Posts for category: Pediatric Care and Safety
Kids may complain about being restrained in the car, but car seats and booster seats save lives. In fact, the National Highway Traffic Safety Administration reports that using a car or booster seat in a passenger car reduces the risk of fatal injury 71 percent in children younger than 1 and 54 percent in toddlers ages 1 to 4. The statistics are just as impressive for older kids.
What type of seat should I use for my child?
Infants and toddlers should ride in rear-facing seats until they reach the highest weight or height recommended by the manufacturer. In the past, children were routinely removed from rear-facing seats when they were 2, even if they didn't meet height or weight limits. The American Academy of Pediatrics recently changed their guidelines and now recommend that kids remain in the seats as long as possible.
Toddlers and pre-schoolers who have reached the maximum height or weight limits for rear-facing seats should use forward-facing car seats. Again, the seats should be used until the child reaches the maximum height and weight recommendations.
Once kids are too tall or heavy for car seats, they will transition to booster seats. Booster seats should be used until children are 4'9" tall and 8 to 12 years old. Older children can begin using seat belts at that point but should sit in the back seat when possible, particularly if they're younger than 13.
How can I tell if the car seat is installed correctly?
Both car and booster seats should be securely fashioned with a latch system or seat belt. If the seat moves back and forth freely, it's not installed correctly. Properly installed seats should move no more than an inch in any direction.
My child's legs seem too long for the car seat. What should I do?
You may wonder if your child should move up to the next seat or a booster seat if your child's feet touch the back of car seat. As long as your child is shorter than the maximum height for the seat, he or she should remain in the current seat.
Should my child use a secondhand car seat?
Passing a seat down to your next child can be a good idea if your children are only a few years apart in age. Before you reuse a seat for a younger child, make sure that it hasn't expired or been recalled since you bought it. Throw away car and booster seats after accidents, even minor ones. The seat may look perfectly fine but may be damaged internally.
Buying secondhand car seats online or at yard sales should be avoided. You won't necessarily know if the seat has been in an accident or if it has defective latches or restraints.
Using car seats consistently, whether you're going to the grocery store or taking a cross-country trip, can help your child avoid serious injuries due to traffic accidents. Talk to your child's pediatrician if you have questions about the seats.
Your child's sports injury can be treated just as your injury was. Or, can it? Your pediatrician knows that a child's body is still developing, responding differently to acute and overuse injuries from organized sports, gym class, and more. As such, he or she can help your child avoid injury and in the event of sprain, strain, laceration, dislocation, or head injury, will help your youngster recover and stay healthy.
Kids sports injuries
They're very common, says the American Orthopaedic Society for Sports Medicine. Annually, 3.5 million American children under the age of 14 suffer significant sports injuries. Some injuries are related to poor conditioning. Others occur because of inadequate instruction or proper protective gear such as padding, eye wear, sneakers, dance shoes, skates, and cleats.
In addition, diligent supervision on the part of parents, coaches, teachers, and other well-informed adults is critical to safe play. Well-maintained game fields and indoor surfaces avoid foot, ankle, and knee injuries.
Finally, KidsHealth reports that Pre-participation Physicals review medical histories and spot possible weaknesses in children's physiology and anatomy. Most school and organized sports teams require these check-ups either with the school physician or the family pediatrician before the sports season commences.
Treating sports injuries
The Centers for Disease Control (CDC) states that proper assessment and prompt treatment of kids' sports injuries prevent long-term problems, including pain and proper growth of areas of the body such as the long bones. Traditionally, coaches and parents have used the RICE protocol to stabilize and injury, relieve pain, and begin the healing process. It still works exceptionally well. RICE stands for:
- Ice to the affected area
- Compression with an elastic bandage
- Elevation of the affected limb/injured area above heart level
Then, your pediatrician and other health care providers can devise a specific treatment plan to include physical therapy, strengthening exercises, over the counter analgesics, braces, and casts as needed. As a parent, you know your child well. So be sure to fully participate in your youngster's care plan.
Be safe, be well
Each child responds differently to athletic training depending on his or her gender, size, age, physical conditioning, underlying health issue,s and natural ability. You and your pediatrician can partner together in encouraging a safe sports season for your child. That's a win-win situation.
