And Away We Go!

The warmer than average “winter” weather has reminded me that Spring Break is rapidly approaching. Many of us will be taking that time off to rest, to recharge our batteries, and to spend valuable time with our families and loved ones. And many of us will pack our bags, load our cars, and head to our chosen vacation spots.  If you are traveling over Spring Break, or anytime this year, I hope that you arrive at your vacation spot safely. To help you and your family stay safe while traveling, I have posted some practical travel safety tips from the American Academy of Pediatrics (AAP).

TRAVEL TIPS

Traveling with children can be a delight and a challenge. The American Academy of Pediatrics (AAP) has the following tips for safe and stress-free family travel.

Traveling by Airplane

  • Allow your family extra time to get through security – especially when traveling with younger children.
  • Have children wear shoes and outer layers of clothing that are easy to take off for security screening. Children younger than 12 years are not required to remove their shoes for routine screening.
  • Strollers can be brought through airport security and gate-checked to make travel with small children easier.
  • ​Talk with your children about the security screening process before coming to the airport. Let them know that bags (backpack, dolls, etc.) must be put in the X‑ray machine and will come out the other end and be returned to them.
  • Discuss the fact that it’s against the law to make threats such as; “I have a bomb in my bag.” Threats made jokingly (even by a child) can delay the entire family and could result in fines.
  • Arrange to have a car safety seat at your destination or bring your own along. Airlines will typically allow families to bring a child’s car safety seat as an extra luggage item with no additional luggage expense. Check the airline’s Web site ahead of time so you know their policy before you arrive at the airport
  • When traveling on an airplane, a child is best protected when properly restrained in a car safety seat appropriate for the age, weight and height of the child. Children who weigh more than 40lbs can use the aircraft seat belt. The car safety seat should have a label noting that it is FAA-approved. Belt-positioning booster seats cannot be used on airplanes, but they can be checked as luggage (usually without baggage fees) for use in rental cars and taxis.
  • Although the FAA allows children under age 2 to be held on an adult’s lap, the AAP recommends that families explore options to ensure that each child has her own seat. If it is not feasible to purchase a ticket for a small child, try to select a flight that is likely to have empty seats where your child could ride buckled in her car safety seat.
  • Pack a bag of toys and snacks to keep your child occupied during the flight.
  • In order to decrease ear pain during descent, encourage your infant to nurse or suck on a bottle. Older children can try chewing gum or drinking liquids with a straw.
  • Wash hands frequently, and consider bringing hand-washing gel and disinfectant wipes to prevent illnesses during travel.
  • Consult your pediatrician before flying with a newborn or infant who has chronic heart or lung problems or with upper or lower respiratory symptoms.
  • Consult your pediatrician if flying within 2 weeks of an episode of an ear infection or ear surgery.

International Travel 

  • If traveling internationally, check with your doctor to see if your child might need additional vaccines or preventive medications, and make sure your child is up-to-date on routine vaccinations. Bring mosquito protection in countries where mosquito-borne diseases such as malaria are present.
  • In order to reduce jet lag, adjust your child’s sleep schedule 2-3 days before departure. After arrival, children should be encouraged to be active outside or in brightly lit areas during daylight hours to promote adjustment.
  • Stay within arm’s reach of children while swimming, as pools may not have safe, modern drain systems and both pools and beaches may lack lifeguards.
  • Ensure that your child wears a life jacket when on smaller boats, and set an example by wearing your life jacket.
  • Conditions at hotels and other lodging may not be as safe as those in the U.S. Carefully inspect for exposed wiring, pest poisons, paint chips, or inadequate stairway or balcony railings.
  • When traveling, be aware that cribs or play yards provided by hotels may not meet current safety standards. If you have any doubt about the safety of the crib or play yard, ask for a replacement or consider other options. (Also applies to travel in the U.S.)

