Babies Archive

Kids Left in Cars: What Can We Do?

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Heatstroke_Window_Cling_MeanSun2

As my daughter and I dodged shredded tire treads on the freeway on the way to her oboe lesson, they reminded me that warm weather is here to stay and we should be cognizant of who is in the car at all times. As temps go up outside, they can climb even faster inside and anyone who is vulnerable—child, elderly person, or pet—can succumb to heat stroke in a short amount of time. Even moderate outside temperatures can produce deadly vehicle interior temperatures and cracking a window isn’t enough to air out the car.

When a vehicle is in the sun, it starts to heat up. We’ve all felt this when we’ve sat in a car with the engine off. What happens is the sun shines through the transparent windows and heats the surfaces in the car. The radiation from the sun touches the dashboard, steering wheel, and other solid objects, as well as floating air molecules we can’t see. Conduction works to heat the interior surfaces of the vehicle up quickly and convection moves the air molecules around faster and faster, causing them to heat at a rapid rate. Even leaving the windows down a crack doesn’t help because of the conduction heating the surfaces; the surfaces heat up, which cause the air inside to heat as well. What about a cloudy day where the sun’s rays aren’t shining through the windows? Let me tell you about the worst sunburn I ever got—on a cloudy day. The radiation from the sun still comes through the clouds and can heat that vehicle up.

The SUV in the picture below was left in the sun on a very pleasant morning for about a half hour. During that time, while the outside temperature was 66º, the inside temperature rose to 128º. The vehicle was set up for my Safe Kids coalition’s press conference and rescue demonstration kicking off our Heatstroke Awareness Campaign.

SUV in sun ready for rescue

A child left in the vehicle is at serious risk for heat stroke or death. Heat stroke is when the body’s temperature rises above 104º. A child’s body temperature rises 3-5 times faster than an adult’s and symptoms of heat stroke include red, hot, moist or dry skin, lack of sweating (their bodies have reached a point where they can’t cool down on their own anymore), headache, dizziness, confusion, and nausea. When a child’s body reaches 107º, their organs will shut down and death most likely will occur.

As much as we try to educate parents not to leave their children in vehicles, last year there were 30 children who died left in vehicles. Some of these deaths were accidental and some were intentional. It’s the accidental deaths where we can make an impact by making a few changes in our habits. But habits are hard to change and we have to be intentional in changing them. Can you imagine being this guy, who accidentally left his sleeping child in his SUV at the train station parking lot and remembered her when he got into the city? That had to have been the longest train ride back out to get her.

Time and again, a break in routine has been the reason a child has been left behind in a vehicle. The parent with the child is doing something out of the ordinary and forgets that the child is in the car or a daycare provider is overwhelmed with the number of children in the van and forgets the quiet one. From 1998-2014, 53% of children who died from heatstroke in vehicles were forgotten about by their caregivers. During that same time period, 29% were children who accidentally locked themselves in a vehicle while playing, and adults intentionally left 17% in the vehicle.

How can we address this problem and prevent it from happening again? First, we can stop blaming the victims and recognize everyone has the potential to forget their child. Sleep deprivation is a serious problem at some point for everyone who has a child and it can make your brain act in ways it normally wouldn’t. Laws may help dissuade caregivers who casually leave their children in vehicles as they run errands or get manicures, but they aren’t going to make a difference for those who forget their children. If you forget a child, you’re not going to remember them because of the threat of going to jail. Nineteen states have laws regarding unattended children in vehicles. Second, let’s be proactive, both as parents driving our children and as community members. Look in the car next to you as you get out to make sure a child, pet, or elderly person wasn’t left behind. Look in your business parking lots on broiling hot days AND teeth-chattering cold days. Safe Kids Worldwide gives us this handy acronym to help us remember to ACT to save lives:

A: Avoid heatstroke by never leaving a child alone in a car and by locking your vehicle so a child can’t get trapped inside accidentally.

