Hard hits and hard knocks!

Taking part in sports and recreation activities is an important part of a healthy, physically active lifestyle for kids. But injuries can, and do, occur. More than 2.6 million children 0-19 years old are treated in the emergency department each year for sports and recreation-related injuries.

Thankfully, there are steps that parents can take to help make sure kids stay safe on the field, the court, or wherever they play or participate in sports and recreation activities.

Prevention Tips

Gear up. When children are active in sports and recreation, make sure they use the right protective gear for their activity, such as helmets, wrist guards, knee or elbow pads.

Use the right stuff. Be sure that sports protective equipment is in good condition and worn correctly all the time—for example, avoid missing or broken buckles or compressed or worn padding. Poorly fitting equipment may be uncomfortable and may not offer the best protection.

Practice makes perfect. Have children learn and practice skills they need in their activity. For example, knowing how to tackle safely is important in preventing injuries in football and soccer. Have children practice proper form – this can prevent injuries during baseball, softball, and many other activities. Also, be sure to safely and slowly increase activities to improve physical fitness; being in good condition can protect kids from injury.

Pay attention to temperature. Allow time for child athletes to gradually adjust to hot or humid environments to prevent heat-related injuries or illness. Parents and coaches should pay close attention to make sure that players are hydrated and appropriately dressed.

Be a good model. Communicate positive safety messages and serve as a model of safe behavior, including a wearing helmet and following the rules.

One of the most common injury related to kids sports are head injuries and concussions,especially for those contact sports such as football. Even with a helmet on a concussion can occur.

A concussion is also known as a mild traumatic brain injury. Although we usually hear about head injuries in athletes, many occur off the playing field in car and bicycle accidents, in fights, and even minor falls.

Kids who sustain concussions usually recover within a week or two without lasting health problems by following certain precautions and taking a breather from sports.

But a child with an undiagnosed concussion can be at risk for brain damage and even disability.

Anyone who sustains a head injury should stop participating and be removed from the activity or sport. Even without a loss of consciousness, it's important to watch for symptoms of a concussion.

Common initial symptoms include:

• a change in level of alertness
  
• extreme sleepiness
  
• a bad headache
  
• confusion
  
• repeated vomiting
  
• seizure
  

Someone with these symptoms should be taken to the emergency room.

Signs and Symptoms of a Concussion

Someone with a concussion may lose consciousness, but this doesn't happen in every case. In fact, a brief loss of consciousness or "blacking out" isn't a factor in determining concussion severity.

Other signs of a concussion include:

• headache
  
• sleepiness or difficulty falling asleep
  
• feeling confused and dazed
  
• difficulty concentrating, thinking, or making decisions
  
• dizziness
  
• difficulty with coordination or balance (such as being able to catch a ball or other easy tasks)
  
• trouble remembering things, such as what happened right before or after the injury
  
• blurred vision
  
• slurred speech or saying things that don't make sense
  
• nausea and vomiting
  
• feeling anxious or irritable for no apparent reason
  

Concussion symptoms may not appear initially and can develop over the first 24-72 hours. Anyone showing any of these signs should be seen by a doctor. Young kids can have the same concussion symptoms as older kids and adults, but changes in mood and behavior may be more subtle.

Call an ambulance or go to the ER right away if, after a head injury, your child:

• can't be awakened
  
• has one pupil — the dark part of the eye — that's larger than the other
  
• has convulsions or seizures
  
• has slurred speech
  
• seems to be getting more confused, restless, or agitated
  

Though most kids recover quickly from concussions, some symptoms — including memory loss, headaches, and problems with concentration — may linger for several weeks or months. Nearly 15% of kids age 5 and older have symptoms and/or changes in functioning lasting 3 months or longer. It's important to watch for these symptoms and contact your doctor if they persist.

Diagnosis

If a concussion is suspected, the doctor will ask about how the head injury happened, when, and its symptoms. The doctor also may ask basic questions to gauge your child's consciousness, memory, and concentration ("Who are you?"/"Where are you?"/"What day is it?").

The diagnosis of a concussion is made by health care provider based on history and physical exam. The doctor will perform a thorough examination of the nervous system, including testing balance, coordination, nerve function, and reflexes.

Sometimes a doctor may order a CT scan of the brain (a detailed brain X-ray) or an MRI (a non-X-ray brain image) to rule out bleeding or other serious brain injury. Concussions can change the way the brain works, but in most cases, imaging tests will show normal results.

Preventing Concussions

All kids should wear properly fitting, appropriate headgear and safety equipment when biking, rollerblading, skateboarding, snowboarding or skiing, and playing contact sports. Safety gear has been shown to reduce the occurrence of severe head trauma.

