Summer Safety 101: Tips To Keep Your Whole Family Safe


– Hi everyone and welcome to our Michigan Medicine live event. I’m Ed Bottomley with
the Michigan Medicine Department of Communication. June is national safety month and today, the first day of summer, meaning people are getting outside enjoying the weather and all the activities
the season has to offer, but with these outdoor activities comes the risk of serious injury. Today we have two
emergency medicine experts with us to explain some of the injuries that can occur, as well as offering you some easy to follow
tips to get your family safe all summer long. So let’s jump right in
and meet our panelists. Next to me, first up, is Doctor Brad Uren from our Michigan Medicine Department of Emergency Medicine, and on the far side we
have Marie Snodgrass from the Pediatric Trauma
Injury Prevention Team at CS Mott Children’s Hospital. So thank you both for being here. Just a reminder for our viewers, you can submit questions
at any time even now for our panelist’s to
answer during today’s chat. Questions can be submitted
by commenting on this video, but please note that your name or your profile name will be visible to others participating. Now if you prefer a more anonymous option, you can also send a private message to us via our social media pages. If you can’t stay for the whole chat, or want to share the
recording with a friend, a video of this chat, in it’s entirety, will be up on our Facebook, Twitter, and YouTube accounts for sharing too. So, let’s kick things off
with our first question. Mowing the grass. Mowing the grass is a common thing to do in the summer so what
are a few safety tips to keep in mind? – So I like to point out to people that it’s a pretty mundane task, it’s something everybody
has to do in the summer, but it actually can be pretty dangerous. We’ve seen people with
injuries all the time coming into the emergency department, injuries to hands, to feet. And so the first thing people can do is just be prepared, read the manual, understand what you’re doing, be ready, clear the space so you’re not likely to kick up debris that you could throw and hit yourself in the eye. And just dress the part, so make sure that you’re wearing proper footwear, proper clothing to protect yourself
from any flying debris. – Thank you for that. Are there any other issues with regards to lawnmower safety that you’ve seen? – We like to point out that
lawnmowers are not toys that they’re really can be very dangerous pieces of machinery and
so we wanna make sure that people understand that children under 12 years old shouldn’t
be operating push mowers, children under 16 shouldn’t be operating rider lawnmowers. We never should be riding with a child or another passenger
on a riding lawnmower, we should always make sure that kids are clear of the space when we’re outside mowing the lawn,
so we wanna make sure that children aren’t outdoors
when we’re mowing the lawn, that we’re keeping kids clear of the area when we’re outdoors. So we wanna really make
sure that kids aren’t around and that we’re keeping
that area clear of them and that they understand
that they’re not toys, that they’re not playing on them when they’re not being
used to mow the lawn. – Sure and I imagine playing on them when they’re not used to mow kind of encourages them to be around and playing when they are used. What about the topic of stored energy, being aware of the stored energy? – So I’ve seen a number of hand injuries that have resulted from
that when the lawnmower becomes wedged, it suddenly hits something and that blade that’s spinning at a very high rate of
speed suddenly stops. And I tell people, resist the temptation to reach in there with your hand and try to move it because if you remove that obstruction, there still may be stored energy that
causes that blade to move at a high rate of speed
that could cause injury. So if you’re gonna
remove that obstruction, use something, a stick, something that you can keep at a safe distance in case that blade starts to spin again because you never wanna put your fingers anywhere near anything that can move. – Yeah, I imagine a danger too when you’re talking about something, it’s a mundane and quite a regular task, I think we all know the undulations of our lawns. I know where a few rocks are, I know we’ve got this one stump that I can kind of go
near if I’m in a hurry. I’m probably not treating it as I should. So that’s a very good point
about that stored energy. Now how can adults keep children safe around lawnmowers? – I think again, just to reiterate, making sure that they,
I personally recommend keeping them indoors,
not having them outdoors when you’re mowing the lawn. But again, not having them anywhere around the machines, not having them
on the riding lawnmowers, again, can’t stress that enough that they’re not toys, they shouldn’t be riding with anybody when
they’re mowing the lawn and just keeping them away from that whole task is what
we would recommend. – Sure yeah, so no
playing, no riding along. Could you reiterate the
age recommendations? – Sure. The recommendations are 12 years old to operate a push mower, and 16 years old to operate
a riding lawn mower. – Okay, and so now I think
a natural segue here, we’re talking about ride on lawnmowers, what about ATVs what would
be your advice for those? – ATVs and ORVs are a tricky subject because there’s a lot of laws and recommendations around ATVs and ORVs. I think the key take
aways that I would want people to understand is that there always needs to be adult supervision when we’re talking about children
riding anything like this but they’re not toys, I think that’s a little bit of a misnomer. I think we need to understand that they are really dangerous pieces
of machinery as well. There are classes that
kids should be taking, if they’re under 16 and they’re riding on anything, an ATV or an ORV, they should be licensed,
they should be certified and they should be carrying their license with them at all times. Anybody who operates an ATV or an ORV needs to be helmeted, needs to be wearing proper eye protection, needs to be wearing proper protection on their body as well, so long pants, long
shirts, things like that. But again they’re not for small children to be riding on by
themselves unsupervised. There’s strict laws about
where they can ride, if there’s private land
versus public land, and they would get all this information through a course, a certification course. But again, riders under 16 have to take this course and
they have to be certified and carry that certification with them at all times when they’re riding. – Sure, that makes complete sense. And I think you know
today’s the perfect time for this Facebook live,
it’s wonderful weather outside people are going to be looking to go outside, national