C: Create reminders for yourself by putting your cellphone or wallet in the back seat next to the carseat. Also have your daycare provider call you and your significant other when the child is late or absent from daycare.

T: Take action if you see a child alone in a vehicle. This is an emergency and emergency personnel want you to call 911. Be cautious about breaking a vehicle window because you or someone else could be injured.

wheresbaby4

 

Thanks to Jan Null, CCM, San Jose State University for providing data and studying this topic for so many years!

Clek Infant-thingy Review: Clek for Noobs!

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infant thingy green

Clek Infant-thingy Infant Insert

The Clek Foonf and Fllo convertible carseats both have minimum starting weight limits of 14 lbs. with the addition that the child must be able to sit upright alone. Right off the bat, this eliminates both seats from parents who want to use a convertible from birth since most babies don’t reach this “advanced” stage until 6+ months of age. Enter the Infant-thingy, Clek’s new hotly anticipated insert that allows the Foonf and Fllo to fit noobs from 5 lbs. It’s available in Shadow black Crypton fabric, so it’s easily cleanable for those baby blow-outs you’ll inevitably have.

Basics

  • Rated from 5-22 lbs., 19-33” rear-facing use only
  • Body support cushion is required until 11 lbs.
  • Crotch strap adjusted to the rear slot position
  • Energy-absorbing material in head support
  • Infant-thingy manual supersedes Foonf and Fllo manuals

Measurements

  • Bottom harness slot with body support: 9”
  • Crotch strap position: 3”

Before using the Infant-thingy, the carseat’s headrest must be removed. Raise the headrest to its uppermost position, then use the troubleshooting tool on the back of the carseat to release it. There’s a small hole on the front of the right headrest guide where the tool fits in (that’s the one that doesn’t have the push button release). If you’ve lost the tool, you can use a paperclip. Don’t worry, there are directions for this maneuver in the Infant-thingy instruction manual. Be sure not to lose the headrest because you’ll definitely need it later on when your child is taller.

Clek troubleshooting tool with circle removing Clek headrest

Deja Poop: You’ve Done It Before. Infant Seats

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new siblingAwwww. You’ve already had one kid and found that you did a pretty good job the first time around so you thought you’d try again. Maybe it was around that magical 15-18 month age when those little monsters are at their cutest. Buggers! I’m convinced that’s how the human race has continued for so long. It’s certainly not because of proper carseat usage.

During those first many months of our children’s lives, they suck the life out of us quite literally. We get virtually no sleep, sometimes don’t eat, definitely don’t shower occasionally due to loud demands forced upon us, and touch things we swore when we were childless that we would never touch. During this time, parents, and moms especially, lose brain cells due to the lack of sleep, constant touching, and demands from their little offspring. I’m sure there are studies that prove this, but years after having my children, I’m still making up the sleep and too busy trying to recover my lost brain cells to find . . . oh right, the studies.

Anyway, if you were like most parents, you probably used an infant seat for your first baby because that’s what you do for your first baby, right? Not necessarily, but it is a convenience feature for sure. Depending on the infant seat, there were adjustments you made as your baby grew. If you are using this infant seat again for your second, or third child, there are a few things you need to do to “reset” the infant seat so it’s ready for a newborn again and so you don’t ring me because the infant seat that fit your first bundle of joy so perfectly doesn’t fit your second at all and you’re panicking and befuddled.

First, if the seat has been in storage, thoroughly check it for mold and mildew. It’s gross to think about, but this is very common in many environments, especially if the seat has been stored in a basement or in a bag. You probably won’t believe me if I told you we have a black mold problem here in the desert where the humidity is less than 10% with a dew point of less than 20˚? It’s everywhere. If your seat has mold or mildew, it’s probably better to say goodbye to it. The only way to clean the mold is to use harsh chemicals, exactly what *all* carseat manufacturers tell you not to use, even on the plastic shell, and especially not on the harness. If it’s only the cover or harness that has mildew, you can order a new cover and harness from the manufacturer generally (some harnesses aren’t replaceable), but by the time you add up how much that costs, sometimes it’s about the same to buy a new seat. For recommendations, see our Recommended Carseats List.

