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Futures in Practice: Physical Activity |
INJURY
Prevention
of injury to infants, children, and adolescents
during physical activity is a responsibility
shared by parents, physical education teachers,
coaches,
recreation program staff and, as they get older,
children and adolescents themselves. Health professionals
need to screen and assess the risk for injury
and counsel families on how to reduce this risk.
Appropriate
safety equipment is essential for safety and
injury prevention. Batting helmets in baseball,
bicycle
helmets in biking, shin guards in soccer, wrist
guards and elbow and knee pads in in-line skating,
and goggles in handball and raquetball are common.
Following are tips for families for preventing
the most common injuries that occur in infants,
children, and adolescents.
Counseling
Infancy
and Early Childhood
Choking
-
Do
not give toys that are small enough to be
placed in the mouth.
-
Make
sure that toys do not have parts that can
become detached.
-
Keep
toys with small parts or sharp edges out
of reach.
-
Make
sure that infants and children sit while
eating; eating while walking or running may
cause choking.
-
Keep
dangling telephone, electrical, blind, and
drapery cords out of reach.
-
If
a mesh playpen or crib is used, make sure
that the openings in the weave are less than 1/4 inch.
Never leave an infant or child in a mesh playpen
or crib with the drop-side down.
-
Make
sure children do not wear bicycle helmets
or clothing with drawstrings while on playground
equipment.
Bruises,
Cuts, Strains, Sprains, and Fractures
-
Lock
doors or use safety gates at the top and
bottom of stairs, and use safety locks and
guards
on windows above the ground floor.
-
Teach
children how to safely use stairs and climb
on and off furniture.
-
Supervise
infants and children when they use stairs
and climb on and off furniture.
-
Make
sure that playgrounds are safe and carefully
maintained and that equipment is in good
condition. All playground equipment should
be surrounded
by a soft surface (e.g., fine, loose sand;
wood chips; wood mulch) or by rubber mats
manufactured for this use.
-
Supervise
children when they use playground equipment.
Make sure they play only on developmentally
appropriate equipment.
-
Make
sure that infants and children play with
balls that are soft (i.e., not made from
leather
or hard materials).
-
Recommend
that children (1) drink before they feel
thirsty, because mild dehydration occurs
before thirst
sets in; (2) drink cool water before, during,
and after physical activity; (3) drink 4
to 8 oz of water 1 to 2 hours before participating
in physical activity; and (4) drink 4 to
8
oz of water every 15 to 20 minutes during
physical activity lasting longer than 1 hour.
-
Encourage
children to participate in outdoor physical
activity during the coolest times of the
day (i.e., before 10:00 a.m. and after 6:00
p.m.)
during extremely hot weather.
-
Encourage
children to avoid outdoor physical activity
if weather conditions are extreme.
- Encourage
physical education teachers, coaches, and recreation program
staff to cancel or delay activities during extremely hot
weather. (See Heat-Related
Illness chapter.)
-
Closely
supervise infants and children when they
are in or around water. Do not read, play
cards,
talk on the phone, mow the lawn, or engage
in any other distracting activity while supervising
infants and children who are in or around
water. Never drink alcohol while supervising
infants
and children who are in or around water.
-
Teach
children to swim. After their fourth birthday,
children may be enrolled in swimming
classes.
-
To
prevent choking, never permit children to
chew gum or eat while diving, swimming, or
playing
in water.
-
Make
sure that apartment, house, and community
swimming pools are surrounded by a fence
with a self-closing
and self-latching gate. The fence should
be at least 4 feet high. Do not allow infants
and children to have direct access to swimming
pools. Closely supervise infants and children
using a pool, and insist that others do too.
-
When
boating with infants and children, make sure
that they use personal flotation devices
(e.g., life jackets) approved by the U.S.
Coast Guard,
regardless of the distance traveled, size
of the boat, and swimming ability of children.
-
Do
not use air-filled swimming aids (e.g., water
wings) in place of personal floatation devices
for infants and children. Air-filled swimming
aids are toys and are not designed to be
personal flotation devices. These aids can
deflate when
they be-come punctured or unplugged. They
can give parents a false sense of security,
which
may increase the risk of drowning.
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