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Danger: Kids Left in Hot Cars

来源:WebMD Medical News
摘要:“Kidsaremoresusceptibleandathigherriskforheat-relatedillnessandinjurythanadultsbecausetheirbodiesmakemoreheatrelativetotheirsizeandtheirabilitiestocoolthroughsweatingarenotasdevelopedasadults。PreventKidsFromWanderingIntotheCar。...

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Every summer, the media reports a handful of heartbreaking and preventable deaths that occur when children are left unattended in hot cars.

As of July 12, there have been 21 such deaths in the U.S. this year, and 466 deaths since 1998, according to statistics compiled by Jan Null, a meteorologist at Golden Gate Weather Services and a geosciences professor at San Francisco State University.

Some parents may not want to take their child in and out of their cumbersome car seat for what they believe will be a quick stop at the dry cleaner, others may actually forget that their sleeping child is in the back seat, and sometimes children lock themselves in a car by accident, says Christopher McStay, MD, emergency room physician and assistant professor of emergency medicine at New York University Langone Medical Center in New York City.

Preventing hot car casualties starts with these steps:

1. No Exceptions, No Matter How Brief.

“It is never OK to leave kids or pets in a car -- even with the windows down,” McStay says. “It is an absolute no-no,” says McStay, who has seen his share of hot car casualties in the emergency room. “Your car is a green house and temperatures can get exceedingly hot in an exceedingly short period of time." We are talking minutes, he says.

“There is no safe amount of time to leave children alone in the car,” says Nathan Allen, MD, an attending physician in emergency medicine at the University of Chicago. “Kids are more susceptible and at higher risk for heat-related illness and injury than adults because their bodies make more heat relative to their size and their abilities to cool through sweating are not as developed as adults.” As a result, just a few minutes can be extremely dangerous -- even fatal -- for a small child.

2. Know What Can Go Wrong.

“Parents leave children in a car for lack of understanding about how sick they can get and how quickly they can get sick," says Christopher Haines, DO, director of pediatric emergency medicine at St. Christopher's Hospital for Children in Philadelphia.

“On a day that is just 72 degrees Fahrenheit, the temperature can increase by 30 to 40 degrees in an hour, and 70% of this increase occurs the first 30 minutes,” he says.

Heat stroke may occur when body temperature passes 104 degrees Fahrenheit. That overwhelms the brain's temperature control, causing symptoms such as dizziness, disorientation, agitation, confusion, sluggishness, seizure, loss of consciousness, and/or death.

3. Get Involved.

If you see something, say something, says NYU’s McStay. “If you are a passerby and you see a child unattended in a car, call 911 -- especially on a hot day,” he says.?

Unfortunately, some child carriers have hoods, so you can’t tell if there is a child in the seat. Developing alarm systems that sound if a child’s seat belt is left fastened when the door shuts may be helpful in the future, McStay says.?

Some parents or caregivers may forget that there is a sleeping child in the back seat and go about their business.

Think it can’t happen to you? It can, says Mark McDaniel, PhD, a psychology professor at the university of Washington at St. Louis. Here’s how:

"The memory is faced with a challenge when it needs to remember something that you don’t do every day, such as take your child to school,” McDaniel says. For instance, maybe Mom usually does that, but for some reason, Dad takes the task for the day, he says.?

“If the child has fallen asleep in their car seat, which is usually behind the driver’s seat, there is no visual information to remind you that there is a kid to drop off and if you have not done it day in and day out, you need a cue,” McDaniel says.? “These are not bad parents, but people who don’t have a good understanding of their memory system."

What can you do? Give yourself reminders. Keep telling yourself, out loud, to remember the child. And give yourself visual cues. For example, “place your briefcase beside your child so you must grab it before going to work, and will see your child,” he suggests. Or put your diaper bag on the seat next to you, so that you're reminded that you have the child with you.

5. Prevent Kids From Wandering Into the Car.

Don't let your children play in your car, make sure the car's doors and trunk are locked when you're not using it, and keep the keys out of kids' reach. That may help prevent children from getting accidentally locked in the car, McStay says.

6. Check That They Arrived.

If your children take school buses or other modes of transportation, make sure that the transportation company follows established safety protocols, such as a bus driver walking through the bus to make sure no child is left onboard at the end of the route. And call to make sure your child arrives as expected, if you are not there to greet your child, Haines says.

作者: 2010-7-15
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