How can we keep children safe during the heatwave?

**Health**

## Heatwave Warning: Paediatric Experts Issue Critical Safety Guidance for Children

**Bristol, UK** – As temperatures soar across the region, putting vulnerable populations at risk, a leading paediatrician from Bristol Royal Hospital for Children has issued urgent advice to parents and guardians on how to protect children during heatwave conditions. With children being particularly susceptible to heat-related illnesses, understanding and implementing preventative measures is paramount.

Dr. Eleanor Vance, Consultant Paediatrician at Bristol Royal Hospital for Children, underscored the unique challenges children face in extreme heat. “Children’s bodies are less efficient at regulating temperature than adults’,” Dr. Vance explained. “They have a higher surface area to mass ratio, which means they can absorb heat more quickly, and their sweating mechanisms are not as developed. This makes them highly vulnerable to dehydration, heat exhaustion, and potentially life-threatening heatstroke.”

To ensure the safety and well-being of young ones, Dr. Vance and her team have outlined several critical recommendations:

**1. Prioritise Hydration:**
“The single most important measure is constant hydration,” Dr. Vance stressed. Children should be encouraged to drink plenty of fluids throughout the day, even if they don’t explicitly ask for it. Water is the best choice, followed by diluted fruit juice or oral rehydration solutions for older children if needed. Avoid sugary drinks and excessive caffeine, which can contribute to dehydration. For infants, continue regular breastfeeding or formula feeding, and consult a healthcare professional before offering additional water.

**2. Seek Shade and Stay Indoors:**
During the hottest parts of the day, typically between 11 am and 3 pm, children should ideally remain indoors in the coolest available room. If outdoor activity is unavoidable, ensure they stay in the shade at all times. Parked cars can become death traps very quickly; never leave a child, even for a moment, in a parked vehicle.

**3. Dress Appropriately:**
Opt for loose-fitting, lightweight clothing made from natural fibres like cotton. Light colours reflect sunlight and help keep the body cooler. A wide-brimmed hat is essential when outdoors to protect the face and neck from direct sun exposure.

**4. Sun Protection is Key:**
Apply a broad-spectrum sunscreen with an SPF of 30 or higher liberally to all exposed skin. Reapply every two hours, or more frequently if swimming or sweating. Remember that infants under six months should generally be kept out of direct sunlight entirely.

**5. Keep Environments Cool:**
Utilise fans, air conditioning, or cool mist sprays to keep indoor spaces comfortable. At night, ensure bedrooms are as cool as possible. A lukewarm bath or shower before bed can help lower a child’s core body temperature, promoting better sleep. For infants, ensure their sleep environment is cool and use light bedding; avoid overdressing.

**6. Recognise Warning Signs:**
Parents must be vigilant for symptoms of heat-related illness. Signs of heat exhaustion include excessive sweating, cold or clammy skin, tiredness, dizziness, headache, muscle cramps, and nausea. If these symptoms occur, move the child to a cool place, lay them down, elevate their feet slightly, give them plenty of water, and cool their skin with a sponge or spray.

Heatstroke is a medical emergency. Symptoms can include a high body temperature (usually 40°C or above), hot, red, dry or damp skin, confusion, seizures, rapid breathing, and loss of consciousness. **If you suspect heatstroke, call emergency services immediately.** While waiting for help, move the child to the coolest place possible and try to cool them down with wet towels or by fanning them.

“Vigilance and proactive measures are crucial during periods of extreme heat,” Dr. Vance concluded. “By following these simple guidelines, we can significantly reduce the risk of children suffering from serious heat-related illnesses and ensure they remain safe and healthy.” Parents are encouraged to seek medical advice if they have any concerns about a child’s well-being in the heat.