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Did You Know…Every 2 Weeks a Child Dies From a “Tipover”?

Tipover HazardIt’s not something we like to think about…and it certainly could never happen to us…but the reality is that every 2 weeks a child dies because an unsecured appliance or piece of furniture has toppled over onto them. In fact between 2000–2008, the CPSC received reports of nearly 200 tipover deaths among children 8 and younger. More than 90% of them involve children under 5!

Typically, injuries and deaths occur when children climb onto, fall against or pull themselves up on television stands, shelves, bookcases, dressers, desks, chests and appliances. Sometimes it’s the out-of-reach item placed on top of furniture, in other cases it’s the furniture or appliance itself that will topple causing serious if not fatal injuries. The CPSC has issued a warning, urging parents to inspect and secure these items. They also offer the following safety tips:

  • Furniture should be stable on its own. For added security, anchor chests, dressers, TV stands, bookcases and entertainment units to the floor or attach them to a wall.
  • Place TVs on a sturdy, low-rise base. Avoid flimsy shelves.
  • Push the TV as far back on its stand as possible.
  • Place electrical cords out of a child’s reach and teach kids not to play with them.
  • Keep remote controls and other attractive items off the TV stand so kids won’t be tempted to grab for them and risk knocking the TV over.
  • Make sure free-standing ranges and stoves are installed with anti-tip brackets.

One thing we often forget is that even when our own home has been thoroughly baby-proofed, our friends and family’s homes will likely not have received the same attention. It’s up to us to be vigilant…wherever we may be.

What I Remember and Why It Matters: A 1978 Child EMS Transport

St. Petersburg, FL., the year was probably 1978 or 79. My partner and I had responded to a drowning in a large apartment complex at the north end of town. When we arrived we found a bunch of people doing or trying to do CPR. While we were getting into position to take over care a news crew arrived and began to film the action- the cameraman positioned right behind me.

The child was blue and just had that look and feel. The outcome was not going to change and it was not right that it was being filmed- solely for the benefit of the TV station. Somehow when I stood up I bumped into the cameraman and into the pool he went.

Fencing could have, would have prevented the death of this child. Parental oversight could have, would have prevented the death of this child. These were not the only mistakes to be made. We put the child on the stretcher and began the very long trip to the hospital.

We did not secure the child in any special way to the stretcher. We never had any means to do so and nothing bad ever happened. Each time we transported a child back then, we did so either using the stretcher or more commonly held the baby in our arms- as though we could hold onto a 30 pound baby in a high speed collision. But we did it time and again and nothing bad ever happened.

That’s not to say that there could not have been a catastrophic outcome from the transport – it just never happened – to me.

Back then we were not taught any better and frankly did not know better. Back then the world was a lot larger. We did not know what happened across the country or the world like we do today- only ‘major news’ received that level of exposure. And the fact that we did not believe anything bad would happen kept us from seeking change or improvement. As a society we have enacted universal laws that govern how we transport children in ordinary vehicles. We made these changes because bad things do happen. Emergency vehicles are the same as other cars- only riskier- they run red lights and go fast. We need to adopt the same laws as those that apply to all vehicles

How children are transported today is about the same as it was back then and largely for the same reason- we take a risk and nothing bad happens.

There are those who advocate for safer transport of children and infants and some states have enacted legislation to require safe transport equipment for emergency vehicles. Most people just assume that EMS, 911 responders, know what to do and do the right thing.

So what is the moral to this story? We often get angry when bad things happen and lash out in the wrong direction. Hindsight is most often crystal clear but too often we fail to use this vision to change the future.

* Learn CPR *
* Insist that all states require EMS vehicles to carry and use approved child and infant transport equipment *
* Ask questions and get involved *
* No Excuses*

7 Prevention Steps to Reduce Child Deaths from Hot Cars

Thirty-eight children, on average, die each year from heat stroke after being left in or becoming trapped in a hot car, according to KidsandCars.org, a website dedicated to improving child safety around and in cars. Unfortunately, in 2010 the number of children who died was 49 and there have already been numerous deaths this year, only part of the way through the summer season. There are several steps parents can take to lower the risk of these preventable deaths and keep their children safe.

