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  • May 10, 2008

 

 

Summer Fun Safety Tips

Outdoor Fun Tips
  • Boating
  • Swimming

Summer Heat

  • Heat Cramps
  • Heat Exhaustion
  • Heat Stroke

Sun Protection

  • SPF
  • Who is at Risk
  • Choose Your Cover
  • Pick Your Skin Type

    Skin Cancers

    • Causes
    • Types
    • What to look for
    • Treatments

    Injuries & Treatments
     

Summer activities should be fun and safe.  Many different problems can occur that could have been avoided.  Be prepared before starting out.  Have a great summer.

Boating Safety 
     U.S. Coast Guard tips
     http://www.uscgboating.org/safety/fed_reqs/landing.htm  
     http://www.murrayriver.com.au/boating/skiing.htm

Swimming Safety
   

 Rules for Safe Swimming

11

Learn to swim.

2 Always swim with a buddy.
3 Swim in a designated area.
4 Wear a life jacket if you can't swim or if you are just learning to swim.
5 An inflatable air mattress or swim ring does not take the place of a life jacket.
6 Don't swim in cold water.  Swimmers can get hypothermia (dangerously low body temperature) in cold water.
7 Never dive or jump into unknown waters.
8 No drugs or alcohol.
9 Obey all "No Swimming" and other warning signs.
10 Never swim in a canal.

  http://www.cdc.gov/healthyswimming/general_pub.htm
  http://allsands.com/Kids/swimmingsafety_vsq_gn.htm
  http://www.stormfax.com/safeswim.htm - swimming in the ocean


 

Hiking and Camping Safety

Hiking and camping provide exercise and interest for people of any age. Just getting out and walking around is a wonderful way to see nature. Since unexpected things happen, however, the best way to help guarantee a good time for all is to plan ahead carefully and follow commonsense safety precautions.

  • If you have any medical conditions, discuss your plans with your health care provider and get approval before departing.
  • Review the equipment, supplies and skills that you'll need. Consider what emergencies could arise and how you would deal with those situations. What if you got lost, or were unexpectedly confronted by an animal? What if someone became ill or injured? What kind of weather might you encounter? Add to your hiking checklist the supplies you would need to deal with these situations.
  • Make sure you have the skills you need for your camping or hiking adventure. You may need to know how to read a compass, erect a temporary shelter or give first aid. Practice your skills in advance.
  • If your trip will be strenuous, get into good physical condition before setting out. If you plan to climb or travel to high altitudes, make plans for proper acclimatization to the altitude.
  • It's safest to hike or camp with at least one companion. If you'll be entering a remote area, your group should have a minimum of four people; this way, if one is hurt, another can stay with the victim while two go for help. If you'll be going into an area that is unfamiliar to you, take along someone who knows the area or at least speak with those who do before you set out.
  • Some areas require you to have reservations or certain permits. If an area is closed, do not go there. Find out in advance about any regulations--there may be rules about campfires or guidelines about wildlife.
  • Pack emergency signaling devices, and know ahead of time the location of the nearest telephone or ranger station in case an emergency does occur on your trip.
  • Leave a copy of your itinerary with a responsible person. Include such details as the make, year, and license plate of your car, the equipment you're bringing, the weather you've anticipated and when you plan to return.

Get trained in American Red Cross first aid before starting out. Contact your local American Red Cross chapter
What to Bring: A Hiking Checklist

What you take will depend on where you are going and how long you plan to be away, but any backpack should include the following:

  • Candle and matches
  • Cell phone
  • Clothing (always bring something warm, extra socks and rain gear)
  • Compass
  • First aid kit
  • Food (bring extra)
  • Flashlight
  • Foil (to use as a cup or signaling device)
  • Hat
  • Insect repellent
  • Map
  • Nylon filament
  • Pocket knife
  • Pocket mirror (to use as a signaling device)
  • Prescription glasses (an extra pair)
  • Prescription medications for ongoing medical conditions
  • Radio with batteries
  • Space blanket or a piece of plastic (to use for warmth or shelter)
  • Sunglasses
  • Sunscreen
  • Trash bag (makes an adequate poncho)
  • Water
  • Waterproof matches or matches in a waterproof tin
  • Water purification tablets
  • Whistle (to scare off animals or to use as a signaling device)

Always allow for bad weather and for the possibility that you may be forced to spend a night outdoors unexpectedly.