Childproofing your home will go a long way toward keeping an infant or toddler safe from concussions and other injuries. Babies reach, grasp, roll, sit, and eventually crawl, pull up, "cruise" along furniture, and walk. Toddlers may pull themselves up using table legs; they'll use bureaus and dressers as jungle gyms; they'll reach for whatever they can see.

All of these activities can result in a head injury that leads to a concussion. Be sure your child has a safe place to play and explore, and never leave a baby or toddler unattended.

The time you spend taking these safety precautions — and getting your kids into the habit of abiding by your safety rules and regulations — will help keep your family safe and sound!

Credit to : KidsHealth.org

Know For Sure, don't just think you do!

Helping Others, don't hurt them...

                                                                            Source: Uploaded by user via Leslie on Pinterest

This picture speaks to your heart, if not, you have a little problem...... think about it!~

Some Shocking Facts about Nursing Around the World

Next time I ,as a nurse in America, complain about my job, I will remember some of my nursing sisters around the world. We are blessed to have so many resources available to us, supplies, technology, shifts of our choice, gloves.......we are spoiled compared to nurses in Mexico and Vietnam etc.

                                                                             Source: scrubsmag.com via Leslie on Pinterest

credit scrubsmag.com

Your Car is an Oven - Leave your Dog at Home!

Heatstroke
You've heard of it, you knew it affected people, and you were even vaguely aware that it could affect your pet. But how does it happen? And most important, how can you help your pet avoid it? Heatstroke is a deadly disease that can kill your beloved companion, even with emergency treatment. The best way to avoid this terrible situation is prevention, and it's all up to you.

Sun + humidity = heatstroke (and other factors that kill)
Everyone knows that the inside of a car on a hot summer's day can be lethal. But Fido needs you to know more than that to keep him safe in the deadly sun. Days above 90 degrees, especially with high humidity, are inherently dangerous for your pet. Humidity interferes with animals' ability to rid themselves of excess body heat. When we overheat we sweat, and when the sweat dries it takes excess heat with it. Our four-legged friends only perspire around their paws, which is not enough to cool the body. To rid themselves of excess heat, animals pant. Air moves through the nasal passages, which picks up excess heat from the body. As it is expelled through the mouth, the extra heat leaves along with it. Although this is a very efficient way to control body heat, it is severely limited in areas of high humidity or when the animal is in close quarters.

The shape of an animal's nasal passages can contribute to an animal's tendency to overheat. Brachiocephalic (pug-nosed) dogs are more prone to heatstroke because their nasal passages are smaller and it's more difficult for them to circulate sufficient air for cooling. Overweight dogs are also more prone to overheating because their extra layers of fat act as insulation, which traps heat in their bodies and restricts their breathing capabilities. Age can also be a factor in an animal's tendency to overheat--very young animals may not have a fully developed temperature regulating system, and older pets' organ systems may not be functioning at 100 percent, leaving them prone to heat-related damage.

Cracking the windows doesn't cut it
So where are the danger zones? The most obvious is your car: It can become a death trap even on a mild sunny day--and can insidiously raise the car's temperature to well above 120 degrees! Never, ever leave your pet inside the car. If Fido can't come with you when you get out of the car, leave him at home.

What are some other dangerous situations for your pets? Leaving animals outdoors without shelter is just as dangerous as leaving them inside a hot car. Be sure they are not left in a cage in the hot sun, on a chain in the backyard, or outdoors in a run without sufficient shade or air circulation.

Their lives are in your hands
Heatstroke is a medical emergency. If you suspect your pet has heatstroke, you must act quickly and calmly. Have someone call a veterinarian immediately. In the meantime, lower the animal's body temperature by applying towels soaked in cool water to the hairless areas of the body. Often the pet will respond after only a few minutes of cooling, only to falter again with his temperature soaring back up or falling to well below what is normal. With this in mind, remember that it is imperative to get the animal to a veterinarian immediately. Once your pet is in the veterinarian's care, treatment may include further cooling techniques, intravenous fluid therapy to counter shock, or medication to prevent or reverse brain damage.

Even with emergency treatment, heatstroke can be fatal. The best cure is prevention, and Fido and Fluffy are relying on you to keep them out of harm's way. Summer does not have to be fraught with peril--with ample precaution, both you and your furry friends can enjoy those long, hot, dog-days of summer.