NEVER leave a child of any age alone in a car for any period of time. Too often a parent will think that they will “only be gone for a minute”. That short “minute” almost always turns into longer than the parent realizes and it only takes a few minutes for the temperature inside a car to dramatically increase by 20 or more degrees.

According to KidsandCars.org,

“A child’s body temperature rises 3-5 times faster than an adult’s. Even with the windows partially down, the temperature inside a parked car can reach 125 degrees in just minutes. Leaving the windows opened slightly does not significantly slow the heating process or decrease the maximum temperature attained.”

Kids have a greater risk of heat stroke than adults partly because their skin surface area is greater in proportion to their body mass therefore they absorb more heat. Children also do not sweat as much as adults and start sweating at higher temperatures, which means they are not able to cool their bodies as quickly or as well as adults.

  • Develop the habit of always looking in the backseat when you get out of your car, before locking it.
  • Leave yourself a reminder. With the majority of children riding in the backseat, and especially with babies and toddlers riding in rear-facing car seats, it is important to have a reminder that the child is in the car with you. In over 50% of these deaths, a child was unintentionally left in the car. While some parents may believe they could never forget their child in a car, keep in mind, no one’s memory is perfect and it only takes a short lapse in memory, either from sleep deprivation, distraction, a change in your normal routine, or for any other reason, to accidentally forget a quiet or sleeping child is in the car. It is recommended to leave your purse, briefcase, cell phone, gym bag, or ID near the child’s car seat in the backseat so you will be reminded to look back there when you exit the car. Another idea is to keep a large stuffed animal in the child’s car seat. When you put the child in the seat, put the stuffed animal in the front passenger seat or floorboard where you will notice it.
  • Consider investing in a child reminder or alert system. Many of these devices work in a similar fashion as the sounds your car makes when you have left the key in the ignition or a seat belt reminder and other bells and whistles that alert you to a potential problem. Some of the better systems that are on the market according to “Safewise” include:
    • Ride N Remind – Back Seat Reminder System, a bit pricey and requires professional installation but can work for several kids (and pets too) – available at Amazon.
    • STEELMATE Baby Car Seat Reminder, Less expensive – DIY installation – alerts with lights and sounds – available at Amazon
    • Shynerk Baby Car Mirror for Rear Facing Infant Seats, Least expensive, – comes fully assembled, crash tested and certified – available at Amazon
  • If your child attends a daycare or has a babysitter, ask the caregiver to call you if the child does not arrive when expected. Sadly, many children have been accidentally left in cars simply because the parent forgot to drop off the child at daycare and instead went straight to work and the daycare or babysitter assumed the child just wasn’t coming that day and the parent must have forgot to tell them.
  • If your child will be transported by anyone other than you, ask the caregiver to use these tips and call and check on your child periodically, especially if the child is not in that person’s car very often. Grandparents, other relatives, and babysitters who do not transport a child every day are at a higher risk of accidentally forgetting a child is in the car with them.
  • Whenever possible, use drive-thru services so you do not have to get out of the car while running errands. Pay for fuel at the pump so you don’t have to leave the car.
  • Keep your vehicle locked at all times when no one is in it and keep keys and remote key fobs out of the reach of children. Teach kids never to play in a car, never to climb into a car trunk, and to never get in a car alone.

If you see a child who has been left in a car, take action immediately to help them. Call 911 if the child seems hot or is having any heat-related symptoms.

For more information, please visit KidsandCars.org.

Daffodils and Parmesan and Kids…Who Knew??

Spring is here. Flowers are in bloom. In Connecticut Daffodils - beautiful but dangerousone local town celebrates the arrival of spring with an annual daffodil festival. In fact – thousands of flowers. I wonder how many people know that the bulbs of the plant are among the most poisonous of all plants in the US.

And who doesn’t like a little Parmesan cheese sprinkled on- well in my house, on just about everything. And I like the bright inviting colors of the packaging- inviting me to indulge. Unfortunately Comet cleanser has equally colorful packaging. And certainly you never accidentally put your comet in the fridge and the Parmesan under the sink but look at products the way a child would. They are drawn to bright colors and to things that Mom and Dad handle and use.