safety month as well. So we’re gonna be going all over the map with safety topics and our next one. The fourth of July is less than a couple of weeks away, what can people do to stay safe around fireworks this summer? – That’s a great topic
and we’re already starting to see, unfortunately,
some injuries related to fireworks in the emergency department. Fireworks also they can
be a lot of fun to watch but they also carry some risk, and understanding how to use them safely can help you avoid that risk. And so starting with making sure that you have a clear lighting area so that the people around you, your neighbors, the people
that might be watching, know that you’re gonna be setting off those fireworks and so that they’re safe, so that there’s a safe distance. Understand what those fireworks will do, do they shoot in the air, how
far do they shoot in the air? You need to understand those things so that you know how big of a space that you have to prepare. Never, ever, relight a firework that doesn’t go off. Don’t try to relight a dud, I’ve seen many injuries resulting in that. We’ve also had injuries where people will go up to a firework and try to push it or knock it over only to have it go off and result in injury. So really, if it doesn’t go off, leave it alone, let it
sit for a period of time, and then hit it with a
hose, drown it in water, and just leave it be, don’t
try to set it off again. – Being an Englishman our big time for fireworks is the 5th of November and I always remember the advice, it gets a little bit nippy
in November in England, you know watch out for your hoods, you know watch out for your coats and things like that ’cause debris can fall back there and things like that. And then can we touch on
what we talked about before we went live, the idea that people need to know about these risks ’cause they’re not necessarily aware of them, and these are things
that you guys have seen. You know you’re speaking
from experience here and sharing it so that people can be aware and make those informed choices. – Right, and I think
something else touch on. I think that sparkles are something that comes up a lot around the 4th of July and I think parents often think that’s a safe option and we think that’s a safer option to give children as far as maybe I wouldn’t let them light a firecracker but
I’ll hand them a sparkler, not thinking that a
sparkler’s gonna heat up to twelve hundred degrees also and we’re putting this in small hands. And so we recommend things like glow sticks and things like that you know that can be fun for kids, small children, that might be a safer
option than sparklers and things like that. So, yeah, just trying to give other safer alternatives to small children and that can also be
fund but not as dangerous because, yeah, unfortunately we have seen a lot of really horrible accidents and we’d prefer not to see any
more this year if possible. – Absolutely and I’ll add to that. As someone who grew up
playing with sparklers as a kid, we all have
this idea that it’s safe but I can still remember being hit by those very hot sparks sometimes and I’ve seen some burns, some bad burns, associated with this and
so my kids get glow sticks. – Sure, and while we’re on the topic, the next question is how common
are these firework injuries? – I will say that we see them, this time of year we’ve already started to see some in the emergency department, unfortunately we see them every year. I look forward to a 4th of July that we can go through
that whole firework season and not see any, but we’re still seeing a few every day, face,
burns, injuries to the face, injuries to the eyes, and
injuries to the hands, those are the things
where they’ve gone off while trying to light or they’ve actually fired into somebody’s face and caused burns or injuries
to the face or eyes. – And kind of mostly goes
into our next question. Define what injuries look like and how severe can they be? – There can be a variety of them, like I said the extremities
are usually the first things that are sort of closest to the fireworks while people are setting them off, or the first things to be injured but also to the face. They can very severe. I’ve seen people lose eyes, I’m aware of people that have
lost their lives actually being hit by a large exploding fireworks so especially as we move into the season we see people that will go out and invest in really big displays, really powerful displays,
and it’s important to keep in mind that the stuff that’s available for consumers is usually of a certain
size that’s powered to perhaps be used more safely in a backyard environment for example. But what you’ve seen, you can see some really powerful ones
wrapped in plain brown paper and that indicates it’s either homemade, which is probably not a good idea, or it’s actually intended
for a professional display and that’s something you probably don’t wanna be setting off in your backyard. – Thank you for that. So the next topic we’re gonna head over to is water safety, another
very timely topic. Is it true you have to wait 45 minutes after eating to swim? That’s our first question. – So no, the short answer is no. There was some well
intentioned ideas years ago that brought that up but really as long as you’re feeling okay,
you’re not too tired, you’re not having belly pain, or anything that would distract you, you can go in the water after eating. – Okay, great. And our next question, how can people stay vigilant for signs of drowning? – Keeping and eye out,
using a buddy system, just watching for drowning. I think a lot of people have the idea from the movies or from TV that you know people will be yelling and splashing and saying help me, in fact
that’s not often what happens, people may just simply
slip below the surface. And so just watching
carefully is really important. – Yeah, and we can’t stress enough that adult supervision
is key when it comes to children around water, whether it be a backyard pool, whether it be a pond, a lake, anything and we actually recommend making sure that somebody is identified as that person who is the
identified supervisor maybe or whoever’s gonna be the one watching. We recommend something,
we have these actually these little water watcher tags that we give out at events, but you can create your own, something that kind of identifies who the adult is that’s kind of in charge and who’s watching and
that way if I have to go in I’m gonna hand it to Brad and say okay I’m going inside to use the restroom or to get some food and
now you are in charge, you’re watching the kids now. Just because a lot of
times like a family event, or a big gathering, there’s
so many people around that we kind of assume somebody
else is watching our kids and they can easily kind
of be lost in the event and we forget sometimes to
keep a close eye on them and you would not necessarily know that something is happening or
that somebody’s in distress. So that’s one of the things that we really try to stress is just
