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Think First Prevention Tips

• Inspect your child’s bike, making sure that it is the correct size and safe to ride. Check for properly inflated tires and effective brakes. A check-up with a bicycle mechanic is ideal.

• Wearing a helmet is a must! Purchase helmets that meet or exceed safety standards by the Snell Memorial Foundation. American National Standards Institute (ANSI), or the American Society for Design and Materials (ASTM). The helmet should fit snuggly over the forehead with the front about one inch above the eyebrows. No more than two fingers should fit under the chinstrap.

• Acknowledge the importance of being seen by wearing bright colors and attaching a safety flag to the back of the bike. If night riding is necessary, use reflectors, a headlight and reflective clothing.

• Teach the rules of motorists: go with the flow of the traffic, not against it. Ride in single file and obey all traffic signs, following the rules of the road. Schedule younger children in bicycle safety programs.

Not insignificant is the relationship of brain injuries to playground equipment. Falls onto hard surfaces from swings, slides, and monkey bars can lead to brain injuries. Choose playgrounds that use wood chips or sand, and always provide close supervision. As in water safety – use the feet first rule. Children should always have feet first on slides, not heads.

Finally, a few words about baseball, the number one summer sport. Head injury is the number one associated risk. To prevent injury, apply several of the key rules. Have your child slide feet first (not head first) and wear a properly fitted helmet with a chinstrap when batting. These practices should be put in place from t-ball through high school programs.

If your child experiences a concussion – from baseball or any other sport, remember these guidelines. All too often, an injured child returns to play too quickly:

• If the concussion is not associated with a loss of consciousness and the child has no symptoms 
( i.e., loss of memory, fatigue, ringing in the ears, headaches, nausea, vomiting, slurred speech, confusion, irritability, or dizziness) for one week, he or she can return to play.

• If the loss of consciousness is less than five minutes, the child may return to play after one week of having no symptoms.

• If the memory loss is for more than 24 hours and the child is unconscious for more than five minutes, the child should be sidelined for at least a month.

These precautions are necessary. If a child has a repeated concussion, it takes on a cumulative effect and can lead to more serious brain damage as well as personality changes, impaired judgments or poor performance in school. There is no cure for brain injury, only prevention.

Submitted by Educational Services of York Neurosurgical Associates, p.c.

Robert J. Schlegel, M.D.
Joel W. Winer, M.D.
Joseph P. Krzeminski, M.D.
Arnold G. Salotto, M.D.

Sources for statistics include: Brain Injury Association, Think First Foundation, U.S. Department of Transportation’s Fatality Analysis Reporting System/Insurance Institute for Highway Safety, and the Foundation for Aquatic Injury Prevention.


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