Chicago Sun-Times (Sunday)

Prevent heat stroke, sunburn, skin cancer and drowning

- BY ALISON TOTHY, MD COMER CHILDREN’S EMERGENCY MEDICINE PEDIATRICI­AN

During potentiall­y dangerous hot summer months, it's important to remain aware of health and safety while spending time outside.

The most common heat-related medical issues are heat stroke, heat exhaustion, heat cramps, heat syncope (loss of consciousn­ess or fainting), sunburn and heat rash, according to Dr. Alison Tothy, associate professor of pediatrics in the pediatric emergency medicine department at UChicago Medicine Comer Children’s Hospital. Heat stroke and heat exhaustion are the most serious conditions and can be life-threatenin­g, but all of the above can be worrisome for you and your family.

Cars can be more than 30 degrees warmer inside than the outside air.

“Do not leave your children in the car waiting for you,” said Tothy. “The majority of heat stroke or hypertherm­ia (body overheatin­g) cases that we see in the emergency department result from parents leaving children in the car. Every few minutes can be critical. Even if a child survives an episode of hypertherm­ia from being left in a hot car, they may experience brain damage or other complicati­ons.”

Additional­ly, parents should be careful in the warmer months to not over-bundle their babies, who need only one more layer of clothes than what an adult would be comfortabl­e wearing.

What to watch for

There are many symptoms that should be cause for concern and lead to medical evaluation. Some of these include a body temperatur­e of 103 degrees Fahrenheit or higher, or skin that is hot, red, dry or particular­ly damp. Symptoms such as headache, dizziness, nausea and vomiting, confusion, loss of consciousn­ess or severe muscle cramping should also lead to prompt medical evaluation.

Even if these symptoms are mild but last more than an hour, you should call your doctor or seek medical care.

Also, if you have a known history of heart disease or diabetes, are of very young or old age, or have a history of heat-related illness, you should seek care upon feeling any of these symptoms.

Sunburn is commonplac­e and usually can be managed at home by staying out of the sun especially at midday and wearing cool clothes that cover exposed skin. If sunburn occurs a cool bath and moisturizi­ng lotions specific for sunburn can help make the pain better. Everyone, regardless of skin color or tone, should wear broadspect­rum sunscreen.

Overheatin­g in the summer months can happen easily. Muscle cramping and heavy sweating that only lasts less than an hour can be managed at home by drinking more water, moving to a cool place and not returning to heat until symptoms have completely resolved.

Finally, heat rash can result from exposure to high temperatur­es. Keep the rash dry and use skin powders like baby powder for relief.

How to keep cool

Keeping cool on hot days is one of the most important factors in preventing heat-related illness. Air conditioni­ng can help even for short periods of time. if possible, stay in an air-conditione­d area during the hottest hours of the day, If you don't have air conditioni­ng in your home, go to a public place such as a shopping mall or a library to stay cool. At home, keep fans running and use a wet washcloth to cool the skin and aim the breeze on you and your overheated family members.

Cooling stations are also available in many large cities for people of all ages. Wear light, loose-fitting clothing. Drink water early or often. You should not wait until you are thirsty to hydrate.

You should avoid unnecessar­y hard work or activities if you are outside or in a building without air conditioni­ng. Studies have found that fatal consequenc­es can result from working outdoors, even at temperatur­es in the high 80s, so pay attention to

overheatin­g. Finally, never leave any person or animal in a non-ventilated parked car for any period of time, as temperatur­es can very quickly rise.

How to prevent drowning

One of the best ways to prevent drowning is to designate one adult to watch children who are in the water.

“The key to preventing drowning is supervisio­n,” Tothy said. “It needs to be a responsibl­e adult watching, so if you have a lot of people, it's really important to have one person to pay attention to the kids in the pool. Don't assume that someone else is watching your children in the pool.”

If it is your turn to watch the swimmer, this means putting down a phone, book or any other potential distractio­n.

If you are outside in a lake, pond or river, familiariz­e yourself with specific surroundin­gs, since wildlife, rocks, currents and other potential dangers differ in lakes, rivers and other areas.

In addition to swim lessons, make sure you have Coast Guard-approved life jackets on hand. “Most of the cute arm floaties and inflatable devices may act as swim aids, but they're not designed to keep children's faces up and out of the water the way life jackets do,” she said. “But remember, life jackets shouldn't replace supervisio­n!”

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