keep an adult supervision and makeing sure that we’ve got eyes on the kids at all times. – Sure, thank you, that’s
a fantastic thing there. How about some basic
swimming safety facts? Talk about life jackets, diving areas, buddy system, I know we already did that, but can we touch on some of those? – I think it’s important to make sure, take the opportunity to teach
your children how to swim, if they’re gong to be around water, if you live near a lake, or you vacation near water, they’re naturally going
to be drawn to that water and so making sure they know how to swim. Teaching them yourself,
putting them in a class, if that’s what it take,
make sure they have the appropriate swimming safety gears, and the little floaties on the arms are not necessarily appropriate, a life jacket or
something that is actually approved for life safety
is what you wanna wear, have that child in if they’re around water and they don’t know how to swim. – Thank you for that. – And also to kinda piggy back on that, if you have a pool and
your child knows how to swim in a pool and
you go to visit a lake or an ocean or something like that, you have to understand that there’s gonna be a big difference with currents and different things like that. So to understand that
not all water is the same and understanding that the depth of water can be different, so if you’re out on a
boat, just to jump off or dive off a boat, not
knowing what the depth of the water could be, is a
very dangerous thing to do. So we don’t recommend diving off the back of a boat when you don’t understand what the depth would be
because we don’t wanna have any you know serious
injuries by diving in and hitting head or spinal cord injuries or things like that. So we wanna make sure
that parents understand and caregivers understand the differences between pools and larger bodies of water and things like that. – Absolutely, absolutely. The next question we have is with regards to dry drowning. Is dry drowning a real risk? – So this creates a lot
of anxiety every year and I see lots of discussion
about this on social media. I think it’s important with what we do to raise awareness without
creating any kind of panic. And so I think that the
most important take home from all of this
discussion of dry drowning is that the likelihood that your child or someone else will
go under water come out and have no symptoms only subsequently to die suddenly, is extremely unlikely. When we’re talking about drowning, that’s basically getting
fluid into your lungs that should be causing
difficulty breathing right away. It should be apparent that that person is in distress, they’re coughing, they’re sputtering, they’re
having difficulty breathing, and you should get them to
medical attention right away. But the idea that there will be this delay with sudden decompensation
of that individual is just not something
that is medically seen and I would stress that
if anyone has concerns about a loved one, or
someone that they see after an event where
they’ve gone under water, certainly bring them to medical attention, I’m not suggesting that they shouldn’t. But I want people to feel more at ease and less anxious about the idea of dry drowning because
it just doesn’t happen as some of the social media stories have led people to believe. – Indeed, and so that’s the next question. Why is this something that resurfaces every summer if it’s not real? I’m assuming social media
might be part of that. – I think that may be part of it, I think it speaks to our anxieties, you know there’s probably
an evolutionary benefit to us hearing about stories where people were injured and
how to avoid those injuries and I think that’s part of what you hear with this coming up year after year. But it’s still not something that I think people need to lose any sleep over, they just need to watch their children, watch the people that
they’re swimming with, and if they look ill to
them, get medical attention. – Sure. Next topic is boating safety. What are safety tips people can utilize when they go boating? – Go ahead. – So I think there’s a lot of things that people can do, I
mean just being prepared, that’s one of the things that I say time and time again
doing this sort of work, is just planning ahead,
knowing your equipment, knowing your boat, what
it’s capabilities are, where you’re going,
make sure that you have the ability to safely maneuver, whether that’s you have enough fuel, you have emergency oars, you
have some signaling devices, a phone, or a radio, some
means of communicating, and then make sure that someone on land knows where you’re going and when to expect you
back, so that you know that. And have maps for the
area, if you’re boating in a place that’s unusual,
and all these things, they seem like very basic steps but we see people getting into trouble occasionally when they
say, I’m just going out for a three hour tour, if you will, and getting into trouble. – Absolutely. – Making sure you have life jackets for everybody on the boat, and there shouldn’t be anybody on the boat that’s too small for a life jacket. So really like infants and small babies, it’s not recommended that you take small babies or infants,
newborns, on boats. Anybody that’s on a boat should be able to fit into a life jacket and you should have appropriate life jackets
for whoever’s on the boat. So can’t stress that enough. – And then you touched on this before, but I think it’s worth touching on again, the idea of look before you leap, if you are jumping off a boat, be aware of what’s around you. – And there’s jumping and there’s diving and I think that to jump
in water is one thing, but to dive in head first
is what we worry about head injuries and the neck
and spinal cord injuries. We know of some pretty horrific pretty catastrophic injuries actually that have happened from people diving into too shallow water. So if you jump in, it’s one thing, if you’re feet hit the bottom, but if you hit with your head that could be pretty horrific so absolutely don’t, I would never recommend diving in off of a boat when you don’t know what the depth of the water is around you. – Very important. Again, this is another
one that you’ve touched on but let’s touch on it again. How important is it to wear a life jacket and what are the ideal life jacket rules for children and adults? – I would say it’s extremely important if you’re out on a boat or if you’re out in water in any way and especially if you have any concern about somebody’s ability to swim, I would recommend having appropriate life
jackets or protective gear on. And we’re talking about life jackets, not like we were speaking of earlier, like water aids or swimming aids like water wings or a pool noodle or a flotation, you know just like something that you float on, an inflatable inner tube
or things like that. That’s not what we’re speaking of, we’re speaking of actually life jackets that connect and are certified, you know that actually