Traveling by Car 

  • Road travel can be extremely hazardous in developing countries. Make sure each passenger is buckled and that children use the appropriate car safety seat. Let your driver know you are not in a hurry, ask that there be no cell phone use, and emphasize that you will reward safe driving.
  • Always use a car safety seat for infants and young children. All infants and toddlers should ride in a rear-facing car safety seat until 2 years of age or until they reach the highest weight or height allowed by the car safety seat manufacturer. Once your child has outgrown the rear-facing height or weight limit, she should ride in a forward-facing car safety seat. Updated recommendations on safe travel can be found on the AAP parenting web site: www.healthychildren.org/carseatguide.
  • Most rental car companies can arrange for a car safety seat if you are unable to bring yours along. However, they may have a limited selection of seats. Check that the seat they provide is appropriate for the size and age of your child, that it appears to be in good condition, and that the instruction manual is provided before accepting it.
  • A child who has outgrown her car safety seat with a harness (she has reached the top weight or height allowed for her seat, her shoulders are above the top harness slots, or her ears have reached the top of the seat) should ride in a belt-positioning booster seat until the vehicle’s seat belt fits properly (usually when the child reaches about 4′ 9″ in height and is between 8 to 12 years of age).
  • All children under 13 years of age should ride in the rear seat of vehicles.
  • Never place a rear-facing car safety seat in the front seat of a vehicle that has an airbag.
  • Set a good example by always wearing a seat belt, even in a taxi.
  • Children often become restless or irritable when on a long road trip. Keep them occupied by pointing out interesting sights along the way and by bringing soft, lightweight toys and favorite music for a sing-along.
  • Plan to stop driving and give yourself and your child a break about every two hours.
  • Never leave your child alone in a car, even for a minute. Temperatures inside the car can reach deadly levels in minutes, and the child can die of heat stroke.
  • In addition to a travelers’ health kit (http://www.cdc.gov/travel/other/travelers-health-kit.htm), parents should carry safe water and snacks, child-safe hand wipes, diaper rash ointment, and a water- and insect-proof ground sheet for safe play outside.

Sources:

AAP policy statement: Child Passenger Safety

http://pediatrics.aappublications.org/content/127/4/788.full​​

AAP technical report: Child Passenger Safety http://pediatrics.aappublications.org/content/127/4/e1050.full​​

Federal Aviation Administration http://www.faa.gov/passengers/fly_children/crs/

Centers for Disease Control http://www.cdc.gov/travel/children_gen_info.htm

AAP: Car Safety Seats, A Guide for Families

http://www.healthychildren.org/carseatguide

BOO to the Flu!

Well, it’s here, no doubt about it. The dreaded FLU! All around Knoxville and surrounding counties, schools are closing due to illness in both the students and the teachers. Here is a little information on the facts of the flu…

  • Influenza (“the flu”) is a VIRAL illness.
  • Symptoms may include: fever, cough, headache and or body aches, sore throat, runny nose, congestion, redness and watering of the eyes, and occasional vomiting and abdominal pain.
  • Influenza IS NOT “ the stomach bug” … although many kids’ first sign is vomiting.
  • The flu can be contagious for up to 1 – 2 DAYS BEFORE SYMPTOMS START and for several days after the onset of symptoms.
  • Prevention from the flu includes receiving a yearly flu vaccine, hand washing and avoiding contact when possible with those infected with the flu.
  • The flu is spread from person to person thru contact with respiratory secretions. It can also be spread by coming in contact with those secretions on objects.
  • There is a test to determine if you have the flu. This test is done thru a nasal swab and usually can be done in the outpatient office within 10 minutes. A flu test is not always required as a doctor may determine the diagnosis by physical exam.
  • Most people with the flu have a mild self-limited, uncomplicated disease. Treatment would include rest, lots of fluids and tylenol or ibuprofen for fever or aches.
  • Certain groups of people may be at risk for more serious complications. This group includes those that have a weakened immune system, have chronic lung disease, those that have diabetes, possibly those with a neurological problems, and the very young.
  • Some children with the flu may be prescribed an antiviral called tamiflu. It does NOT treat the flu and is not required . It may shorten the duration of symptoms. It should be started within 48 hours of the onset of the illness.
  • We typically do not give “prevention” from the flu thru tamiflu unless the child is in at “at risk” population.
  • If your child has the flu and has: worsening fever or pain, lethargy, unable to keep fluids down or if you have any concern, please call your pediatrician for further evaluation.