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Katrina Cordero

Summer heat poses health risks; take steps to stay safe

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Heat advisories, warnings and watches have been issued in recent weeks across the country, putting millions of Americans at risk.

At least six deaths were attributed to the massive heatwave, and events, such as the New York City Marathon, were cancelled, according to CBS News.

Besides being uncomfortable, hot weather also can pose potential health risks. If you need to be outside, be sure to seek shade and be sure to drink plenty of water to keep yourself hydrated. (Christine Holtzman)

And, it comes as no surprise that Florida’s notorious heat and humidity also can create potentially dangerous conditions.

So, what can people do to reduce their risk of suffering from heat-related illnesses?

One of the most important steps people can take is to avoid dehydration, said Dr. Katrina Cordero, the Emergency Room medical director at St. Joseph’s Hospital-North, in Lutz.

Dehydration can lead to other complications, including heat exhaustion and heatstroke, she said.

Heatstroke is a serious condition that requires immediate emergency care, Cordero said.

Symptoms of heatstroke include a temperature, confusion and, at times, irritability, she said.

Other symptoms can include hallucinations and tremors, she added.

Cordero offered some reminders to help avoid heat-related illnesses.

“If you must be outside for a prolonged period of time, at least try to stay in some shade,” the doctor said.

Be sure to stay hydrated. It helps to carry a bottle around with you, to serve as a reminder, she added.

Drinking Gatorade can help, too, to restore electrolytes that are lost when people sweat.

A personal fan can help keep you cool, and wearing a broad brim hat can give you your own personal shade, too.

“If  you must go out, make sure you’re not staying out there all day,” she said.

Beach-goers also need to avoid too much time in the sun, she said. “You might want to take a break, go into a store — so your body has a chance to cool down.”

It’s also important to wear sunscreen, and to reapply.

People often forget to reapply — especially after they’ve been swimming, she said.

“Just a short exposure, with our strong sun, can cause some damage,” Cordero said.

The doctor also advised coaches to be sure they give their players plenty of chances for water or sports drink breaks.

“The hotter that it is, increase their (break)  frequency, depending on how long they’re staying out and how much they’re exerting themselves,” Cordero said.

Summer dangers

Children die in hot cars
Fifty-two children died in hot cars in 2018 — the deadliest year on record in the past 20 years, according to the National Safety Council. Almost 800 children have died from vehicular heatstroke since 1998.

How does it happen?

  • A caregiver forgets a child in a vehicle
  • The child gains access to a vehicle
  • Someone knowingly leaves a child in a vehicle

The National Safety Council says to stick to a routine to reduce the risk of forgetting a child. Keep a purse, briefcase or even a left shoe in the back seat to force you to look there before leaving the car. Also, be sure to keep vehicle doors locked, to prevent children from climbing in; and never leave a child inside the car when you are not there, even if you’re just running a quick errand. (Editor’s note: Remember to protect your pets from hot cars, too).

Prevent drownings
Drowning is the leading cause of injury death for children ages 1 through 14, according to the Centers for Disease Control and Prevention. The CDC offers these key prevention tips:

  • Learn life-saving skills: Know the basics of swimming (floating, moving through the water) and learn cardiopulmonary resuscitation (CPR).
  • Fence your pool: Use a four–sided isolation fence, with self–closing and self–latching gates.
  • Require life jackets in and around natural water bodies, such as lakes or the ocean.
  • Be vigilant: Closely supervise kids when they’re in or near water, including bathtubs. Drowning happens quickly and quietly. Adults watching kids in and near water should avoid distracting activities, such as playing cards, reading books, talking on the phone, and using alcohol or drugs.

Heatstroke is dangerous, can be deadly
Heatstroke requires emergency treatment, experts at the Mayo Clinic say. Untreated heatstroke can quickly damage your brain, heart, kidneys and muscles. The damage worsens the longer treatment is delayed, increasing your risk of serious complications or death.