stay attached to the child. So I would say it’s extremely important and that they fit properly, that they have weight requirements and so that you don’t just wanna throw any life jacket on anyone, you wanna make sure
they are actually rated for the person that’s wearing them. So I would make sure that you’ve got the right equipment and the right gear before you go out in the boat for the people that are
going to be on that boat. – And I would agree. It’s absolutely critical
to have a life jacket. I’ve been involved in a number of cases where people
weren’t wearing jackets, they never expected to end up in the water but they collided with an
underwater obstruction, they ran into another boat, somebody in the back suddenly had a medical emergency and
the whole boat tipped over. And so there’s any number of reasons why you may not be
expecting to go in the water and suddenly you’re in the water and so having that jacket on to begin with is absolutely critical
to saving your life. – Excellent, thank you for that. And in terms of the next question. How are survival skills important to boating safety? – Well I think having the right equipment on board that boat, so
wearing your life jacket at all time while you’re out there but also having some
safety equipment with you, knowing the water temperature
and where you are, how far from land you are. Being in very cold water
at the beginning or end of the season would
require different clothing and so planning ahead for that and then having a means to signal, a whistle, a light, something else so that if you do go out of that water, and hopefully people come looking for you, you have some additional
way to signal to them. So it’s absolutely critical to have all those survival skills and that knowledge that goes along with where you are, when you’re there, that
fits all the circumstances. – Thank you for that. Our next question from a Facebook viewer. When talking about drowning do we still have to ask parent
permission to perform CPR? – Not sure I understand the question. I think if I were to encounter a patient that had no pulse and required CPR I would begin treating that patient immediately under the presumption that that patient, that
any reasonable person would want that patient to have the best chance to survive and I would
begin CPR without question. – And we can, if there’s clarification, we can go back to that question later. Let’s move on to some
exposure and heat rash. First question, how often should people apply sunscreen while outside, while on the water or
while going into the water? – I believe that most
sunscreen actually will actually tell you on the product itself but usually it’s every two to four hours I think that it’ll depend
on how active your are. If you’re in the water,
if you’re very active and you’re sweating they’ll have you apply it more frequently. I don’t think you can apply it too much so I think if in doubt I would recommend putting more on ’cause
sunburn is not good, it’s not fun, especially
in small children, so we wanna make sure that we’re being generous with application. And so I would recommend, and covering, I mean there’s long sleeved, you know for swimsuits
there’s the rash guard and long sleeve shirts
that you can have on. There’s hats, there’s different ways that we can protect kids to beyond just spraying them or applying lotions. But I would definitely
recommend applying generously and frequently when you’re out, not just a one and done you know, in the beginning of the day and assuming that it’s gonna last
the entire day for sure. I would reapply frequently. – And I’ve definitely seen
people who’ve been out all day, they apply it in the morning and then between sweating
or being in the water that’s protection’s worn off, and they’ve come in with
pretty severe burns. So yeah, apply often, check the label, if it says you should reapply after being in the water after a
certain period of time definitely use it more often. – Thank you for that. – Yeah. – Let’s talk about how hydration, how can people stay hydrated effectively? – Water is your friend
particularly in the hot summer and so I tell people if
they’re gonna be outside, they’re sweating,
they’re doing activities, making sure that they’re paying attention to that sense of thirst. I mean we’re designed with that sensation of thirst that helps us understand that we need more hydration. So making sure that you’ve planned ahead, you’ve got water, water is fine, it doesn’t have to be a
more expensive sports drink. If you like them, more power to you, but water works just fine. But it’s also important to think that at the extremes of age, or certain medical conditions, it may be harder for people to drink lots of fluid or stay well hydrated then so making sure that
we’re protecting people at those extremes or
that can’t drink a lot of water due to other medical conditions they just need to be protected, they need to stay in the shade, take frequent breaks or just stay in the air conditioning. – Yeah sounds good to me actually. And how serious of a
problem is dehydration in the summer months? – We see a lot of that particularly as people start engaging in more outdoor activities even
on a day like today people working outside all day, doesn’t seem that warm perhaps, but it’s sunny and it’s easy to work up a sweat and start becoming dehydrated. And particularly people with
certain medical conditions, can be very sensitive to that, so high blood pressure, they’re taking medications like diuretics to help them get rid of water can actually become dehydrated much more quickly. And so we’ll see several people, even on a day like today,
in many times coming in. – Oh no go ahead. – I like to recommend
too, like if you know you’re gonna be active, like if you know that tomorrow you’re going to a theme park or you’re gonna be at a sporting event, like building up to, like don’t just wait and drink during that event, but be drinking prior to the event, drink water and build yourself up for that because we see a lot of
kids at sporting events that think that during the game, if I just drink during this game, but you know that are kind of, leading up to the game maybe
didn’t have enough to drink. So can get very dehydrated quickly you know during an event,
an outdoor sporting event, soccer, la cross, things like that, so trying to kind of build up and make sure you’re preparing for whatever the activity
is you’re about to do. – Yeah sure, definitely. Let’s switch back to
sunscreens for a second. The difference between SPFs on sunscreens and how to choose the best for your child, for your family? – I think we might be able to find you a better resource to answer that question in a little bit, but I think generally, higher SPFs are better. The higher the level of
protection you can get to protect your skin, that’s I think what’s best and we can see if there’s anymore clarification that we can get. – And we can look into, if you look at the comment section after today’s chat, we’re gonna be linking
