Sunny Days, Safe Play

Editor’s note: This article, written by Kenzie Nees, was shared with permission from Cook Children’s.

Summer has begun, which means more outdoor activities and finding ways to cool down. Cook Children’s Health Care System experts share tips for parents on how to keep children safe and prepared for the heat, from cooling down at the pool to summer travel safety.

As the 4^th of July approaches, we are sharing the latest drowning data from Cook Children’s Health Care System. As of January 1 to June 18, there were 20 drownings treated at Cook Children’s, two of which were fatal. Most of these patients have been in the 5-year-old and under age group.

So far in 2025, there has been a decrease with 18 drownings and two fatalities. Most drownings in 2025 have occurred in a swimming pool or spa, second highest were bathtub-related.

While most drowning encounters were not fatal, drowning injuries can result in severe effects, especially on a child’s brain development. Drownings can happen silently and quickly. A submerged person might not attract attention or appear to be in danger.

Cool Down: Water safety and drowning prevention

Drowning is the leading cause of unintentional injury and death for children ages 1 to 4 and the second leading cause for kids 5-14 in Texas.  Eighty-eight percent of drownings occur with at least one adult present.

• Wear swimsuits with bright colors that are easily detectable in water.
• Designate an adult Water Watcher to ensure constant visual supervision of children in and around water.
• Implement 15-minute shifts for Water Watchers.
• No Distractions: The Water Watcher must have no distractions, including conversations, phones, reading, or consuming alcohol.
• Communication is key: Talk with all caregivers (family and friends) about your child’s swim ability or water competency skills.
• Never assume that adults will be watching, but rather verbally confirm it before leaving your child in their care.
• Barriers: Locks, alarms, and pool fences can help keep unsupervised young children from entering swimming pools.

Fun in the Sun: Boating Safety

The risk of drowning in open water triples at age 15. Setting safety expectations with the whole family ahead of time is paramount. Most drowning fatalities in natural water are not related to boating. Texas law requires that all children 13 and under wear a life jacket while on a boat. Cook Children’s Health Care System supports over 60 Loaner Life Jacket Stations in North Texas lakes, rivers, and reservoirs. The goal is to make sure no child or adult drowns at a public lake because they did not have access to a life jacket.

• Make sure life jacket usage is mandatory, along with adult supervision.
• Toe In/Vest On Policy: If a toe is in the water, a life jacket goes on.
• Life Jackets: Must be U.S. Coast Guard-approved.
• When your life jacket is on, ensure that it is buckled on your child as directed.  Always.
• Know water conditions before getting into open water. Water conditions in lakes and oceans can vary daily.

Heat Safety

Spending too much time in the heat can lead to heat-related illnesses, including heat exhaustion and heatstroke.

• Stay hydrated: Water is best, but other fluids count if they do not include caffeine.
• Hot car danger: Make a habit of double-checking your backseat each time you get out of the car.
• Watch out for hot buckles on car seats, as these can cause burns on your child’s skin.
• Be aware of heat illness. Know the difference between heat exhaustion and heat stroke.

Sun’s Out, Fun’s On

When it comes to sunburn, prevention is key.

• Use a zinc oxide-based sunscreen with a minimum SPF of 30.
• Cover skin with SPF clothing.
• Apply sunscreen generously and frequently, 15 minutes prior to sun exposure.
• Reapply sunscreen every two hours and after swimming.
• For infants: Keep them out of direct sunlight, especially during peak hours of 10 a.m. and 4 p.m. Keep their skin covered with lightweight pants, a lightweight, long-sleeved shirt, and a wide-brimmed hat.
• Wear sunglasses: Look for sunglasses that protect your child’s eyes from at least 97% of the UV rays.
• If you are worried about any burn, even if it seems minor, consult your child’s pediatrician.

Fireworks
Fireworks can cause severe injuries that are both harmful and painful to children. Children should never handle fireworks. Even seemingly harmless sparklers can heat up to more than 1,200 degrees, making them dangerous for young children.

• The safest way to enjoy fireworks is at a professional display.
• If setting off fireworks at home, adults should only set them off in a “kid-free” zone.
• Adults should not hold fireworks in their hands or keep any part of their body over them while lighting.
• Avoid accidental burns: keep children away from bonfires and grills.