Author Archives: ChildrensMN

Summertime scrapes open door for impetigo

Erin Dobie, DNP, CNP

Summer fun activities for kids usually involve a few scrapes and bruises. Any opening in the skin is an inviting spot for germs and bacteria.

Erin Dobie, CNP

Erin Dobie, DNP, CNP

Impetigo is a superficial bacterial skin infection of a sore, scratch or insect bite on the skin that spreads easily into multiple sores. The lesions open and become crusty and have a “honey color” appearance. It occurs when common bacteria, found normally on the skin, enter an open area on the skin’s surface.

The most common bacteria found on the skin are group A hemolytic streptococcus and staphylococcus aureus. The lesions start as a small red lesion then open up, drain and crust over with a honey-colored scab. The lesions spread easily with contact, so multiple lesions are common.

Wound care of even minor scrapes or wounds is important in preventing impetigo. Washing the cut or scrape with warm, soapy water multiple times per day and application of an over-the-counter antibacterial ointment (Bacitracin, neomycin, generic triple antibiotic ointment) is recommended. If impetigo occurs, often topical treatment is all that is needed if treatment is started early and there are only a few lesions. For a child with multiple lesions, oral antibiotics may be prescribed in addition to topical antibiotics.

subscribe_blogWhat can you do at home?

  • Everyone in the household should use proper hand-washing technique to help decrease the chance of spreading the infection.
  • Keep your child’s fingernails short to help decrease the chance of scratching and spreading the infection.
  • Avoid sharing garments, towels, etc., to prevent the spread of the infection.
  • Soak the affected area in warm water or use wet compresses to help remove the overlying scabs. Apply antibacterial ointment three times per day after washing.

Further medical care is needed if:

  • Sores continue to spread despite antibiotic ointment used as directed above.
  • Swelling and redness extending out significantly beyond the sores is present.
  • The child has a fever greater than 100.4 degrees.

Erin Dobie is a certified nurse practitioner at Children’s Hospitals and Clinics of Minnesota.

Trauma: When it’s critical, so is your choice

Why would you take your child to Children’s emergency room over any other hospital? Our team members are on staff, not on call. Your child gets treated immediately.

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

trauma_cover_twitter

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)

Dex Tuttle

One time 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 would give her a plastic fork and spoon so she could work on her motor skills. If she was unhappy with how dinner was going, she threw her fork and spoon on the floor in a fit of toddler rage. She was then immediately puzzled by how to continue her meal with her utensils so far away.

subscribe_blogAs frustrating as toddler tantrums sometimes can be for parents, I would’ve loved to have been 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.

19 tips for a better family camping experience

Camping can be an enjoyable activity to share with family and friends. (iStock photo / Getty Images)

Camping can be an enjoyable activity to share with family and friends. (iStock photo / Getty Images)

Luul Mohamed and Alicia Youssef

Camping can be an enjoyable activity to share with your family and friends. Take advantage of these tips to have a fun and safe trip:

Skin and eye protection

First and foremost, you must effectively protect your skin before engaging in any outdoor activity, regardless of the weather.

  • The sun’s harmful ultraviolet rays are the strongest between 10 a.m. and 4 p.m., so try to plan outdoor activities before or after those times.
  • Children 6 months and older should use sunscreen with a SPF (sun protection factor) of 15 or higher that protects against UVA and UVB rays. Do not use sunscreen on children younger than 6 months as they may ingest the sunscreen by sucking on their fingers or arms. Additionally, their skin is thinner and may absorb chemicals from the sunscreen. Instead, cover infants head to toe in clothing to keep them shaded at all times.
  • Wear sunglasses that go around the entire head that also protect against UVA and UVB rays.
  • Try to wear protective clothing that covers your arms and legs, wear a wide-brimmed hat and try to stay in the shade when you can.
  • Protect yourself from bug bites by applying bug repellent with DEET. The CDC recommends a 30-50 percent concentration of DEET to prevent the spread of pathogens carried by insects.
  • Sunscreen should be reapplied regularly, and bug repellent should not.

subscribe_blogPrepare yourself

  • Bring more than one first-aid kit.
  • Bring safe and healthy food with mostly nonperishable items and make sure all food is in waterproof containers and tightly packed.
  • Let others know where you’ll be going beforehand.
  • Avoid hypothermia by bringing insulated bedding and warm clothing for nights.
  • Stay well hydrated during the day by drinking plenty of water.