to quite a few blogs that we’ve (mumbles) in the past. Let’s talk about heat
exhaustion and heatstroke. What are some signs and
symptoms of those things? – So with heat exhaustion,
you typically will see somebody, they’ll start to show signs of more fatigue, being very tired, their skin might become red or flushed, and they’ll just look hot and they’ll look uncomfortable. Heatstroke is typically differentiated by someone actually beginning to act very differently, hence the word stroke. They may be slurring their speech, they may look as though
they’re intoxicated even. And so that represents
an even more serious condition where the body
temperature’s gotten so high that they’re not able
to regulate effectively. Both of those, don’t wait for heatstroke, don’t wait for people to become confused, if someone looks like
they’re having difficulty, that’s the time to get them
to a cooler environment and get them hydrated or even seek medical attention if necessary. And there’s this sort of myth
that perpetuates out there that you know you’ll see
someone stop sweating. They may still be sweating and
they may still be suffering from the effects of heat exhaustion or heatstroke so don’t wait for that. If they don’t look right to you, get them into cooler environment and maybe even call
for medical assistance. – Thank you for that. I think this goes in perfectly when we’re talking about heat, let’s talk about the
heat inside a hot car. How dangerous is it for
kids to play in a hot car and what happens if your child is left inside a hot car? – So this a big concern for us, we see nationally,
luckily none in Michigan in the past few years
but we see nationally too many children left
in hot cars each year and die as a result of that. And cars heat up very fast, even on a day like today when it’s not
extremely hot outside but it’s sunny, a car
even with cracked windows can heat up very fast. So we never recommend
leaving a child in a car even with the windows cracked, even with the air conditioning on, we just don’t recommend ever leaving a child in a car unattended. So we can’t stress enough to caregivers to make sure that keys are put away, that they’re not left where
a child can get at the keys, that doors are left locked to cars so that kids can’t play hide and seek or can’t get back into a car if they think they’ve left something in a vehicle to go back to a car because sometimes we have child locks on cars and so a kid can get back into a car but then once they get into
the vehicle can’t get out and if an adult doesn’t know that that can be very problematic, they can get trapped in a car. So unintentionally children
can be left in cars. We also know about
situations where caregivers have accidentally left children in cars, just on a morning routine driving to work, it’s seems unfathomable and I’ve talked to enough parents and caregivers that we just can’t understand it, but it has happened enough
and we know that it happens that somebody is outside of a routine that they normally are in, and they just get into automatic mode and drive to work and forget because there’s a sleeping
baby in the back seat that I’m not used to dropping off at daycare, and I have
forgotten that child in the back seat of my car and have gone to work and left that baby in the backseat of my car because I’m not used to
dropping off at daycare, it’s not part of my routine. So we recommend leaving something of yours in the back seat so that
you have a reminder, doing something like that because we just don’t want there to be any more of these accidents and there are things that we can do to prevent them. Cars heat up very fast and so we wanna do everything we can to
prevent this from happening. And these are just some
little kind of tips and things that we can do to try to help parents and caregivers that are very tired and
very exhausted at times, we’ve all been there as parents. And just kind of help kind of come up with some ideas for maybe preventing in the future any more of
these accidents or tragedies. – Sure, thank you for that. Let’s move to helmet safety. First question on that topic, why should children wear helmets when they ride a bike, a
skateboard or a scooter? – They only have one brain, and we have to protect it. And so it can be the best bike rider, the best scooter rider, the
best skateboarder there is but there can be a crack in the sidewalk, there can be a dog that runs out, there can be all kinds
of things that happen. There can be a car on the road that cuts you off,
there’s a lot of exterior things that can happen,
and forces that can happen that are out of your control, and it takes a split second for you to be knocked off of your bike, off of your skateboard, off of whatever, and to hit the ground or to hit a vehicle or to hit something else. And so what we stress is that a helmet is a very easy, inexpensive
item to help protect that head that we only have one of, and if worn properly, it can protect, it really can do a great job and we can’t stress enough
like how important it is for adults and for children. But definitely as soon
as kids are on any kind of riding, anything with
wheels, we recommend, small children on tricycles we recommend that we start putting them on their heads just so that they get used to it. Almost like a seatbelt, if you get used to every time you get in the
car you buckle your seatbelt, every time you get on something with wheels putting a helmet on, it just starts to become habit and it’s an important habit to
begin and to have life long. – Absolutely. What do you say, could
you speak to what you say to parents and their
children to encourage them to promote helmet safety? I guess you’ve touched on
that a little bit already. – The one thing I tell parents a lot, I’ll see parents, we’ll
do some events sometimes at schools where kids
will ride their bikes and sometimes parents
will ride up with parents and it’s interesting to see the child with a helmet on but the
parent not with a helmet on. And so I often talk to parents about the example that they’re setting because kids will often
wonder like how old do I have to be when I don’t have
to wear the helmet. And so I use the seatbelt example a lot and say, you know, I
mean would you tell them there’s a certain age when they don’t have to wear their seatbelt? And parents well absolutely
not you know seat belts, we have to wear our seatbelt. And the same thing with the helmet, if they see that it’s important to you, and that you know that
your brain is important and your head is important
and that you know that it’s important to protect, they’re gonna know that it’s important for themselves and they’re gonna constantly wear their
helmet in order to protect. And so I’ve had some great conversations with parents and given out a lot of adult helmets in the process to kind of help spark that too. So that’s one of the
