Tag Archives: AAP

My Big Boy is Growing Up

Last week New York City Schools were closed for Mid-Winter Recess.  I had my children home with me while I attempted to keep working from our home office and keep my sanity.

I was thrilled when a mother in my 7 year old’s class offered to take my son to a movie. I spontaneously agreed and then my anxiety kicked in. You see, I have never allowed my son to be driven in a car that wasn’t operated by a member of my family and we have child safety seats for every stage.

I was shocked that when I voiced my concern to my friends with kids similarly aged, they thought  I was being nuts. Every one of them said that their kids ride in cars without booster seats.  They all have a seat in their vehicle, but they don’t think twice about their child being in other people’c cars without one. One friend even told me that she isn’t required to have a Booster Seat anymore because her daughter is 6.

The law in New York is that children need to be riding with a booster seat until they are 8. The American Academy of Pediatrics recommends using a booster seat until a child is 4 feet 9 inches tall. The point of the booster is to raise a child up so the seat belt falls properly on their body so it can protect the if there is a crash.

I called the mother up and voiced my concern. She said that her kids don’t use a booster seat anymore, but she has room in her SUV if I want to put one in for my son.

My son went on his first real outing without me, and he had a great time. I on the other hand was counting the minutes till he got home. I couldn’t wait to hear all about his adventure.

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Summer Safety Tip Sheet

The American Academy Of Pediatrics was nice enough to provide us with Summer Safety Tips

FUN IN THE SUN
Source:
http://www.aap.org/advocacy/archives/tanning.htm

Babies under 6 months:

  • The two main recommendations from the AAP to prevent sunburn are to avoid sun exposure, and dress infants in lightweight long pants, long-sleeved shirts, and brimmed hats that shade the neck to prevent sunburn. However when adequate clothing and shade are not available, parents can apply a minimal amount of suncreen with at least 15 SPF (sun protection factor) to small areas, such as the infant’s face and the back of the hands. If an infant gets sunburn, apply cold compresses to the affected area.

For All Other Children:

  • The first, and best, line of defense against the sun is covering up. Wear a hat with a three-inch brim or a bill facing forward, sunglasses (look for sunglasses that block 99-100% of ultraviolet rays), and cotton clothing with a tight weave.
  • Stay in the shade whenever possible, and limit sun exposure during the peak intensity hours – between 10 a.m. and 4 p.m.
  • On both sunny and cloudy days use a sunscreen with an SPF of 15 or greater that protects against UVB and UVA rays.
  • Be sure to apply enough sunscreen – about one ounce per sitting for a young adult.
  • Reapply sunscreen every two hours, or after swimming or sweating.
  • Use extra caution near water and sand (and even snow!) as they reflect UV rays and may result in sunburn more quickly.

HEAT STRESS IN EXERCISING CHILDREN
Source:
http://www.aap.org/policy/re9845.html

  • The intensity of activities that last 15 minutes or more should be reduced whenever high heat and humidity reach critical levels.
  • At the beginning of a strenuous exercise program or after traveling to a warmer climate, the intensity and duration of exercise should be limited initially and then gradually increased during a period of 10 to 14 days to accomplish acclimatization to the heat.
  • Before prolonged physical activity, the child should be well-hydrated. During the activity, periodic drinking should be enforced, for example, each 20 minutes, 5 oz of cold tap water or a flavored sports drink for a child weighing 90 lbs, and 9 oz for an adolescent weighing 130 lbs, even if the child does not feel thirsty.
  • Clothing should be light-colored and lightweight and limited to one layer of absorbent material to facilitate evaporation of sweat. Sweat-saturated shirts should be replaced by dry clothing.
  • Practices and games played in the heat should be shortened and more frequent water/hydration breaks should be instituted.

POOL SAFETY
Source:
http://www.aap.org/family/tipppool.htm

  • Install a fence at least four-feet high around all four sides of the pool.  The fence should not have openings or protrusions that a young child could use to get over, under, or through.
  • Make sure pool gates open out from the pool, and self-close and self-latch at a height children can’t reach.
  • If the house serves as the fourth side of a fence surrounding a pool, install an alarm on the exit door to the yard and the pool.
  • Never leave children alone in or near the pool or spa, even for a moment.
  • Keep rescue equipment (a shepherd’s hook – a long pole with a hook on the end – and life preserver) and a portable telephone near the pool. Choose a shepherd’s hook and other rescue equipment made of fiberglass or other materials that do not conduct electricity.
  • Avoid inflatable swimming aids such as “floaties.” They are not a substitute for approved life vests and can give children a false sense of security.
  • Children age 4 and older should be taught to swim. Parents may choose to start swimming lessons before age 4 if their children are developmentally ready, but swim programs should never be seen as “drown proofing” a child of any age.
  • Whenever infants or toddlers are in or around water, an adult should be within arm’s length, providing “touch supervision.”
  • Avoid Entrapment: Suction from pool and spa drains can trap an adult underwater.  Do not use a pool or spa if there are broken or missing drain covers.  Ask your pool operator if your pool or spa’s drains are compliant with the Pool and Spa Safety Act.
  • Large inflatable above-ground pools have become increasingly popular for backyard use. Children may fall in if they lean against the soft side of an inflatable pool. Although such pools are often exempt from local pool fencing requirements, it is essential that they be surrounded by an appropriate fence just as a permanent pool would be so that children cannot gain unsupervised access.

BUG SAFETY

  • Don’t use scented soaps, perfumes or hair sprays on your child.
  • Avoid areas where insects nest or congregate, such as stagnant pools of water, uncovered foods and gardens where flowers are in bloom.
  • Avoid dressing your child in clothing with bright colors or flowery prints.
  • To remove a visible stinger from skin, gently back it out by scraping it off horizontally with a credit card or your fingernail.
  • Combination sunscreen/insect repellent products should be avoided because sunscreen needs to be reapplied every two hours, but the insect repellent should not be reapplied.
  • Use insect repellents containing DEET when need to prevent insect related diseases such as ticks which can transmit Lyme Disease, and mosquitoes which can transmit West Nile Virus and other viruses.
  • The current CDC and AAP recommendation for children over 2 months of age is to use 10- 30 percent DEET.  DEET should not be used on children under 2 months of age.
  • The effectiveness is similar for 10-30% DEET but the duration of effect varies. Ten percent DEET provides protection for about 2 hours – 30% for about 5 hours – choose the lowest concentration that will provide required length of coverage.
  • The concentration of DEET varies significantly from product to product, so read the label of any product you purchase. Children should wash off repellents when back indoors.
  • As an alternative to DEET, Picaridin has become available in the U.S. in concentrations of 5-10%.

For more information on DEET: http://www.aapnews.org/cgi/content/full/e200399v1