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Serious Accidental Injuries in the Under Five

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Minor injuries are common in childhood – they are a normal part of children growing up, testing out new abilities and exploring the world. However, every hour, four children under the age of five are admitted to hospital with more serious accidental injuries.  In 2010, 83 under-fives died following accidents.


The real safety risks

Child accident prevention is not about wrapping children up in cotton wool; it’s about protecting them from serious accidents – those which can hospitalise, disable or even kill. Some common accidents can have a lifelong impacton the child and their family, with falls from heights, burns and scalds, and road accidents all having the potential to cause disability and disfigurement.

Inequalities

There is a strong link between accidental injury and inequality: children from the most disadvantaged families are three timesmore likely to be admitted to hospital withserious accidental injuries and 13 times more likely to die in an accident.

Stages of development

Parents are often taken by surprise when their baby or toddler learns a new skill, such as grabbing, rolling over or crawling.Practitioners who work with parentsof young children can help to raise awareness of the biggest injury risks atdifferent stages of a child’s developmentand provide clear, practical and accuratesafety advice at each step.

Table 1: Key safety messages for parents at child development checks

 

 

1 – 6 weeks

6 weeks – 6 months

6 months – 1 year

1 – 3 years

Burns and Scalds

Hot drinks can scald in seconds – put yours down before picking up your baby

Keep hot drinks, kettles and pans well away from curious hands

 

Put hair straighteners in a safe place to cool

Put cold water in the bath first

Choking

Babies can choke if they’re propped up to feed – always hold them while feeding

Cut food into small pieces and keep small pieces like coins out of reach

Drowning

Use just 5cm of water at bathtime and never leave your baby alone in the bath

Supervise children near garden ponds and paddling pools

Falls

Take extra care when carrying your baby on stairs

Your baby could roll or wriggle off a raised surface – change nappies on the floor

Protect your child from falls by:

  • Using safety gates on stairs.
  • Strapping them into their highchair every time
  • Using window locks/catches

House fires

Test your smoke alarms regularly. Plan and practice a fire escape route.

Poisoning

 

 

Make sure tablets are kept out of reach.

Keep cleaning products locked away

Road accidents

Use a car seat on every journey

Rear-facing child seats are safest -use one for as long as possible

Use a car seat that’s appropriate for your child’s weight, age and height.

Encourage hand-holding or use walking reins/wrist straps when walking near traffic.

Suffocation and strangulation

Babies can suffocate on duvets and pillows – save these until they’re over 1 year old

Tie up blind cords so they can’t cause strangulation

Keep nappy sacks in a safe place out of your baby’s reach

credit: unit- CPHVA in partnership with Mother care PLC, Early learning center and The child accident prevention trust.


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