It's a good idea to assemble a separate "survival pack" for each hiker to have at all times. In a small waterproof container, place a pocket knife, compass, whistle, space blanket, nylon filament, water purification tablets, matches and candle. With these items, the chances of being able to survive in the wild are greatly improved.


Heat Cramps, Heat Exhaustion, and Heat Stroke     

Warm weather is wonderful. However, sometimes you can overdo the warmth -- especially if you are active or exercising.

Here are three problems children can have in hot weather. These conditions are largely brought on by heat and dehydration -- and with proper care it is possible to prevent them.

Heat Cramps

Heat cramps are muscle contractions, usually in the gastrocnemius or hamstring muscles (the muscles at the back of the calves). These contractions are forceful and painful.

These cramps seem to be connected to heat, dehydration, and poor conditioning, rather than to lack of salt or other mineral imbalances. They usually improve with rest, drinking water, and a cool environment. 

Heat Exhaustion

Although partly due to exhaustion -- and feeling like exhaustion, as the name implies -- heat exhaustion is also a result of excessive heat and dehydration. The signs of heat exhaustion include paleness, dizziness, nausea, vomiting, fainting, and a moderately increased temperature (101-102 degrees F) which, in this case, is not truly a fever, but caused by the heat. Rest and water may help in mild heat exhaustion, and ice packs and a cool environment (with a fan blowing at the child) may also help. More severely exhausted patients may need IV fluids, especially if vomiting keeps them from drinking enough.

Heat Stroke

If you see these symptoms, stop right here and call your doctor or EMS. Heat stroke is a medical emergency!

Heat stroke is the most severe form of heat illness. It can occur even in people who are not exercising, if the weather is hot enough. These people have warm, flushed skin, and do not sweat. Athletes who have heat stroke after vigorous exercise in hot weather, though, may still be sweating considerably. Whether exercise-related or not, though, a person with heat stroke usually has a very high temperature (106 degrees F or higher), and may be delirious, unconscious, or having seizures. These patients need to have their temperature reduced quickly, often with ice packs, and must also be given IV fluids for rehydration; they must be taken to the hospital as quickly as possible (EMS is appropriate here), and may have to stay in the hospital for observation since many different body organs can fail in heat stroke.

Preventing Heat-Related Illnesses

It is possible to prevent heat-related illnesses. The important thing is to stay well-hydrated, to make sure that your body can get rid of extra heat, and to be sensible about exertion in hot, humid weather.

Your sweat is your body's main system for getting rid of extra heat. When you sweat, and the water evaporates from your skin, the heat that evaporates the sweat comes mainly from your skin. As long as blood is flowing properly to your skin, extra heat from the core of your body is "pumped" to the skin and removed by sweat evaporation. If you do not sweat enough, you cannot get rid of extra heat well, and you also can't get rid of heat as well if blood is not flowing to the skin. Dehydration will make it harder for you to cool of in two ways: if you are dehydrated you won't sweat as much, and your body will try to keep blood away from the skin to keep your blood pressure at the right level in the core of your body. But, since you lose water when you sweat, you must make up that water to keep from becoming dehydrated. If the air is humid, it's harder for your sweat to evaporate -- this means that your body cannot get rid of extra heat as well when it's muggy as it can when it's relatively dry.

The best fluid to drink when you are sweating is water. Although there is a little salt in your sweat, you don't really lose that much salt with your sweat, except in special circumstances; taking salt tablets may raise your body's sodium level to hazardous levels. (Your doctor can tell you whether or not you need extra salt.) "Sport drinks" such as Gatorade® are fine, too, but water is easier to obtain -- or should be.

It's also important to be sensible about how much you exert yourself in hot weather. The hotter and more humid it is, the harder it will be for you to get rid of excess heat. The clothing you wear makes a difference, too: the less clothing you have on, and the lighter that clothing is, the easier you can cool off. Football players are notoriously prone to heat illness, since football uniforms cover nearly the whole body, and since football practice usually begins in late summer when the temperature outside is highest. Football players should, therefore, pay extra attention to the fluids they drink and lose, and teams should consider limiting practice and wearing light clothing for practice on very hot days, and athletes should be able to drink all the water they want during practice.

