community newsletter from the Comprehensive Children's Injury Center 
FALL 2015
Timely Topics
Why School Bus Safety is Important Now More than Ever
Unfortunately, many injuries take place each school year while children are waiting for the bus - most of these injuries are preventable. Now with many more distracted drivers on the road, it is important that parents and children know how to stay safe while they are waiting for the school bus each morning. First of all, the American Academy of Pediatrics has found that walking children across the street has the greatest potential for injury reduction.

In addition, one of our own Injury Prevention Coordinators, Dawne Gardner, recently spoke with local media about important tips to share with your children while they are waiting for the bus. These four easy tips can help your children arrive to school safely, and on time.
  1. Keep kids out of the blind spot of the bus
  2. Arrive 5 minutes early to the bus stop
  3. No horseplay while waiting at the bus stop
  4. 3 big steps back from the school bus when it arrive

Safe Travel for Kids

Our partner, the Greater Cincinnati Automobile Dealers Association (GCADA), is kicking off their child passenger safety campaign with an important message-- to register your child's car seat. 

This is an important tip because car seat manufacturers report that they only receive about 30% of the registration cards back from their products. You may not think to register your newest appliance, but you definitely should register your child's car seat. This is the only way the manufacturer knows that you have one of their seats and can notify you in the event of a recall. 

Take the time to fill out the registration card that came with your child's seat or go online to your car seat manufacturer's website and enter your child's car seat information today, to get it registered!

Also, GCADA is giving away a total of 12 car seats this month as part of their campaign!

Click here  to learn how you can register to win one of the seats they are giving away for child passenger safety month!
Did You Know Your Car's Lower Anchors Have a Weight Limit?

Well, they do! LATCH was initially created with the idea that it would be an "easier" method for parents to use when installing their child's car seat. However, now that seats are bigger, heavier and have harnesses that can accommodate larger children, the weight limit of the lower anchors was tested and determined to be 65 pounds (unless otherwise stated by your vehicle manufacturer). The 65 pounds is the weight of the car seat and your child combined.

In February 2014, car seat manufacturers had to start putting a label on each car seat to indicate at what weight the car seat could not be installed using the lower anchors. This label will be on all car seats (that can be used forward-facing) made after that date, so if you have a newer seat, check there first!

If your seat is older, check the owner's manual or call the car seat's manufacturer. You can also go to your local fitting station for help.

Just as a reminder, the lower anchors were an alternative to the vehicle's seat belt. They are not safer, just another option for a tight installation. Also, don't install your child's seat with both the seat belt and lower anchors unless your car seat and vehicle manuals allow this.

Partner Spotlight
Working Together to Build a Safer Cincinnati

Joseph-Beth Booksellers

We have partnered with Joseph-Beth Booksellers through their Gives Back program. Through this program, members can designate a charity or cause to receive a portion of their purchase, and we're one of the organizations on the list! The proceeds we receive from this program are used towards community injury prevention programming.

For more information about the Gives Back program, click here


Thank you, Joseph-Beth Booksellers, for helping to take care of our community!

Join Our Cause
Make a Difference
The home is the most common place for children ages 1 to 4 to be injured. We can help prevent these injuries by providing education and free home safety equipment!

Please join us in reducing the risk of home injuries to children under 5 by volunteering for our Home Safety Day in Price Hill on October 24th. No experience is needed to volunteer, and we will provide all of the training, equipment, and tools you will need.

Volunteers like you have helped reduce injuries by more than 50% in homes we've visited! Thank you in advance for participating in such a positive, worthwhile event for the community of Price Hill.

Learn more about what it means to be a volunteer, here.
Upcoming Events
Mark Your Calendar
Free Car Seat Check

Saturday, September 19th

In recognition of Child Passenger Safety Week, the CCIC will be partnering with Sharonville Fire Department to host a free car seat check event from 10 am - 2 pm.
Cincinnati Walks

Saturday, September 26th

Join the CCIC team at the Cincinnati Walks for Kids!  Learn more  and register through the "join a team" button, then "join as a new walker", and enter team name "CCIC". 
Home Safety Day

Saturday, October 24th

Home Safety Day will be in Price Hill next month!  Learn more   about volunteering for the event, or register your home for a safety visit!
Expert Advice
How to Keep Your Active Kids Safe This Sports Season
Ask an Expert
Jason Hugentobler, PT, DPT, SCS, CSCS
Occupational Therapy and Physical Therapy

Q: What are some steps that can be taken to prevent head injuries in sports?

A: A significant step forward related to head injuries has been the implementation of rule changes regarding concussions. Players suspected of having a concussion are to be removed from the game and evaluated by a medical professional and not allowed to return to play on the same day. They then must enter the concussion return to play protocol (see list below), which has an average recovery time of up to 14 days for most individuals.
  1. No Activity/Complete Rest - symptoms resolve usually 24-48 hours
  2. Light Aerobic Exercise (no resistance) - half days to full days of school
  3. Sport-Specific Exercise - increasing aerobic capacity, low-risk play (dribbling)
  4. Non-Contact Training - sport-specific (position drills), run and jump as able
  5. Full-Contact Practice
  6. Return to Play
* Any symptoms that increase during this process would require the athlete to return to the previous step until able to complete without symptoms coming back.
Rule changes within the sport, particularly football, have also tried to reduce the likelihood of head injuries. Encouraging coaches to become certified from an organized body, such as the "Heads Up" program, helps ensure kids are all being taught proper tackling techniques to not only try to reduce head injuries, but also a more serious injury, such as spinal cord injury.

And although there is no way to really prevent head injuries in sports, the best tool is early recognition through education for parents, coaches and players. With so much media attention surrounding the topic of concussions and head injuries, it is important that the message about concussions is consistent and clear, including proper management.

For more great information, visit the Head Injury Clinic's  website!
The Doctors are In
Brad Kurowski, MD, MS
Physical Medicine and Rehabilitation

Kate Berz, DO
Sports Medicine

Q: What would you tell families and parents about concussions, and the process of returning them to play and school following a concussion?
A: If you suspect that your child has suffered from a concussion, you should look for the signs and symptoms. The most common symptoms of a concussion are headache, dizziness, confusion, balance difficulties, nausea, poor concentration, and memory problems. Your child does not have to lose consciousness or "pass out" to have a concussion. If there is any question of whether or not a concussion has occurred, it is important to remove the child from play immediately and have them evaluated by a healthcare provider before returning them to school and play. As we say,  "when in doubt, sit them out."
In regards to returning your child to school and play following a concussion,  the important thing to remember is to pace their return to activities as tolerated by their symptoms until symptoms have resolved and returned to baseline. Before returning to sports or other activities, symptoms should be at   baseline.

It is best to discuss this process with your healthcare provider so that they can help guide the return to school and play process.
Q: Do football helmets, soccer headbands, and mouth guards prevent concussions?
A: No. Helmets and mouth guards can be helpful in preventing other injuries, but they do not prevent concussions. Football helmets may help prevent skull fractures, bruises, and abrasions; and mouth guards are instrumental in preventing dental injuries during contact sports. Soccer headbands are not recommended because their ability to prevent concussion has not been proven.
For more information about head injuries and concussions, visit the Centers for Disease Control and Prevention's website .  · 513-636-7865, "Option 1"