Antifreeze used to smell really nice and became a common poison to our animals and kids. Manufacturers are no longer allowed to add perfumes to make the product smell better. Believe it or not, antifreeze performance does not improve with the addition of perfume and without it kids and dogs are safer.

So as you go about enjoying spring, getting back out into the world, maybe doing a little “post-pandemic” spring cleaning- check to make sure that your cabinets, both kitchen and bath have child proof locks. In the garage double check that kids can’t get in or that products are well out of reach. Also make sure that shelving is very secure and won’t fall over onto curious, climbing kids. And finally check your fridge for Comet- just to be safe.

Accidental poisoning CAN be prevented- take a few minutes to check things out- don’t guess, be sure.

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Editors Note: This post originally ran in May of 2010 and was written by our former PedSafe EMS Expert Jim Love. Our thanks to him for some wonderful reminders

Making Play Dough – A Family First Aid Fiasco

Reading the post, First Aid Basics Every Parent Should Know, from Kristin Bailey Murphy reminded me of one of our own first aid experiences. Kids may be accident magnets…but it doesn’t help when Mom and Dad have a “dumb parent moment”!

Our Emergency

This first aid fiasco was rooted in “mommy-guilt”. When my son was two years old I started taking him to crafty enrichment classes at our local children’s museum every Saturday. I was working a lot during that period and this was a chance to spend time together while also feeling like I was doing something for his development.

It was in these classes that I learned the recipe for homemade play dough. Wow…not only could we share these classes together….but I could give my young son safe, edible (what doesn’t a two-year old eat?) play dough THAT I MADE MYSELF! But, seriously, the stuff is really easy and fun to make – and even at age two Elliott could help in making play dough, since you have to knead the dough while it cools.

No, the issue came from me trying to add that little something extra – a little more mommy-love. The museum jazzed up their dough with glitter and some peppermint oil for fragrance. So I went out and bought a few different essential oils – for variety. On the particular day in question, with Elliott standing on a chair at the kitchen counter helping me as I started making play dough, I decided to try cinnamon oil. Only the lid was really tight. My husband was nearby so I asked him to open the bottle (one of several great husband roles!) – which he promptly did. But I didn’t notice since I was occupied by congealing play dough in a pot on the stove. And he didn’t realize that I didn’t notice. Communication breakdown! But our 2-year old noticed…and promptly poured concentrated food-grade cinnamon oil all over himself. Essential oils, like cinnamon oil, can be toxic to the skin in high concentrations and can result in itching, burning, redness and inflammation. Suddenly we had a screaming child in the kitchen – and had to deal with a poison control situation!

What To Do (and Not To Do!)

We knew we had to get the oil off his skin quickly – and keep him from spreading it to other areas like his face, since he had it on his hands as well. My husband stripped off his clothes immediately and held his arms down while rushing him to the bathroom. In the meantime I was calling our local Poison Control Center.

Since he was so young our first reaction was to put him in the bath, but as soon as the water started to pool around him we realized our mistake. This wouldn’t wash away the oil. It might just get it on more of his body. And that’s just what the Poison Control experts said. They recommended flushing water over the affected area for a full 20 minutes, especially since he had a definite red rash where his skin had come in contact with the oil. To best accomplish this and to soothe Elliott, my husband stripped down and got into the shower as well. That way he could be sure of the water temperature and that the right skin areas were in the water flow. Thankfully the shower had an almost immediate effect. The crying stopped very quickly – and after the full 20 minutes there were no lasting marks or redness. But for several years our son did have an aversion to “cimmomon”!

How To Be (Better) Prepared

Obviously keep all essential oils out of the reach of children – and be careful when using them in the presence of kids. Something we became acutely aware of! As Kristin pointed out in her post, also be sure to have the number of your local Poison Control prominently displayed. But if you need to find it quickly – like we did – just look on the first page of your white or yellow pages.

And here is the infamous play dough recipe. Despite this incident we’ve had many years of safe fun and success with it.

