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WATER SAFETY - THERE IS NO SUBSTITUTE FOR SUPERVISION

Summer ushers in long daylight hours, warm weather and, with liberation from school, the exodus of children and their families to the ocean, lakes, rivers and neighborhood and home pools to cool off and enjoy their leisure time. But for parents and guardians, summer at the water is no time to let your guard down; children of all ages need to be closely and constantly supervised in order to prevent any mishap in and around the water, and to keep safe in the powerful sun.

Sree Chirumamilla, MD, attending physician and specialist in pediatric critical care and palliative care at CWPW, stresses that there are a number of measures that need to be taken to keep children safe in and around the water. First and foremost, she cautions, there is no substitute for proper supervision at all times. Supervising adults should refrain from alcohol.

There are hazards at the shoreline, and in the backyard pool. “There is always a false sense of security with inflatable kiddie pools, floaties, water wings and noodles,” Dr. Chirumamilla states. Regardless of size and the depth of the water, a lot can go wrong for a child of any age. Many commercial inflatable flotation devices are inadequate to keep a child safe in the water. When in the water and learning to swim, children should wear U.S. Coast Guard-approved lifejackets for optimal safety. Toddlers and young children learning to swim should always be at an arm's length of an adult in the water. All children should be encouraged to take swimming lessons.

“Parents can introduce infants to the water, but it should be done with extreme caution,” Dr. Chirumamilla states. In the water, infants should always remain in the arms of an experienced adult swimmer. Time in the water should be limited from 15 to 30 minutes to prevent overexposure to the sun and hypothermia from cold water.

Wherever children swim at a public venue, a lifeguard should always be on duty, Dr. Chirumamilla states. Everyone should be mindful of the posted signs regarding diving, water conditions, beach condition, or any potential hazards. “Even in rivers that appear shallow, the undertow can be very powerful,” she adds. Even if your teenager is an experienced swimmer, everyone should always swim with a buddy. Children with medical conditions should be watched particularly closely and should wear a medical bracelet identifying their condition.

Aside from the hazards posed by water, Dr. Chirumamilla stresses that the sun poses a serious risk for children of all ages. “Make sure children are protected from UVA (long wave) and UVB (short wave) rays,” she cautions. A sunscreen with protection level of 15 or higher is recommended. Sunscreen should be reapplied every two to four hours regardless of whether the child has been in the water or whether it is sunny or cloudy. Don't forget to apply to hands, feet and the neck. Sunglasses with UV protection should be worn to protect the eyes from harmful rays. “A lot of UV light is absorbed through the eyes,” Dr. Chirumamilla adds. Dr. Chirumamilla recommends limiting their sun exposure during peak intensity hours from 10:00 a.m. to 4:00 p.m. to reduce the chances of sunburn or overexposure to harmful rays.

Heat exhaustion from summer heat is also a concern for active children, Dr, Chirumamilla cautions, as is the more life threatening heat stroke. Good hydration with water or sugar-free, decaffeinated beverages is essential. “Children who are sweating profusely, feel faint or dizzy, complain of pain, muscle cramps, headache, weakness, excessive thirst or nausea may have heat exhaustion.” If this is suspected, the child should be taken to a cool place immediately and given plenty of fluids.  Heat stroke should be suspected if a child is not sweating but is quite hot, not acting themselves, has rapid shallow breathing, or a racing heartbeat. Medical attention should be sought emergently.

Finally, all adults should learn CPR, including teenagers. Even school-age children show capacity to grasp the basic concepts of CPR. And all children old enough to understand should be taught to call 911 to report an emergency.



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Children's & Women's Physicians of Westchester, LLP
Munger Pavilion, Room 123 | Valhalla, New York 10595
Phone: 914-594-4280 | Fax: 914-594-3693
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Views Since Sept. 24, 2008