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For more information on heat-related illnesses, a good source is Extreme Heat: A Prevention Guide to Promote Your Personal Health and Safety, at the United States Centers for Disease Control and Prevention Web site.
http://www.cdc.gov/nceh/hsb/extremeheat/heatexhaustion.htm


UV Safety Recommendation Chart

UV Index Burning time without protection SENSITIVE SKIN / CHILDREN Sun Protection Factor
9 and more
Extreme
LESS than
15 minutes
Do not expose yourself.  Wear clothing, a broad-brimmed hat, sunglasses, and frequently apply sunblock cream with sun protection factor 40. SPF 40
every half hour
7 to 8
Very high
20 minutes Do not expose children.  Favor staying in the shade.  Wear a hat, sunglasses, a shirt, and apply sunblock cream with sun protection factor 40. SPF 40
every hour
5 to 6
High
25 minutes Do not expose young children.   Wear a hat, sunglasses, a shirt, and apply sunblock cream with sun protection factor 25. SPF 25
every hour
3 to 4
Medium
40 minutes Wear a hat, sunglasses, and apply sunblock cream with sun protection factor 15. SPF 15
every hour
1 to 2
Low
60 minutes Wear sunglasses and apply sunblock cream with sun protection factor 8. SPF 8
every hour

WARNING!  Sunblock and sunscreen products are NOT meant to allow a longer exposure time, but to limit the risks of solar exposure
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http://www.cdc.gov/ChooseYourCover/skin.htm - Who Is At Risk for Skin Cancer

http://www.cdc.gov/chooseyourcover/ -   Choose your Cover from this Interactive chart  about what to use to prevent sun burns from the Centers for Disease Control and Prevention (CDC).

http://213.86.179.35/default.html  -  from the U.S. Department of Health - What type of skin do you have?  Does it burn easily?

SKIN CANCERS

What Causes Skin Cancer?

 

Sunburn and Sunlight

Very simply, sunburn and UV light can damage your skin, and this damage can lead to skin cancer. There are of course other determining factors, including your heredity and the environment you live in. However, both the total amount of sun received over the years, and overexposure resulting in sunburn can cause skin cancer. Most people receive 80% of their lifetime exposure to the sun by 18 years of age. The message to parents from this is to protect your children.

Tanning is your skin's response to UV light. It is a protective reaction to prevent further injury to your skin from the sun. However, it does not prevent skin cancer.

Remember, skin cancer is very slow to develop. The sunburn you receive this week may take 20 years or more to become skin cancer.

Heredity

If there is a history of skin cancer in your family, you are probably at a higher risk. People with fair skin, with a northern European heritage appear to be most susceptible. 

Environment

The level of UV light today is higher than it was 50 or 100 years ago. This is due to a reduction of ozone in the earth's atmosphere (the Ozone Hole). Ozone serves as a filter to screen out and reduce the amount of UV light that we are exposed to. With less atmospheric ozone, a higher level of UV light reaches the earth's surface.

One factor that actually reduces UV is cloud cover. Climates and micro-climates with regular cloud cover may have a 50% lower level of UV light. The actual amount is affected by the density of the clouds.

 

 

What is Skin Cancer?

Skin cancer is a disease in which cancer (malignant) cells are found in the outer layers of your skin. Your skin protects your body against heat, light, infection, and injury. It also stores water, fat, and vitamin D.

The skin has two main layers and several kinds of cells. The top layer of skin is called the epidermis. It contains three kinds of cells: flat, scaly cells on the surface called squamous cells; round cells called basal cells; and cells called melanocytes, which give your skin its color.

 

BASAL CELL & SQUAMOUS CELL

There are several types of cancer that start in the skin. The most common are basal cell cancer and squamous cell cancer.

Skin cancer is more common in people with light colored skin who have spent a lot of time in the sunlight. Skin cancer can occur anywhere on your body, but it is most common in places that have been exposed to more sunlight, such as your face, neck, hands, and arms.