Signs of Heatstroke

• Panting
• Staring
• Anxious expression
• Refusal to obey commands
• Warm, dry skin
• High fever
• Rapid heartbeat
• Vomiting
• Collapse

Precautions to take if your pet lives outdoors

• Ensure adequate shelter from sun/midday heat
• Outdoor kennels should be well-ventilated and in the shade
• Provide plenty of fresh water in a bowl that cannot be tipped over
• Avoid excessive exercise on hot days
• Talk with your local veterinarian to determine if your long-haired Fido needs a summer haircut

More Dog Care Tips

Content provided by the American Animal Hospital Association (AAHA). Visit the AAHA pet owner Web site at www.healthypet.com for more pet care advice and to find an AAHA-accredited veterinary hospital near you.

Doggie ER~ keep them out!

I have already seen several dogs left inside cars here in NC and even one at work in the ER parking lot one day that our security officer had to handle. So being a pet lover myself, I felt the need to once again speak about why you do not keep your pet in the car during the summer months, if you love them leave them at home and keep them out of the Pet ER or a coffin!!!

credit to PETA.org for the information below:

Every year, dogs suffer and die when their guardians make the mistake of leaving them in a parked car—even for "just a minute"—while they run an errand. Parked cars are deathtraps for dogs: On a 78-degree day, the temperature inside a parked car can soar to between 100  to 120 degrees in just minutes, and on a 90-degree day, the interior temperature can reach as high as 160 degrees in less than 10 minutes.

Animals can suffer brain damage or death from heatstroke in just 15 minutes. Beating the heat is extra tough for dogs because they can only cool themselves by panting and by sweating through their paw pads.

If you see a dog left alone in a car, take down the car's color, model, make, and license plate number. Have the owner paged in the store, or call local humane authorities or police. Have someone keep an eye on the dog. Don't leave the scene until the situation has been resolved.

If police are unresponsive or too slow and the dog's life appears to be in imminent danger, find a witness (or several) who will back up your assessment, take steps to remove the suffering animal, and then wait for authorities to arrive.

Watch for heatstroke symptoms such as restlessness, excessive thirst, heavy panting, lethargy, lack of appetite, dark tongue, rapid heartbeat, fever, vomiting, or lack of coordination. If a dog shows any of these symptoms, get her or him into the shade immediately and call your veterinarian. Lower the animal's body temperature gradually by providing water to drink, applying a cold towel or ice pack to the head, neck, and chest, or immersing the dog in lukewarm (not cold) water.

PETA offers leaflets that can be placed on vehicles to remind people never to leave unattended animals inside. For information on ordering PETA's "Don't Let Your Dog Get Hot Under the Collar" leaflet, please click here.

Simon Cowell stars in PETA's public service announcement (PSA) informing viewers of the dangers of leaving dogs in hot cars. You can help spread the message by contacting us at ActionTeam@peta.org or 757-622-7382 for information on how to get the PSA aired on your local television stations.

More about heat stroke and pet safety tomorrow...

Summer time injuries and the ER

             
Summer time injuries that come into the Emergency Department can vary from very minor to horrible and traumatic. A mixture of the heat, late nights, holiday parties, alcohol, summer sports and the water/water sports can cause many different injuries in ages from very young all the way up to our elderly seniors. As an ER nurse I am amazed each summer with the trouble people can get themselves into. The poor choices they can make, the stupidness they can exhibit and how selfish parents can be sometimes when they choose to not watch their children. For pete's sake people use your brain some time, you do have one you know.

According to Colin Dircks, M.D., an emergency medicine physician at Piedmont Hospital in Georgia, three of the most common summer injuries are heat-related illness, head injuries and fireworks-related injuries.
“Heat cramps are common in the summer months and are caused by loss of sodium and other electrolytes. We see heat exhaustion and as heat illness progresses, you can develop nausea, headaches and even heat stroke,” says Dr. Dircks. With heat stroke, “the body core temperature elevates significantly – oftentimes more than 104 degrees Fahrenheit.”
To avoid heat-related illnesses, Dr. Dircks recommends “staying hydrated and replacing lost sodium by drinking sports drinks.”
In addition to heat-related illness, head injuries also increase in warm weather months. “The most common activity during the summer months responsible for head injuries is bicycle accidents,” he says. “Water sports-related injuries are also very common and are responsible for almost 30,000 ER visits annually. It is very important if you have a pool that children are under supervision at all times. Be sure to minimize horse play in and around the pool.”
When it comes to fireworks-related injuries, “these are commonly burns, foreign bodies, or lacerations, predominately in the hands, fingers and eyes,” says Dr. Dircks.
And be cautious with so-called “safe” fireworks, especially around children. “People think of sparklers as ‘safe’ fireworks and often give them to kids,” says Dr. Dircks. “They burn at about 1,000 degrees Fahrenheit and we see a lot of burns associated with them. They are responsible for as many ER visits as firecrackers.”

Stay tuned tomorrow for those dangers of fireworks