things that we try to do. Unfortunately sometimes, for us, it’s after the fact,
it’s after we seem them come into the hospital and so we try to do a lot of the events
out in the community to try to prevent that from happening. – In your experience do
you think some people don’t realize how important
wearing helmet is? – Oh yeah, unfortunately, yeah, ’cause I think that we think that we’re good at what we do and
that we are in control when we’re on that wheeled device and we’re on that bike,
or on that scooter, and I think that just like we think we’re in control when we’re
behind the wheel of a car and I think that until something happens and you realize you’re
not always in control and something happens to you, you realize that you
don’t have that control, it can be a little eye opening. So, yeah, I think it is hard sometimes to get that message across but. – And I’ll be honest, I
grew up in a generation where this was not the norm, wearing a helmet was not something that you saw a lot of
kids doing at that point, but we live in that
world where we’re seeing people on a regular
basis that are coming in for those one in a thousand events and you only have to see a few of those to realize why emergency physicians and nurses and people
that work in this space all of our kids wear helmets, why we wear helmets, why we’re crazy about car seats and safety because we know that they save lives and we’ve seen people who’ve used them, we’ve seen people who’ve not used them and that’s the argument that I make, we could spend an hour talking about some of the terrible things that we’ve seen, but they do protect people, they do save lives and they’re
just absolutely important. – Absolutely. Let’s talk about hand-sync signals and walking a bike across the sidewalk. Why are these two significant safety tips? – With bicycle safety I think especially like in and around a
community like Ann Arbor where there’s so many people on bikes and it’s such a great
biking community actually, there’s such a great biking community in Washtenaw county, in Ann Arbor, I think that it’s really important to be able to communicate with drivers and I think that teaching
kids at a young age how to do that and how to let drivers know what you’re intent is, and I think that as drivers
we can do a better job of paying attention to that, but I think that it’s
really important to do that. I also think that it is important to teach kids at a young age to walk their bikes across a street. We’re doing a lot with our pedestrian safety education to make sure that we’re teaching kids when they’re either crossing with their bikes
or crossing just on foot, to make sure they’re making eye contact with the vehicles and making sure that the vehicles see them. So just being more steady on their feet and not riding so that
they can stop faster and they can get back if they need to if the vehicle is not stopping for them. It just kind of makes them more steady and makes them quicker to respond to what’s going on with
the vehicles on the road. So we definitely recommend that and we are teaching that at a lot of our safety towns in a lot of the things that we’re doing in around
the community this summer trying to teach that
with our young children so we definitely recommend parents kind of reinforce that and teach
that with kids as well. – All right. A final question on this topic. Some parents prefer their children ride their bikes in designated bike lanes but these lanes don’t necessarily always ensure rider safety. Do you have any thoughts about riding in the bike lane versus the sidewalk? – I mean with young children I’m a proponent of riding on the sidewalk personally, if it’s available, if there’s a sidewalk available I would always recommend with children just because I’m still nervous about drivers on the road. There’s a lot of distractions and a lot of things that are keeping
our drivers I think from giving bicyclists
the space that they need and the attention that they need. So if there’s a sidewalk, a safe sidewalk that is available, I would recommend with children to keep
them in the sidewalks if they’re available. – Sure. Let’s take a turn towards
another topic now. Tics, how can people prevent
getting tics this summer? – So this is a great example of prevention really being worth a pound of cure. So just not getting a tic bite or not picking up a tic
is the most effective way to avoid any kind of tic born illness and so that means being
aware of the environment. So like tall grass,
brush, things like that, those are where tics like to hide and you can get them in
your back yard by the way, it’s not just out in the woods somewhere and we are seeing tic born illness like lime disease in
parts of Michigan as well. So it’s important to be aware of where those tics like to live and
then to dress appropriately so that means trying to
cover, cover your legs, not have bare legs, tuck your
pant legs into your socks, things to prevent the
tics from getting in there and then you can also use a bug repellent as something with Deet. The CDC has some great recommendations on lime that you can look at for how to protect yourself
from having tics get on. Now if they do get on you, it’s important to you know when you get
home to do a tick check so that those tics aren’t
on you for a period of time because the longer they’re on the higher the risk of infection. And so you know getting undressed, take a shower, it’s a great opportunity to look in those spaces
where tics can hide, sort of under the arms, behind the knees, even in the belly button
tics can hide too. So looking for those spots. If you see a tick, remove it carefully, grab it by the head
and pull it off slowly. What I tell people to do is take a picture with their smart phone
because everyone’s got one, take a picture with your phone and then put that tic in a bag or something else, throw it away, don’t smuish it, but throw it away in a plastic bag or take a photo of it and make a note of where that was. And if you start to develop symptoms then you can go and see your doctor and talk about those
symptoms, like a rash, or a fever, that may
happen in several days, but if you know what that tic looked like and where you might have picked it up, you and your doctor can make
some decisions about that. – Yeah, I think this is
quite an important topic. You mentioned, but let’s reiterate, how do you choose the
best insect repellent for different occasions? – So there’s several
different recommendations and I think we could probably post some links to that later to
go through some of the details because it does vary a little bit by age. But generally something
with Deet, D-E-E-T, is something that you’re looking to apply to your clothing while you’re out, while you’re out and about in
an area where there’s tics. That’s probably the most effective thing that you can do and we can post some additional links with some specific recommendations for very