Even though you try as hard as possible to keep your child safe while they are playing sports, accidents still happen. At these moments, it’s important that you know whether these are injuries that can easily be treated from the comfort of your own home or whether you need to turn to a pediatrician for proper medical attention.
Pediatricians have seen a lot of sports-related injuries over the years and while we also focus as much of our attention on prevention, we know the importance of being able to get immediate and comprehensive care when your child does sustain an injury.
Common sports-related injuries include:
- Dislocations (particularly in the shoulder)
- Traumatic injuries (this includes cuts, sprains and strains, and broken bones)
- Stress fractures
- Tendinitis (often in the hand or wrist)
When a dislocation happens many times it is accompanied by an audible popping sound at the moment that the injury occurred. This unnerving sound is often followed by sudden and intense pain. It’s important that you turn to a pediatrician who can put the shoulder or any other area of the body back in place. The joints of a child’s body are looser than adults, so it makes shoulders and other areas more prone to dislocations.
Minor cuts, sprains, and strains can often be handled with at-home care. In most cases, the RICE method is a great way to ensure that your child gets the rest they need to heal properly and to stay off of the injury until it fully heals. Icing and elevating the injured area can also reduce pain and swelling. Of course, if you suspect that your child has a broken bone, this will need to be evaluated by a medical professional right away.
Children who are serious or long-term athletes are more likely to experience overuse injuries. These injuries occur over time rather than suddenly and they are often the result of performing repetitive movements. Overuse injuries include stress fractures and tendinitis. If your child feels pain whenever they move a certain area of the body or if they notice pain or swelling in a certain area it’s important that they get checked out.
Wearing a helmet is crucial for protecting your child’s head while playing sports. Of course, if your child has received a blow to the head and is experiencing dizziness, fatigue, frequent or severe headaches or just seems out of sorts it’s crucial that you bring them in right away to see if they’ve incurred a concussion.
When in doubt, pick up the phone and talk to a pediatrician about your child’s injuries and symptoms. They will be able to determine whether or not they should come in for proper care.
When your little one turns into baby-on-the-go, it's time to start baby proofing your home. While you cannot create an environment that is 100% safe, you can take the best measures to protect your baby with help from your pediatrician. Here's everything you need to know about locking down the dangers that lurk behind your cupboards and more.
In your bathroom, start by turning down the water temperature on the water heater. When you put your baby in the bath, it is easiest to avoid any burning problem by keeping the temperature lower. Also, consider purchasing and installing toilet lid locks to protect your baby, as well.
With your windows, install window guards or adjust windows so they cannot open more than six inches. Be sure to tie up cords to blinds, as well, so that your child does not get tangled up in them. When finding an appropriate placement for your child’s crib, playpen, highchair or bed, place them away from blind cords. Your pediatrician also recommends placing furniture away from windows so that your child does not climb near a window.
While the fireplace is excellent in the winter, it is important to take extra precautions to protect your baby from harm. Purchase a fireplace hearth cover because once kids learn to walk and crawl, they run a risk of falling into a fireplace. Ready-made, or even homemade cushiony devices that go around the hearth will also help to keep your child out of harm’s way.
If you have any stairways in your home, install gates once your child begins to crawl. Place the gates at the bottom of stairways to prevent them from getting up the stairs, and if you are worried about them getting out of the bedroom, place a gate on the doorway to their room. Your pediatrician, also warns against placing a gate at the top of the steps because some babies can climb up a gate and fall from an even higher height.
Talk to your pediatrician for more tips on how to properly baby-proof your home.
While nosebleeds can be scary for a child, they are rarely a cause for alarm. Nosebleeds are typically common in children ages 3 to 10 years, and will often stop on their own with safe treatment at home. Our pediatrician is available to provide you with tips on how to properly stop a nosebleed.
If your child experiences a nosebleed, it is important to do the following to stop the bleeding:
- Remain calm and reassure your child.
- Gently pinch the soft part of the nose with a tissue or clean washcloth.
- Keep pressure on the nose for about 10 minutes.
- Do not have your child lean back, as this may cause blood to flow down the back of the throat.
- Have your child relax after a nosebleed.
- Discourage nose blowing, picking or rubbing, and any rough play.
If your child experiences frequent nosebleeds, contact your pediatrician for further diagnosis and treatment options.