Side note: If you’re borrowing a used infant seat, make sure you trust the person you’re borrowing the seat from with your child’s life. This is a safety item that has the potential to save your child’s life, remember. Ask them if it’s been in any kind of a crash, even a parking lot fender-bender (many manufacturers want their seats replaced after *any* kind of crash and don’t specify severity). Ask how they’ve cleaned the seat—did they follow the directions in the manual or did they throw everything in the washer? Harnesses should only be wiped down  with a washcloth and NEVER washed in the washing machine.

With today’s infant seats going to such high weight limits, your first child may have been in the carseat until he was a toddler. That means the harness was last adjusted to fit him as a toddler, not as a newborn. You’ll want to change the harness slot height back so that the harness is in the lowest slots. The harness of a rear-facing carseat should always be coming from the slots below the child’s shoulders. There’s an easy way to remember this if your kids are facing different directions in the car. A rear-facing child has the harness coming from at or below the shoulders, a forward-facing child has the harness coming from at or above the shoulders—they’re opposites of each other.

*Note that the video shows changing the harness height for seats with front-pull harness adjusters only. If your model has rear adjusters, read your owner’s manual because the method will vary by seat.

Some infant seats also have different lengths for the harnesses to accommodate wide weight ranges, from noobs to toddlers. If you look at each end of the harness where it attaches on the back of the seat to the metal splitter plate, there’s a loop that hooks onto the splitter plate. Some seats have a second loop a couple of inches up on the harness that makes the harness shorter for newborns. If your carseat has that second loop, detach the harness from the splitter plate and reattach it to the second loop to make the harness shorter. You WILL need to know whether the excess strap length goes in front of the splitter plate or behind it and in which harness slots you can use those second loops, so crack open that manual or find it online at the manufacturer’s website because the placement does matter.

SnugRide harness loops  SnugRide harness loops large

I bet you’re thinking to yourself, “I have the harness taken apart, I’m gonna wash this sucker because, boy, it sure looks nastier than I remember it being the last time we used it.” And it’s true! Baby things have a way of producing their own stains over time. And their own Cheerios. It’s some kind of natural law. You can probably get away with throwing the cover in the washing machine on the handwash cycle, but don’t leave me a nasty comment if it falls apart 😉 . You know the drill: consult your manual. Roll it up tight in an absorbent towel then hang it to dry or put it in the dryer if your owner’s manual allows. If your harness is removable and you have a new-fangled phone that takes insta-photographs, pop a couple of photos of how the harness looks before you tear it off the seat so you can remember how to put it back together. Never submerge the harness in water; it’s best to clean with a damp washcloth. If it’s extra nasty, wet a toothbrush with water and go after the spitup that way, then wipe down. You might could (oh darn! there’s that 3 years of living in the South coming back to me) put a drop of mild soap, like Dreft or Ivory or Dawn, on the washcloth, but then you’d have to wipe it down a million times to get it off. What a pain.

Don’t forget that carseats have a lifespan, just like you. It’s not some ploy to get you to toss money at the manufacturers. Plastics break down over time (just like your knees) and each manufacturer uses their own proprietary mix of plastics that determines the lifespan of each carseat they make. Cut back on the fancy clothes your child wears, not the safety items she uses if money is an issue. Look at the label that has the date of manufacture and the model number on it. Sometimes it will have the expiration date on it. Other times the expiration date is stamped into the plastic shell.

SnugRide DOM label SnugRide expiration label

So there you have it: how to reset your infant seat for newborn use. I have to be honest. If you’re not an infant seat user, you can apply all these techniques to a rear-facing convertible seat as well, but most people do use infant seats for their first babes at least, so that makes them pretty popular items to have around (and to borrow). Now, go forth and use that infant seat safely!