Water safety

  • Avoid swallowing water while swimming.
  • Always swim with a buddy and make sure there is an adult supervising at all times.
  • Whenever you are riding a water vehicle, always wear a U.S. Coast Guard-approved life jacket. Minnesota law requires children younger than 10 years old to wear a life jacket. We recommend that children older than that also should wear life jackets.
  • A life jacket should properly fit. You can determine the fit by a child’s weight.

Splish splash: The ins and outs of water safety (Twin Cities Moms Blog)

Fire/bonfire safety

  • When starting a fire, only burn dry, not damp, material and don’t use fire accelerants such as gas or lighter fluid.
  • Start the fire away from flammable things like trees and keep a bucket of water near.
  • Children should be supervised at all times and never near the fire.
  • Never burn containers that have foam or paint in them and never put pressurized containers into a fire. They may explode and release dangerous fumes.

For more information on camping safety, visit:

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.

13 water safety tips for kids

A common misconception is that kids only drown in deep water. A child can actually drown in only a few inches of water. Always keep children within arm’s reach. (iStock photo)

Manu Madhok, MD

Manu Madhok, MD

Every summer, we read and hear about children who die due to accidental drowning. Sadly, this summer has been no exception in Minnesota.

Drowning is the leading cause of accidental death among children ages 1-4. According to the Centers for Disease Control and Prevention, most drownings among children ages 1-4 occur in the pool at home. Drowning remains the second-leading cause of unintentional injury-related death behind motor vehicle crashes among children 1-14.

While drowning is a tragedy, it’s one that can be prevented. I’ve compiled a list of tips I commonly share with parents and caregivers to make sure their kids are safe in and near the water.

Children ages 1-5

A common misconception is that kids only drown in deep water. A child can actually drown in only a few inches of water.

  • Always keep children within arm’s reach.
  • Inflatable aids are not substitutes for adult supervision.
  • Enforce pool safety rules. That means no running or pushing.

Children ages 5-12

  • Don’t allow horseplay.
  • Make sure your child never swims alone and always is within view of an adult.
  • Children should receive swimming lessons from a qualified instructor.

subscribe_blogOpen water

  • Never allow a child to dive in without first checking the depth.
  • Choose a swimming area that is under a lifeguard’s supervision.
  • A child always should wear a life jacket while riding in a boat.

Backyard pool

  • The pool needs to have a 4-foot-tall fence surrounding it on all sides.
  • Use a rigid cover for the pool.
  • Install compliant, anti-entrapment drain covers.
  • Pool owners should know CPR.

Children’s has one of the busiest pediatric emergency programs in the country, with about 90,000 visits each year. We love kids here at Children’s, but we’d rather see them safe at home. With warm weather upon us, we compiled a list of basic tips, with help from our injury prevention experts, to keep kids safe all summer. Together, we can make safe simple.

Additional resources

Manu Madhok, MD, specializes in pediatric emergency medicine at Children’s Hospitals and Clinics of Minnesota.

Minnesota woman born with cleft lip and palate learns to love smile

Cori Nesmith, a senior at the University of Minnesota, writes about her experience being born with a cleft lip and palate. (Photos courtesy of Cori Nesmith)

Cori Nesmith, a senior at the University of Minnesota, writes about her experience being born with a cleft lip and palate. (Photos courtesy of Cori Nesmith)

Cori Nesmith, a patient and volunteer at Children’s Hospitals and Clinics of Minnesota and senior at the University of Minnesota, shares her experience as a woman born with a cleft lip and palate.