young children as well. – Yeah, young children was going to be my next question too ’cause you know when I’m outside I’m not necessarily roaming about as much as my kids are so that’s always a worry for me. And let’s talk about how
to remove these tics. – So if you see a tic, safest way to remove them is to grab them as close to the skin, as close
to the end of their head with a pair of tweezers
and just pull up slowly to remove that. Usually you can get the tic to come out all in one piece in that event. If it does get stuck, don’t
worry, clean the area, if the head and the mouth parts get stuck, just clean it, soap and water, alcohol, and your body will actually do a pretty good job of removing that little bit that might be stuck there in the skin. But just clean it off very carefully. Try to pull it off slowly,
don’t try to burn them off, don’t try to do any of
the other techniques that you might have heard years ago, just try to pull them
out slowly with tweezers. – And I believe we have a good blog post on that too so you know we can chat. The next topic we have
is trampoline safety. How should parents go
about teaching children trampoline rules? – I’m not real popular when
I start talking about this. I mean really the safest way to encourage children
to play on trampolines, if they’re gonna be on
trampolines, is one at a time. And we would always recommend that they’re on a trampoline that is enclosed with the net all the way around it, again, if they’re going
to be on a trampoline, my choice would be to
not be on a trampoline. – Yeah let’s look into
that a little bit more ’cause I sense that you wanna start off with this isn’t a really good idea anyway. – I’m not a big fan of trampolines. We’ve seen a lot of
injuries from trampolines and there’re a lot of
injuries from trampolines. Kids falling off of trampolines, kids falling on trampolines themselves and breaking arms and wrists and all kinds of leg so, just getting
injured themselves. Colliding with other children
is a really common injury. So we just see a lot of injuries associated with trampolines. And so adult supervision, if they’re gonna be on a trampoline and I would highly recommend one child at a time, again, it’s fun I guess, apparently, but it would be the safest way if they’re gonna be on a trampoline so that you don’t worry about them colliding with somebody else. – Do you have any other trampoline best practices, if they
have to be on a trampoline? – No other objects or props per se, if you’re gonna be
doing any dance routines or any other like acrobatic type things on the trampoline, I wouldn’t recommend taking balls or other toys and objects on the trampoline, we’ve
sometimes seen that. We seen skateboards and other interesting things like that, would highly recommend nothing like that on a trampoline ever. So it’s really just meant for one child and one child jumping alone
is really the recommendation. – Okay. The next topic that we have is grilling. How can we be safe while grilling? – So there’s a couple of different things that we see with grilling. One is directly related to burns, so people trying to light that old grill that was you know that’s probably one season too old that
doesn’t light very well and people having burns, if that sort of suddenly flares up. So make sure your equipment
works is step number one and take care that you’re
following instructions that when you’re starting that fire that it doesn’t actually result
in any direct injury to you. And the secondary forms of injury that we’ve seen, and I’ve
seen a few of these actually, is the grill bristle injury. So that’s actually, so
somebody using again an old kind of rusty brush
to clean off the grating prior to starting cooking
and then unbeknownst to you that bristle
gets stuck to the bottom of your food and then you eat it. And I’ve seen two people personally that have had bristles
stuck in their throat. It’s been described and there’s definitely cases that are happening and people don’t usually, they don’t notice
when they bite into it but then they feel it if
it gets stuck somewhere. So it is a real thing,
so I threw out all my brushes after I saw this
happen the first time and I use sort of the steel wool pad kind of brush to clean my grill. – Excellent. – Marie any tips for
keeping kids away from. – Keep kids away from the grilling area you know keep them away from the fire and the heat obviously because a lot of times they’re right at the same level as the, you know they can reach up and grab and be just like a stove you know would be dangerous so we would wanna keep them away from that
source of heat for sure. – Let’s move on to our next topic which is picnic foods. How are certain picnic foods dangerous? – So you’d be surprised sometimes the reasons people might visit
an ER after a picnic. So there’s a lot of different things, there’s injuries, there’s food poisoning, and we’ll start with the food poisoning I suppose as the first thing. So keeping in mind that
you’re out of your kitchen, you’re not in your normal environment, and so the food preparation
you’re often taking short cuts and so for people to be aware that if you’ve got chicken
that is raw chicken that is being now cross contaminated, it’s on your hands, you
haven’t washed your hands and touched something else and that’s getting into the other foods so now you have that risk of salmonella and other food born illness that’s coming from the raw chicken. You haven’t washed the vegetables when you get there and so you have some other things that come there. And then you have the potato salad and the things that are sitting out in a warmer environment not refrigerated kind of sitting there on the table as people go down the line
and pick those things up. Those are things that can
after a few minutes even, 45 minutes or so at a higher
than average temperature can start to grow some bacteria. And so then you have people with nausea, vomiting, and diarrhea
usually within a couple of hours after ingesting that. So we’ll see a fair number of people after a big picnic event stand there eating and so I’ve seen my
share of people coming in with that and probably the potato salad or something like that. So just taking extra steps to make sure that you’ve got proper cooling for those foods that need to be kept at certain temperatures and plan ahead, wash the foods at home, prepare them as best you can so that when you’re there, tomake them on a grill,
or do whatever else you’re doing at your picnic, that you can avoid that cross contamination and you’ve taken those preparatory
steps ahead of time so you don’t have to try to make do when you don’t have the resources. – Sure, those are some really
important points there. Can we touch on alcoholic beverages, safety and alcohol? – So alcohol has resulted in a fair number of injuries that have brought people to the emergency department over all. I think there’s certainly something to be said for enjoying an alcoholic beverage on a nice summer day and I’m not telling anyone
