our guard down in the U.S. or elsewhere. In a global society measles is a mere plane ride away for the unprotected.

The safe, effective and trustworthy action for infants, children, adolescents and adults is to get vaccinated on time for all recommended vaccine-preventable diseases.

Aside from sanitary drinking water, vaccines remain the safest, most-life-saving medical intervention we have to protect our children.

Patsy Stinchfield, PNP, is the director of infectious disease and prevention and the Children’s Immunization Project at Children’s Hospitals and Clinics of Minnesota.

Stress test: Helping kids lessen testing anxiety

To combat testing anxiety, students should have some go-to solutions such as engaging in a brief relaxing activity, outlining notes or playing a memory game. (iStock photo / Getty Images)

Guest post by Maggie Sonnek

Mae Hyser is one smart cookie. At 12 years old, she already has her career planned out: become a writer and an illustrator. And mom Beth couldn’t be prouder.

“She’s kind of a Type-A personality,” Beth Hyser laughs. But, as end-of-the-year finals and projects approach, sixth-grader Mae is aware of the extra pressure. And so is her mom.

Are your kids stressed over tests? Here are some tips to help kids like Mae – and their parents – decrease stress and improve results.

Set up good study habits at an early age

It sounds obvious, right? Michelle Goldwin, MA, doctoral psychology intern at Children’s, says developing effective study habits earlier is a way for kids to feel more confident about their abilities to study and take tests.

“We’re noticing kids are becoming nervous about tests earlier and earlier,” she explains. “There are more standardized tests sooner; kids are learning that they have to do well in order to get good grades…to get into a good college…to get a good job.”

To combat that anxiety, students should have some go-to solutions at the ready, such as engaging in a brief relaxing activity, outlining notes or playing a memory game.

Create a positive bedtime routine

Bedtime can be the hardest time of the day for parents. But, it doesn’t have to be. Mary Sheedy Kurcinka, MA, writes about practical strategies for getting a good night’s sleep in her book, Sleepless in America.

“Researchers have discovered that the sleep/wake cycle, or what researchers like to call the circadian rhythm, runs on a cycle closer to 25 hours than 24,” she writes. “In order to bring your child’s cycle into line with a 24 hour day, you have to set it with cues, like light and a regular sleep-and-wake schedule.”

Create a calming end-of-day routine, whether it’s quiet music, dim lighting or a scented candle.

Here are more ways to help your kids get a good night’s sleep.

Take breaks and use incentives

Even at the college level, students are still encouraged to take breaks. MIT supports several scheduled breaks throughout the day, saying, “Our minds need an occasional rest in order to stay alert and productive, and you can look forward to a reward as you study.”

For 12-year-old Mae that reward is a few coveted minutes on the iPad, which mom will gladly hand over after she practices her spelling words.

Value your child’s self-worth

Both Goldwin and Beth Hyser expound on the importance of valuing kids beyond the report card.

Goldwin says, “Parents can remind their kids, ‘I like that you’re working hard on this and giving it your all.’ But, be sure to remind them that they’re also a great artist or bowler. There are lots of special things about each child.”

Beth Hyser agrees. “If a C is your best, then that’s great.”

Change the way you think

Goldwin and the rest of the team in Psychological Services at Children’s utilize Cognitive Behavioral Therapy as a way to help patients with anxiety.

“We encourage students to pay attention to their negative thoughts, like ‘I’m not going to do well on this test’ and replace them with more helpful thoughts, like ‘I’ve studied and I feel confident that I know this material.’ ”

Practice self-care

This means eating a hearty breakfast the morning of a test, staying away from caffeinated beverages and paying attention to breathing.

“Before the day of the test, I encourage kids to practice deep breathing by placing a hand on their bellies,” Goldwin says. “Then, slowly breathe out and notice that their belly deflates.” She adds that sometimes she draws the analogy of the stomach being like a balloon that’s filling with air and then emptying.

Lessening testing anxiety may not always be easy for kids, but these strategies can get them started on the path to a less stressful testing season.

In what ways do you work with your kids to lessen anxiety before tests or other stressful times? Share in the comments.

More information: Psychological Services at Children’s

Maggie Sonnek is a writer, blogger, lover-of-outdoors and momma to two young kiddos. When she’s not kissing boo-boos or cutting up someone’s food, she likes to beat her husband at Scrabble.

Tanning turmoil: Why getting ‘bronzed’ is hazardous to your teen’s health

For teens, one visit to a tanning bed increases the risk of squamous cell carcinoma by 67 percent. (iStock photo / Getty Images)

A guest post by Gigi Chawla, MD

Every spring, many of us weary from a long winter head south to warmer climes; teens across the country attend prom with their sweethearts. And what do kids tend to do before events like these?

Hit the tanning salon.

Looking “pasty white” in a swimsuit or a new dress just won’t do, right? Think again.