Published July 31, 2019

Enjoy your summer: Avoid a trip to the ER

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If you’ve been outdoors lately, no doubt you’ve observed that Florida’s steamy days of summer have arrived with a vengeance.

You also may have noticed there are a lot more kids riding bicycles in the street, splashing around in pools, and hanging off equipment at the local playground.

Going to the beach is a fun summer pastime, but three local doctors want to make sure that trip doesn’t end up in the emergency room. (File Photo)
Going to the beach is a fun summer pastime, but three local doctors want to make sure that trip doesn’t end up in the emergency room.
(File Photo)

The roads are busier, too. Cars and trucks snake toward the beach, and families have packed up to hit the road for vacation. There are a lot more people firing up their backyard grills and having picnics at parks, too.

Summer and its pastimes can offer a pleasant break, but is also can lead to illnesses or injuries, prompting unwanted trips to the local emergency room. There are ways, though, to lower your risk of getting sick or injured.

Three physicians — from Florida Hospital Zephyrhills, Florida Hospital Wesley Chapel and St. Joseph’s Hospital-North — shared their observations about the types of summer injuries that typically arrive at their emergency departments, and they offered suggestions to help people avoid the need for medical care.

On the road
“We see increased motor vehicle accidents,” said Dr. Javier Gonzalez, assistant medical director of the emergency department at the Zephyrhills hospital. Wear a seat belt, he added, because it reduces injuries and save lives.

It’s important to safeguard children, too. Be sure they have the appropriate type of protection, such as car seats or child-restraint chairs, he said. Head injuries tend to increase in the summer, too, because of greater use of bicycles, skateboards and in-line skates, Gonzalez said.

Be sure to wear helmets and make sure they fit properly, he said. Also, be sure the chinstrap is strapped beneath your chin to help protect the side of your head.

Use wrist guards to help prevent injuries, too.

“A lot of these people wear helmets, but when they fall, they put their hands down first, so they get a lot of wrist injuries,” Gonzalez said.

In the water
The importance of water safety cannot be overstated. “In Florida, a lot of people have pools. Make sure they have gates,” Gonzalez said.

Constant vigilance is required when children are in or around water, he added.

“Don’t take a break to get on the phone. I hear that all of the time, ‘I just went out for a second to speak to somebody or to pick up the phone.’ Before they know it, two minutes have passed by and the child is dead at the bottom of the pool.”

At public pools, be sure the child is within view of the lifeguard, Gonzalez said. Drownings at the beach often result from swimmers getting caught in riptides, so be sure to swim across the current, not against it.

“Always wear a life vest, as well, if you are doing activities like jet skiing,” he said. It’s also wise to do so when you’re cruising in a boat.

Besides the potential for drowning accidents, there are other risks associated with the water, Cordero said.

Diving accidents can cause serious neck injuries, she said.

When someone gets hurt diving, it’s important to get them out of the water to make sure they’re breathing, said Dr. Katrina Cordero, associate medical director of the emergency room at St. Joseph’s Hospital–North. Then, make sure they keep their neck still until help arrives.

Enjoying the outdoors
When you’re having a cookout or picnic, pay attention to how long the food has been sitting out, Gonzalez said. Some foods must be refrigerated, and if they are left out too long, it can cause people to become ill.

Store uncooked meats in separate coolers to avoid issues with cross contamination. Also, be sure to thoroughly cook meat and chicken, he said.

All three doctors said drinking water is important to avoid dehydration.

“There’s a misconception that you can actually keep up with your hydration once you’re outside, or once you’re doing the activity,” said Dr. Michael Longley, medical director of the emergency department at the Wesley Chapel hospital. “The reality is you really need to pre-hydrate. Drink a lot either the night before or a couple of hours before you’re going to be outside.

“You’re losing water with every breath you take, you’re losing water with the heat itself. You’re losing water with sweating and you’re losing water with the activity that you’re doing. It’s compounded and there’s just no way to keep up if the tank isn’t full to begin with,” Longley said.