that they can’t do that, but simply to be aware
that there are risks that come with that. So the more you ingest
the higher the likelihood that you become dehydrated,
not to mention the effect that it has on your coordination and your judgment. And so all the things that
we’ve been talking about become more dangerous with alcohol, so grilling, high risk of burning, fireworks, boating, riding a bike, all of these, trampolines,
all of these things become more dangerous when
you have some alcohol. And so if you’re going to make alcohol part of your celebration, you need to just plan ahead, make sure you’re well hydrated and make sure that you’re
not then taking part in activities where you
could injure yourself or someone else after
you’ve enjoyed a few. – Absolutely. We’ve touched on a variety of topics. As a dad of four I think they’ve all rung certain bells with me. There’s one topic though
that I want to throw in here, see if you have any opinions on it. It’s summer time, people
often have fires outdoors, they’re cooking s’mores
and things like that, fire safety tips for kids
when they’re around a fire a camp fire for instance? – That’s a great question. I think that, I can’t stress enough and I think this has been
a pretty common theme all the way across is adult supervision, making sure that you have a proper amount of adult
supervision if you’re gonna have kids around a fire. Making sure that your fire’s contained, making sure that it’s a safe fire. So whether be in a pit or whether it be in a metal fire pit, I’m not
sure what they’re called, but something that’s
gonna safely contain it and then making sure that however, I get nervous around children actually being the ones that are
doing the marshmallows or whatever it is so making sure there’s an adult kind of there with the child so the child isn’t the one getting close to the fire,
isn’t putting their hand close to the fire ’cause things can spark and things can kind of jump from the fire sometimes so you never want that child to be the one getting
too close to the fire. And I think that anytime that we’re doing any of these types of activities with kids it’s really important
to always be explaining to them what we’re doing with them to walking through like why it’s okay for you to be doing this with me as mom with you right now,
but when mom’s not here this is never anything
that I would want you to do without me here because this
could be very dangerous. Because as soon as we walk away or as soon as we go somewhere else or they’re at somebody else’s house you don’t ever want a child to think that they kind of have free reign and can do these things
without you present. So I think that, and
fire’s a great example, you know when you have a fire like that, but I think it’s really important to make sure that fires
are completely put out. At the end of the event or whatever to make sure that you
safely put the fire out and that you have a way of
making sure that’s all done. But again, adult supervision and then I can’t stress enough
when we’re talking about pedestrian safety, when
we’re talking about any of the safety topics that we’re on, when you’re there with your child and you’re doing
something with your child, to be talking through what
it is you’re doing with them and explaining what’s happening. When you’re crossing the street, did you realize we’re looking left we’re looking right and
we’re looking left again just to make sure no cars are coming and just kind of putting into words ’cause sometimes I think we get busy with kids and we just do for them or we do things with them and we don’t always explain to them what we’re doing, so then we’re not giving them the tools for when it’s okay for
them to do something how to do that. So I think that as parents and caregivers we can do a better job of kind of giving them some of those tools and helping them. That’s my recommendation. – Sure thank you. – I think I would echo all of those points they’re great points. A couple of other things
that I would bring up more for the adult side, but also just thinking of you know I’ve seen lots of people in trying to get a bonfire going,
you’re trying to do it, it’s a beautiful night,
and it just rained, the wood is kind of wet
and so the temptation is to go out and get something flammable, some gasoline, some lighter fluid, something to light it and then I see them in the ER with severe burns. And so just having a different plan. You can dry paper, dry kindling, find some other way to
get that fire going, don’t use gasoline or some kind of accelerant like that because it so often results in burns
and that’s something that we don’t want our kids to be seeing and then getting the idea that that’s how you should get a fire going. And one other little point as someone who does enjoy a bonfire with the kids that one of the things that we have done in addition to all of those things is just having the rate
and the expectation for the kids that if they’re going to walk around the fire, they walk behind where everybody is seated rather than trying to
get around peoples feet and then fall in the fire because having seen those injuries never want the kids to be that close to the fire, they should always move away as they walk around to
see a friend over there. – Excellent advice,
thank you both for that. So we’re moving in towards
the end of our chat but I always wanna say first off is there anything you think we’ve missed? Is there any advice that you’d like to impart before we end? – I think we’ve covered
a wide variety of topics and I think the thing I always feel sort of like the fun police sometimes when I do these talks. The point of this is not to scare people or prevent people from having fun but rather to make sure
that people plan ahead because summer’s short
enough here in Michigan and so wasting time in
the emergency department with an injury is not what you wanna do. I’d rather people be out having fun not coming to see me and
enjoying the Michigan summer. – [Ed] Great, Marie? – I echo that. I think that we’ve covered a lot of things and there’s probably a lot more that we could cover but yeah, we just want everyone to
have a safe fun summer and we would love to be bored at work. We would love to be sitting around twiddling our thumbs this summer and not have a lot to do. And so we hope that everybody stays safe that’s our ultimate goal. – Yeah, so thank you both for your time, for your expertise, for helping families get more information about how
to stay safe in the summer. Again to our viewers, if you’re interested in sharing this recording,
it’s gonna be on our Facebook page, our YouTube page, our Twitter page as well. So thank you to our
viewers for joining us. Thank you to our experts and
have a wonderful afternoon.

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