Here’s a brief warning to help dispel the myth of “getting a base tan” before these events. Or ever.

Currently, 35 percent of 17-year-old girls in the U.S. are using tanning beds and 55 percent of college-aged kids have used one at least once.

In Minnesota, the Star Tribune reported earlier this year that, “a third of white 11th-grade Minnesota girls have tanned indoors in the past year, according to a state survey … and more than half of them used sun beds, sunlamps or tanning booths at least 10 times in a recent 12-month period.”

What isn’t immediately clear to our kids is that during a tanning-bed session they may receive up to 12 times the ultraviolet (UV) exposure as they receive being outside in the natural sunlight. This UV radiation exposure from tanning beds is dangerous and linked to three types of skin cancer: melanoma, basal cell carcinoma and squamous cell carcinoma.

Here’s the potential damage that one tanning-bed session alone can cause a teen:

  • The risk of developing melanoma increases by 20 percent
  • The risk of developing basal cell carcinoma increases by 29 percent
  • The risk of squamous cell carcinoma increases by 67 percent

For people using a tanning bed under the age of 35, the lifetime risk of developing skin cancer of any type increases by 74 percent.

Specifically, it increases the lifetime risk of:

  • melanoma by 75 percent
  • basal cell carcinoma by 150 percent, and
  • squamous cell carcinoma by a whopping 250 percent

Moreover, skin cancer now is the leading form of cancer in 25- to 29-year-olds.

Another startling fact: More skin cancer cases arise from tanning-bed use than lung cancer cases do from smoking; yet, in our culture, bronzed skin is seen as a form of beauty.

Some advice to parents: Remember to reinforce to your teens that they are beautiful or handsome no matter the shade of their skin. What’s important is what’s inside. I like to think that we live in an era in which we can look past skin color, where we are not judged by skin color and we should not see beauty based on skin color.

It’s time to remind your kids to “go with your own natural glow.”

Gigi Chawla, MD, is a pediatrician, hospitalist and the Senior Medical Director of Primary Care at Children’s Hospitals and Clinics of Minnesota. Her areas of interest are the care of complex special needs patients, premature infants, ventilator dependent children and care of hospitalized patients.

Sources: The Skin Cancer Foundation, U.S. Food and Drug Administration, Centers for Disease Control and Prevention

 

Five Question Friday: Dex Tuttle

We love kids here at Children’s, but we’d rather see them safe at home. Dex Tuttle, our injury prevention program coordinator, tells us more about his role and gives some tips on how to prevent common household injuries in this week’s Five Question Friday.

Dex Tuttle has been the injury prevention program coordinator at Children's since August 2013.

How long have you worked at Children’s?

I started in August of 2013.

Describe your role.

As injury prevention program coordinator, my job is to keep kids out of the emergency room. I plan events and prepare resources in partnership with hospital and community organizations to educate children and families about common types of injury and give them tips on what they can do to stay safe.

What do you love most about your job?

On any given day, I can be in a workshop creating a new display or activity, out in the metro area talking to community members, or at my desk planning, creating and organizing for the future. I love the flexibility and unpredictability of the job, but the most rewarding part of my work is when people who stop by and chat with me have that “a-ha” moment: when I know that the message sunk in and changed behavior. In addition, as a father of an 18-month-old, injury prevention is always on my mind in a very real way. It is great making connections with families where the conversation starts with the commonality of caring for a curious and mobile child and progresses to sharing some advice that can help them keep their own kids safe.

We’re anxiously waiting for warmer weather so we can get outside. What are some simple tips that you give parents to keep their kids safe around their neighborhoods?

A tricky part of parenting is encouraging your kids to learn through exploration and curiosity while maintaining safe behaviors. The tip sheet on this topic is about three miles long, but here is some general advice:

  • If they’re on wheels, make sure they wear a proper-fitting helmet and pads.
  • The same goes for any activity or sport; make sure their equipment is right for their size.
  • Role-play emergency scenarios as a family – severe weather, stranger danger, fire escape, etc.
  • When traveling by vehicle, ensure your child’s car seat or seat belt fits right and is installed/worn properly. ALWAYS wear a seat belt (role model good behavior) and keep kids in a proper car seat or booster until they’re 4-foot-9 or taller to ensure their seat belt fits right.
  • STAY HYDRATED. With the winter we’ve had, it’s hard to think about the weather being warm enough to be dangerous, but developing good habits around drinking plenty of water now will help create safe behavior in the future. Be sure kids understand the importance of sunscreen, too.

For more tips, visit Children’s Making Safe Simple page, but the best advice I can give as a father and educator is to involve your kids in decisions and planning for safety. Encouraging them to provide their input and incorporating their suggestions into your plan and actions helps solidify safe behavior into the future.

What’s your favorite meal?

PIZZA. If my wife would let me, I could eat pizza for every meal, every day … with a few regular breaks for hot wings, anyway.