Homemade Play Dough

1 Cup Flour

1 Cup Water

1 Tbs Vegetable Oil

½ Cup Salt

1 Tsp Cream of Tartar

A few drops of Food Coloring or Essential Oil (e.g. Peppermint Oil) {optional}

Glitter {optional}

Cook over medium heat until mixture pulls away from sides of pan and becomes play dough in consistency (add glitter part way through this process, before the dough becomes too thick). Remove from pan and knead until cool. Keeps 3 months unrefrigerated in a sealed zip-closure bag.

First Aid Basics Every Parent Should Know

No matter how protective you are as a parent, kids are just accident magnets. They scrape knees, bump heads and bust lips in their endless pursuit of exploration and fun. In fact, according to the National Safe Kids Campaign, one out of four children per year sustains an injury serious enough to require medical attention. While you can’t always keep your kids from getting hurt, you can be prepared to provide first aid when they are. Here are some common emergencies and guidelines on how to react:

Emergency Your kids are running barefoot in the backyard, when one of them cuts her foot on a sharp rock.

What to do “The first thing you should do is clean the cut and stop the bleeding,” says Dr. Richard E. Miller, a pediatrician at Cedars Sinai in Los Angeles. Wash it thoroughly with soap and water and then apply firm pressure using gauze or a clean washcloth. “If the cut is superficial, apply an antiseptic ointment and close the wound with a butterfly band-aid,” says Dr. Miller. “But if it’s a deep, open wound that won’t stop bleeding, or if any tissue or muscle is exposed, basic first aid may not be enough – go to the emergency room for stitches.”

Be prepared Always make sure that kids wear shoes when playing outside. And keep adhesive bandages, gauze and antiseptic ointment on hand at all times.

Emergency Your toddler sneaks up to the stove while you’re cooking and burns her hand on the pot.

What to do First aid is needed to quickly to reduce the temperature of the burn and limit the damage to skin. For first-degree burns (red skin, minor swelling and pain but no blisters), remove clothes from the burned area, run cool – not cold – water over the burn for 3 to 5 minutes. Or press a wet, cold compress. If the burn is small, loosely cover it in gauze or bandage. For second-degree burns (blisters, severe pain and redness) or third-degree burns (the surface looks dry and is waxy white, leathery, brown or charred, although there may be no pain or numbness), call 911. Keep your child lying down and elevate the burned area. Remove clothing from the burned area, unless it is stuck to the skin. Don’t break any blisters. Apply cool water over the burn area for 3 to 5 minutes and then cover it with a clean white cloth or sheet until help arrives.

Be prepared In the kitchen, turn pot handles toward the back of the stove while you cook. Never hold your baby while you cook. In the bathroom, always turn the cold water on first and off last, and test bath water with your elbow.

Emergency Your energetic son just knocked his tooth out on the bedpost while jumping on the bed.

What to do To stop the bleeding, firmly apply a piece of wet gauze to the gums until the bleeding stops. If he lost a baby tooth, there’s no need for concern: A permanent tooth will eventually grow in its place. But you should visit a dentist regardless just to make sure none of his underlying teeth were damaged. If the tooth he lost was a permanent one, time is of essence. The faster you act, the higher your odds of saving the tooth. The American Academy of Pediatric Dentists recommends holding the tooth by its crown and reinserting it into the socket, pressing it firmly in place with clean gauze. (If that’s not possible, place the tooth in a cup of milk, which will preserve the tooth’s roots.) Then visit a pediatric dentist immediately.

Be prepared Keep a pediatric dentist’s number on your refrigerator and in your cell phone.

Emergency You’re making breakfast when your toddler walks over to show you his new toy: an open bottle of prescription pills.

What to do Any time a child has potentially swallowed a hazardous substance, call your local poison control center immediately. If your child has collapsed or stopped breathing, call 911 first. Each case of poisoning is unique, and treatment varies greatly depending on what hazardous substance your child has ingested. Never take a wait-and-see attitude when it comes to poison emergencies. Seek immediate treatment.

Be prepared Poison-proof your home by storing all medication in childproof containers kept out of children’s reach. Post the number of your local poison control center somewhere highly visible, like your refrigerator.

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