How much you need to drink varies based on your size. An adult should drink a liter or two before they go out. A child should drink about half of that, Longley said.

To help people drink enough water, Longley offers this piece of advice: “I tend to tell kids and adults, alike, to add a little extra salt to their meal. It drives the thirst. It helps the muscle function and it helps you to hold in a little of the water, as well.”

People who suffer from heat cramps, heat stroke and heat exhaustion haven’t hydrated before they go outside, Longley said. Often, people don’t realize how hot they are because they’ve been out in the sun for hours, take a dip and feel a cool breeze.

Sunburn is a problem, too, St. Joe’s Cordero said. People often underestimate the intensity of the sun here.

“They fall asleep on the beach,” she said, and when they wake up, they have painful sunburn.

The same thing can happen when people are out working in the yard and haven’t applied sunscreen, she said. They get busy and forget how much sun exposure they’ve had.

Cordero also offered this tip to avoid becoming dehydrated: Carry a bottle of water or Gatorade around with you, to remind yourself to drink. Some people like to quench their thirst with a beer or another alcoholic drink.

“Beer is OK,” Cordero said. But “don’t let it be your only means of hydration.”

Rockets’ red glare
The increased amount of recreation during summer months tends to result in more people visiting the ER with injuries, Longley said. “We see a lot more broken bones.”

It’s also a time of year when there’s an uptick in fireworks injuries, which are typically unique injuries that require expert medical attention.

“Explosions can cause all sorts of tissue damage locally,” Longley said. “Particles can be inhaled. They can be embedded in the eye.”

The injuries can get complicated quickly.

“Something that seems simple can be way more complex a few hours later,” Longley said.

Sometimes the steps taken immediately after a fireworks injury can make a big difference, Cordero said. If a fingertip is blown off, for example, it’s important to try to find the fingertip, she said. It should be placed in a cloth that has been dampened with water, placed in a plastic bag, and then all put into a larger bag that has some ice in it.

“You don’t want any direct contact with ice,” Cordero said. “That could cause some tissue damage.”

Tips for a safer summer
• Drink plenty of water to avoid dehydration. Start drinking water before you head out for the day, and keep drinking it throughout the day to stay hydrated.

• If you’re grilling, be sure to cook your meats thoroughly. Also, do not allow children to be near hot grills.

• If you’re having a gathering, be sure to keep foods that need refrigeration in coolers until shortly before you need them. Keep them away from direct sunlight and don’t leave them out for more than an hour.

• Wear helmets while riding bikes, skateboarding or rollerblading. Wear wrist guards, too.

• Be vigilant when there are children around water. A happy gathering can turn tragic within minutes.

• Wear sunscreen to avoid sunburn. Be sure to reapply it if you decided to take a dip in a pool or at the beach.

• Wear life jackets on boats and seat belts in cars.

Water Safety Tips
Ways to improve safety:

• Never leave a child unattended at a pool or a spa.

• Teach children basic water safety skills.

• Keep children away from pool drains, pipes and other openings.

• Have a telephone nearby to enable a quick call to emergency agencies.

• If a child is missing, check the pool or spa first.

• Learn CPR.

• Install a 4-foot fence around the perimeter of the pool with a self-closing, self-latching gate.

• Having life-saving equipment such as life rings or floats available and easily accessible.

For information, visit PoolSafely.gov.

Published July 9, 2014

See this story in print: Click Here

In Print: Don’t miss Fourth of July, we have pics

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What did you do on the Fourth of July? Well, hopefully you didn’t stay home, because there were plenty of options, which as a regular reader of The Laker/Lutz News, you already knew about.

