Wednesday, May 22, 2013
Wednesday, May 22, 2013

Kids in overheated cars

Healthy kids, health, pediatrics, parenting, toddlers, teenagers, nuitrition, allergies, asthma, ADHD

5 comments

Kids in overheated cars

POSTED: Thursday, June 21, 2012, 4:41 PM
Filed Under: Driver's Ed | Health Hazards

Across the nation, five kids have died this year after being left in hot cars, trucks, vans or SUVs.  When I first read about this, I thought “I’d never do that. Nobody I know would ever do that. What kind of parent leaves a baby or child in a hot car?” Then I found out that it happens to parents just like me – and perhaps you.

Since 1998, 532 babies, kids and even preteens and young teens have died from hyperthermia because they were trapped in a hot vehicle. Over half of these tragedies didn’t happen because a parent deliberately left them there; 30 percent of the time, kids got into cars on their own and weren’t discovered in time, according to the safety group KidsAndCars. And 54 percent of the time, parents didn’t realize they’d left a sleeping child – or one who couldn’t speak up – in the back seat. “It happens to the most loving, protective parents,” the group notes on its Web site. “It has happened to a teacher, pediatrician, dentist, postal clerk, social worker, police officer, nurse, clergyman, electrician, accountant, soldier, assistant principal, and even a rocket scientist. It can happen to anyone.”

In one close call, the young son of two police officers quietly got into the family’s unlocked minivan, parked at home in the driveway. After a frantic search, a neighbor suggested checking the van – where they found their 4-year-old son in the front seat. “The doors are very quiet when they open and shut. When the door opened, Nicholas went in and pushed the button closing the door behind him,” the parents say. “When we asked him why he didn't come out, he said the door locked. The doors were unlocked when my husband got him out and Nicholas knows how to press the button to get out the same way he got in. We don't know if he was hiding, playing, really locked in ... It doesn't really matter. What matters is he could have died. The heat inside a closed vehicle is deadly, especially to a small child.”

In another close call, a sleep-deprived mom thought she’d dropped the baby off at daycare – the backseat was silent and she couldn’t see into the rear-facing baby seat – and was arrested when the baby was found hours later in her car at work. Her baby lived. And she was brave enough to tell her story online.

I asked Christopher Haines, D.O., director of the Department of Emergency Medicine and the medical director of the Transport Team at St. Christopher's Hospital for Children in Philadelphia, what parents should know about kids, cars and hot days. He told me that babies, toddlers and kids are less heat-tolerant than adults – they have bigger heads and more skin surface area relative to their body size and breathe faster, so they can dehydrate faster. They also have a harder time regulating body temperature to stay cool. In fact, a child’s body temperature can rise 3 to 5 times faster than an adult’s under hot conditions.

Hot conditions aren’t just 100-degree days in a closed car. “Parents may think it’s safe to leave a baby or young child sleeping in the car for 15 or 20 minutes when it’s 60 degrees outside, but, at thattemperature, inside the car can rise 20 degrees in first 10 minutes under those conditions and can rise to over 100 degrees even in 60-70 degree weather,” Haines says. “The car heats up too much even if you leave the windows cracked.  You could have a death in 10 to 15 minutes if it’s 80 degrees outside. It’s never, ever safe to leave kids in the car for this reason.”

Over the years, he’s been in the emergency room four or five times when this has happened. “It happens most often with infants, but parents have to be careful with older kids, too. Especially those who can’t let you know that it’s hot and they’re thirsty – like kids with learning disabilities or autism.”

Next,  we’ll talk about ways to prevent this – and when to step in if you think a kid in someone else’s car is in trouble.

5 comments
Comments  (5)
  • 0 like this / 0 don't   •   Posted 7:29 AM, 06/22/2012
    Someone please make a sensor that sets of off an alarm f if there is weight in the back seat after the car door is closed. This is an easy technological fix. They have every sort of electronic gadget in cars now, why not on that could save the life of a baby. Stop prosecuting parents and grandparents and start asking car makers to fix this problem.
    bobcitydoc
  • 0 like this / 0 don't   •   Posted 8:24 AM, 06/22/2012
    Every action in life shouldn't boil down to some "sensor" telling you what you should be doing. If a mom is so sleep deprived that she can't even remember that she put her baby in the back seat 10 minutes earlier, having a sensor is not the answer--she needs to be responsible enough to find a way to properly catch up on her sleep so that she is not putting her life, her baby's life and the lives of others at risk. Being sleep deprived can certainly lead to other tragedies, like falling asleep at the wheel--it's NOT an excuse. And the parents that didn't realize that their 4 year old climbed into the car himself--is a 4 year old really playing outside by himself unsupervised? This is about personal responsibility--not car sensors.
    bluehaha
  • 0 like this / 0 don't   •   Posted 9:06 AM, 06/22/2012
    bobcitydoc, there are already too many sensors in cars. people need to be responsible on their own.

    your sensor suggestion is not too simple either. how much weight should trigger it? what about other items of weight in the back seat? what about the fact that car seats are installed by parents, the very idiots you hope to outsmart with the sensor? what happens when the sensor fails? what is the additional legal liability by offering a supposed failsafe system that will inherently fail sometimes?

    adding sensors to cars for this sort of this may only make the problem worse - by creating a false sense of security so parents become less vigilant. it's the same reason why people get lazy with their kids at the beach because they see a lifeguard. fyi - that 17-year old lifeguard isn't watching that much, and would probably panic if they actually had to do anything.

    how about parents check their cars before they get out, and lock the car when left so kids can't climb in? cars have had this technology for half a century. don't overthink this one.
    phlubber
  • 0 like this / 0 don't   •   Posted 9:56 AM, 06/22/2012
    AND PETS IN OVER HEATED CARS TOO!!
    tulipwalk
  • 0 like this / 0 don't   •   Posted 12:20 AM, 08/22/2012
    I am currently in a marketing class and out professor told us that within our teams, we needed to invent a product that didn't currently exist ( a way to make us use our imaginations). So I was sitting at work trying to think of something that would be of use. So I decided to go browsing the news. I saw a story of a mother leaving a child in a car and the child did not make it. It finally came to me! A sensor in the back seat that sends a signal to a mobile or some other form of technology (that we are required to incorporate) that senses when something has been left in the seat. This is good for pets as well as groceries.
    TinyB00p


About this blog
The Healthy Kids blog is your window into the latest news, research and advice around children's health. Learn more about our growing list of contributors here. Reach Healthy Kids at HealthyKids@philly.com.

Anna Nguyen Healthy Kids blog Editor
Stephen Aronoff, M.D., M.B.A. Temple University Hospital
Christopher C. Chang, M.D., Ph.D Nemours/Alfred I. duPont Hospital for Children, Jefferson Medical Colg
Katherine K. Dahlsgaard, Ph.D. Lead Psychologist - The Anxiety Behaviors Clinic, CHOP
Gary A. Emmett, M.D. Pediatrics Professor- Thomas Jefferson Univ. & Director, Hospital Pediatrics- TJU Hospital
Lauren Falini Bariatric exercise physiologist, Nemours/Alfred I. duPont Hospital for Children
Hazel Guinto-Ocampo, M.D. Nemours duPont Pediatrics/Bryn Mawr Hospital
Rima Himelstein, M.D. Crozer-Keystone Health System
W. Douglas Tynan, Ph.D. Nemours/Alfred I. duPont Hospital for Children, Jefferson Medical Colg
Beth Wallace Registered dietitian, Children's Hospital of Philadelphia
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