Cori Nesmith

Did you know July is Cleft and Craniofacial Awareness Month? In honor of this special month, I’ll share the journey I’ve taken thus far as an individual born with a cleft lip and palate.

“Check out this picture; this baby has got a mustache,” a high school classmate said to me while browsing the Internet. The image on his computer screen was all too familiar. The infectious and wide smile of the baby in the advertisement made me realize just how far I had come. I was completely shocked that my classmate of 12 years at my small northern Minnesota school hadn’t made the connection that I was born with the same condition as the baby on the screen.

Here I am as a baby (in rather oversized clothing). I was born with a complete cleft lip and palate. The entire roof of my mouth (my soft and hard palate), as well as my upper lip, did not fuse together while developing.

Here I am as a baby (in rather oversized clothing). I was born with a complete cleft lip and palate. The entire roof of my mouth (my soft and hard palate), as well as my upper lip, did not fuse together while developing.

My parents had a difficult time feeding me, as I did not have the lip strength to suck on a bottle. My mom said that it would take hours just to get a couple ounces down.

Throughout my childhood I had many more operations. These childhood surgeries mostly were to improve my speech, which was subpar as the structure of my mouth was completely different than a typically developing child. I participated in about 12 years of speech therapy.

I was quiet as a child because I didn’t like the sound of my voice. I was embarrassed to talk, not because other kids picked on me, but because I picked on myself. Humans are their own worst critics. As my teenage years approached, I had a difficult time accepting myself and seeing my own personal beauty.

 

As a teenager I had many reconstructive surgeries. Reconstructive surgeries were hard for me because although I knew I would benefit from getting them done, I thought there was something wrong with my appearance that needed fixing. I thought that the world didn’t accept my crooked nose and scar. Although I was struggling with appearance issues, I tried to find humor in my situation. I forever have bragging rights for being the first person in my grade to get plastic surgery! #toocooltohandle

Here I am after my first surgery, a lip repair at Children’s – Minneapolis. During this stage of my life, “no-nos” were all the rage and kept me from touching my face. (For those of you who don’t know, a “no-no” is a brace that is worn on the elbow to keep babies from bending their arms.

Here I am after my first surgery, a lip repair at Children’s – Minneapolis. During this stage of my life, “no-nos” were all the rage and kept me from touching my face. (For those of you who don’t know, a “no-no” is a brace that is worn on the elbow to keep babies from bending their arms.

The summer before my junior year of high school, I had a major surgery to move my upper jaw forward because of palatal scar tissue that stunted its growth. Surgery was difficult and painful, but I learned two valuable lessons:

  1. Don’t ever try to liquefy pizza. Ever. It can be done, but it tastes awful and is a total letdown.
  2. Family and friends are extremely important. Without my family, friends and boyfriend, I would not have gotten through the recovery. They shared the burden with me and made it 100 times more bearable.

I always have had an affinity towards music. In high school, I participated in band and choir. Despite my abnormal mouth anatomy, I was able to grow as a promising young singer and saxophone player. When you have the passion for something, anything is possible.

________________________

CHILDREN’S SERVICES: Cleft and Craniofacial Program

________________________

This is me, post-jaw surgery, eating my first real meal in more than a month. (It was spaghetti and it was awesome!)

This is me, post-jaw surgery, eating my first real meal in more than a month. (It was spaghetti and it was awesome!)

Now I’m a senior at the University of Minnesota, majoring in music therapy and minoring in psychology. My primary instrument is voice, and, although I can’t do some of the typical singer warm-ups due to my anatomy, I’m fully functional in every other way, thanks to my doctors, nurses and therapists who have had an incredible impact on my life. I hope I can have that positive of an impact on my future clients as a music therapist.

Learning to accept myself for who I am always has been hard, but every day I’m getting better at taking the bad with the good and rolling with it. My experience with a cleft has made me stronger, more compassionate and patient. I know that life doesn’t have to be perfect to be amazing.