Bridget Richwine, second from right, helped her sons get into the Fourth of July spirit with hats she made for C.J., 11, at right, and Ben, 5. Grandmother Chloie Adkins, far left, looks on. (Photo by Michael Hinman)
Bridget Richwine, second from right, helped her sons get into the Fourth of July spirit with hats she made for C.J., 11, at right, and Ben, 5. Grandmother Chloie Adkins, far left, looks on. (Photo by Michael Hinman)

The Shops at Wiregrass kicked things off with its annual Fourth of July celebration July 3, complete with bicycle decorating contests, watermelon eating and Miss and Mr. Firecracker. It continued Friday morning in Lutz with its annual Fourth of July parade, which had large crowds lined up along Lutz Lake Fern Road leading into the Lutz Depot.

And if that wasn’t enough, the fun continued Saturday in places like Avalon West and Connerton, with booths, games and fireworks.

Want to see some of the great images from those events? Well, you can find them right now in this week’s print edition of The Laker/Lutz News. If you don’t have a newspaper in front of you, you can see all the picture in our free e-edition by clicking here.

Also, a Lutz News reader, Tracy Gaschler, submitted some of her own pictures from the Lutz parade. You can check those out on our Facebook page by clicking here.

If you were at any of those Fourth of July events, then there’s no doubt in your mind that we’re in the middle of summer, and it can be hot. But how do you enjoy the sun and fun, without ending up in the emergency room?

Three local doctors from places like Florida Hospital Zephyrhills, Florida Hospital Wesley Chapel and St. Joseph’s Hospital-North shared some advice on how to stay safe while celebrating summer whether it’s on the road, in the water, or in the outdoors.

But it’s not just about keeping yourself safe, but children, too. And they require constant vigilance, especially when they are in the water.

“Don’t take a break to get on the phone,” Dr. Javier Gonzalez, assistant medical director of the emergency department at the Zephyrhills hospital, told reporter B.C. Manion. “I hear that all the time, ‘I just went out for a second to speak to somebody or to  pick up the phone.’ Before they know it, two minutes have passed by and the child is dead at the bottom of the pool.”

Another key safety tip is to stay hydrated, and not just when you’re in the heat — but drinking plenty of water before you go out is essential too.

“You’re losing water with every breath you take, you’re losing water with the heat itself,” said Dr. Michael Longley, medical director of the emergency department at the Wesley Chapel hospital. “You’re losing water with sweating and you’re losing water with the activity that you’re doing. It’s compounded and there’s just no way to keep up if the tank isn’t full to being with.”

To see what else these doctors, along with Dr. Katrina Cordero, has to say about summertime protection, check out the print edition of this week’s The Laker/Lutz News, or you can read it for free in our e-edition by clicking here.

Finally, Pasco County sheriff Chris Nocco learned Tuesday that the first draft of the county’s budget for the next year will include more than $5 million he’s requested in additional funds to help stave off the departure of deputies to neighboring counties. But what is the long-term plan for the sheriff’s office?

Probably the biggest thing on the drawing board is creating a fourth district for deputies, based out of the Land O’ Lakes and Wesley Chapel area.

“we are going to need many more deputies, and we’re going to need a fourth district in the (State Road) 54 corridor,” Nocco told reporter Michael Hinman. “We need to have a stronger presence in the Land O’ Lakes and Wesley Chapel area. Deputies who serve that area right now are based out of Dade City, and there has to be something much closer to serve those needs.”

However, many of those plans will require money — something Nocco believes Pasco County commissioners are supportive, since public safety is a key factor to continued growth and happy residents.

“We are not wasting taxpayer dollars,” Nocco said. “Instead, we are very efficient. I know our commissioners are being pulled in a thousand different directions, but I also think they realize that public safety is a priority.”

You can read more about Nocco’s plans in the print edition of The Laker, or you can read our free e-edition by clicking here.

All of these stories and more can be found in this week’s The Laker/Lutz News, available in newsstands throughout east and central Pasco County as well as northern Hillsborough County. Find out what has your community talking this week by getting your local news straight from the only source you need.

If The Laker/Lutz News is not coming to your door, call us to see where you can get your copy at (813) 909-2800, or read our free e-edition by clicking here.