Skin cancer can look many different ways. The most common sign of skin cancer is a change on the skin, such as a growth or a sore that won't heal. Sometime there may be a small lump. This lump can be smooth, shiny and waxy looking, or it can be red or reddish brown. Skin cancer may also appear as a flat red spot that is rough or scaly. Not ail changes in your skin are cancer, but you should see your doctor if you notice changes in your skin.

MELANOMA

Melanoma is a disease of the skin in which cancer (malignant) cells are found in the cells that color the skin (melanocytes). Melanoma usually occurs in adults, but it may occasionally be found in children and adolescents. Your skin protects your body against heat, light, infection, and injury. It is made up of two main layers: the epidermis (the top layer) and dermis (the inner layer). Melanocytes are found in the epidermis and they contain melanin, which gives the skin its color. Melanoma is sometimes called cutaneous melanoma or malignant melanoma.

Melanoma is a more serious type of cancer than the more common skin cancers, basal cell cancer or squamous cell cancer, which begin in the basal or squamous cells of the epidermis.

Like most cancers, melanoma is best treated when it is found (diagnosed) early. Melanoma can spread (metastasize) quickly to other parts of the body through the lymph system or through the blood. (Lymph nodes are small, bean-shaped structures that are found throughout the body; they produce and store infection-fighting cells.) You should see your doctor if you have any of the following warning signs of melanoma: change in the size, shape, or color of a mole; oozing or bleeding from a mole; or a mole that feels itchy, hard, lumpy, swollen, or tender to the touch. Melanoma can also appear on the body as a new mole. Men most often get melanoma on the trunk (the area of the body between the shoulders and hips) or on the head or neck; women most often get melanoma on the arms and legs.

If you have signs of skin cancer, your doctor will examine your skin carefully. If a mole or pigmented area doesn't look normal, your doctor will cut it out (called local excision) and look at it under the microscope to see if it contains cancer. 

http://www.skincancer.org/self_exam/look_for.php  -  Photographs of what to look for.

http://www.drmelton.com/Chicago/skincancerpictures/  - Photographs of different skin abrasions or cancers

http://www.skincancer.org/self_exam/spot_skin_cancer.php - How to spot a skin cancer.

http://www.skincancer.org/melanoma/index.php - Information about melanomas.

http://www.cancer.gov/templates/doc_pdq.aspx?cdrid=62909  -  National Cancer Institute

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INJURIES

Warm weather and the lure of summertime activities means we increase our chance of some common injuries. Here's some advice on how to handle them.

Wounds:
A bruise is the most common closed wound. Bruises result from excess force to the skin that causes bleeding underneath the skin. Most bruises can be treated with a few simple steps:

  • Immediately following injury apply pressure to reduce bleeding
  • Keep the area elevated and apply ice or a cold pack to help reduce swelling and decrease pain. 

Open wounds are abrasions or scrapes.

  • Cleanse the areas with soap and warm water, carefully washing away dirt.
  • Apply a dry sterile bandage to the wound for protection. Use antibiotic ointments only on infected wounds
  • Deep wounds require medical attention
  • Watch for infection- signs include: swelling, redness, warmth, pain or possibly fever.

Bee Stings:
The honeybee stinger has a barb that holds the stinger in the victim. The stinger has a venom sac which will continue to release venom for up to 20 minutes. Removal of the stinger and venom sac is necessary. The swelling from a bee sting should be gone in about 24 hours. If the swelling persists, seek medical attention.

  • Remove the stinger by scraping it away from the skin with a fingernail, blunt knife or plastic card. Do not use tweezers because squeezing the stinger will release more toxins into the skin.
  • Wash the area with soap and water and cover the area with a dry dressing to keep the site clean 
  • Put ice or a cold pack over the area to reduce swelling and pain
  • Watch the victim for signs of a delayed allergic reaction

Sunburn:
Sunburn is dangerous and should be avoided. If it does occur, follow these steps:

  • For sunburns in children less than one year of age, severe sunburn or where headache, fever or shivering occur, seek medical help
  •  For minor sunburn, apply cool compresses to the red areas for 20 minutes
  • Resting and staying out of the sun while the burn heals is essential since damaged skin is more prone to burning again
  • Avoid anesthetic sprays since they could cause a hypersensitivity reaction

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