I have come so far, but my journey is just beginning. My cleft does not define me, but it has redefined my views of the world. A person’s smile says so much about them. My once-“mustached” smile means the world to me — and I wouldn’t change a thing.

“Don’t let the world change your smile. Let your smile change the world.” — Unknown

Cleft and Craniofacial Clinic Family Fun Day

The fifth annual Cleft and Craniofacial Clinic Family Fun Day takes place July 29 at the Kiwanis Boy Scout Camp at Marina on the St. Croix. The event is open to patients of the Cleft and Craniofacial Clinics and their family members of all ages and emphasizes fun, friendship, team-building and fostering resilience among patients with clef lip and palate and other craniofacial conditions. Participants can register for the event or call the clinic at (612) 813-6888 for more information.

Join Children’s for Family Fun Day at Peavey Park

The kids are on summer break. It’s warm outside. And now is the perfect time to celebrate! We invite you to join us for fun in the sun at Family Fun Day from 3-7 p.m. July 23 at Peavey Park in Minneapolis. We’re making safety fun and simple for the whole family.

Peavey Park will be filled with fun and friends. You can meet therapy dogs, police horses, learn hands-only CPR and more. The pool and park will be open as usual. When you visit our different activities, you can win a prize and free food (while it lasts) from Café Racer and Mik Mart Ice Cream.

Rain or shine, the event will go on — we hope to see you there!

__________________

FAMILY FUN DAY: RSVP on Facebook

__________________

Here’s where to find us:

Peavey Park, located at 730 E. 22nd St., between Park Avenue South and Chicago Avenue, is the perfect spot to gather all of the neighbors and families in the area (click the map below to get directions).

Working together for healthy kids and healthy communities 

subscribe_blogAt Children’s Hospital and Clinics of Minnesota, we’ve been working with the Minneapolis Police Department Bike Cops over the past four years to share bike safety information with neighborhood residents throughout Minneapolis. Each year, they celebrate the partnership with a summer event.

This year, we’re living Children’s values by joining together with community partners to extend our reach. After teaming up with the Minneapolis Park and Recreation Board, we wanted to create an event to support and celebrate with our local community in the Phillips neighborhood and remind families of some ways to stay safe and prevent injuries while enjoying the summer.

3 logos image

Don’t leave kids in the car

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)

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_blogWhen my daughter, 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 extremely hypimportant 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, 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.

Children’s celebrates family advocacy in Washington, D.C.

Children's patient Maisy Martindale (left) and her family visited Washington, D.C., in June to celebrate Family Advocacy Day.

Children’s patient Maisy Martindale (left) and her family visited Washington, D.C., in June to celebrate Family Advocacy Day.

Last month, Children’s Hospitals and Clinics of Minnesota participated in the Children’s Hospital Association’s Family Advocacy Day. The Martindale family joined with families from across the U.S. to advocate for funding and programming to support children’s hospitals and kids with special health care needs.

subscribe_blogBy telling their personal story to our senators and representatives, the Martindales helped put a face on the issues that are important to us. They were wonderful ambassadors for Children’s. Daughter Maisy’s energetic and charming personality won over the hearts of everyone she met.

Batman and Wonder Woman flew by to say a special hello to Maisy and the Martindale family at the Family Advocacy Day celebration dinner. Complete with a band, dancing, face painting, caricatures, games and, of course, ice cream, the event gave the kids a chance to exchange their CHA All-Star trading cards and have some fun before a full day of meetings on Capitol Hill. Maisy even had the chance to perform an original song about Taylor Swift with the band — a true star in the making!

The 2015 FAD trip was successful. Even with all the hard work advocating on Capitol Hill, fun was had by all. We look forward to another opportunity to advocate for children’s health and our children’s hospitals in 2016.

6 tips for safe fireworks use on Fourth of July

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)

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.

subscribe_blogFirework 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