Travel Carseats: The Ultimate Guide to What You Want to Take on A Plane

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Flying with Children

Airplane -rf CCOIt’s a lucky parent who hasn’t had to travel by plane with a young child. Some minimalist parents have it down, but the rest of us use up every last cubic inch of space we’re allotted, stuffing it with things we might possibly need like hair ties, mismatched infant socks, carabiners, and Ziploc bags that get thrown out eventually. Think back to your last trip on a plane alone when there was a small child—what was that child doing? Standing on the parent’s lap screaming? Waving at uncomfortable adults who waved once but then wanted to disengage from the outgoing child? Were you trying to eke out that last bit of nap before descent when that screech jolted you out of slumberland? Did that parent look happy or like she was going to cry herself?

happy flyerKids have that natural tendency to want to move and explore their environments when they’re in their parents’ arms. Parents naturally provide a safe place for a child . . . everywhere except in a moving vehicle, which is what an airplane is. Most of us who have traveled with children and carseats can attest that our kids have been better behaved in their carseats and have found their carseats to be safe pods for them. When was the last time *you* were comfortable in an airplane seat, after all? Kids in harnessed carseats are protected against turbulence and against runway incidents, such as aborted takeoffs and landings, and overshots. And think about it: coffee pots and Coke cans are required to be secured during flight. Don’t our kids deserve the same respect?

04-13-15 incident

Can I take any harnessed carseat on the plane?

Maybe. It must have a sticker on it that says the carseat is certified for use in motor vehicles and aircraft. That part will be written in red ink so it’s easy to find. Your owner’s manual will also have this wording. Be prepared to show the sticker to a gate agent and/or flight attendant because they may ask to see it as you board the plane.

Pria 85 - FAA certification

Can I use a booster seat on the plane?

Let’s get our terminology down first. A booster seat is a belt-positioning booster used by older kids. It’s used only with a lap/shoulder vehicle seat belt. Since a commercial airplane doesn’t have a lap/shoulder seat belt, no, you cannot use a booster seat on the plane. A harnessed seat isn’t called a booster seat. If your seat has a harness that also can be used as a booster later on, we call that a “combination seat.” Most combination seats are approved for use on airplanes only when used with the harness; that’s because you can install it with the plane’s seat belt. You can, however, take your booster seat on the plane with you as carry-on luggage for your child to use in the car when you get to your destination. If you have a backless booster, it fits perfectly under the seat in front or in the overhead bin. If you have a folding booster, it fits in the overhead bin. If you have a booster where the back comes off, you can pack the back in your suitcase and carry the bottom on with you.

What are my rights regarding carseat use onboard an airplane?

We have an article that explains what you need to know. Also, know where the certification sticker is on your carseat and bring a healthy dose of patience. Between oddly intimate security searches, our knees being jammed into the seats in front of us, and man spread by guys in the center seat, flying saps the last bit of patience of everyone. Flight attendants receive very little to no training on carseats on aircraft, so the best tactic is one of “you catch more flies with honey than with vinegar.” If there’s confusion, it’s OK to show them the carseat owner’s manual and smile. Remember that they can (and have in the past) remove ticketed passengers from flights.

How far should I push the rear-facing issue?

If you’ve been online at all, you’ve heard of travelers who have had problems rear-facing their kiddos: the flight attendant misinterpreted the flight attendant handbook, which requires carseats to be installed on forward-facing passenger seats, and they had to turn their 3 mo. old forward-facing. At some point you pick your battle with the flight attendant (with a smile–remember, he or she is just doing their job) and the likelihood that something catastrophic will happen is slim. Turning an 18 mo old forward-facing on a plane probably isn’t going to end the world. If you’re still unsure, I suppose you could whip this regulatory requirement out.

What are the best travel carseats?