27.JUN.2019 MIN READ | MIN READ

Every parent knows how stressful it is to constantly protect their child from incidents related to falling. Falls can happen anywhere your inquisitive child ventures within or outside the home. What can you do to minimise the risk of your child falling?

Are frequent falls normal?

For a toddler, an adventure awaits them every day. And as with any epic adventure, accidents can and do happen. Your toddler’s insatiable curiosity for the world around them, coupled with their need for constant motion, is not something you can control. However, there are simple steps you can take to promote fall safety and minimise injuries when falls happen.

Signs you should go to the A&E

If your toddler has suffered an obvious open head injury or loses consciousness, it is obvious that you should seek medical attention immediately. But when there appears to be no physical sign of injury, the line is a little more blurred. In such cases, you should seek medical attention if you notice any of the following warning signs within a week of a fall.

Your child:

  • being inconsolable
  • continually rubbing their head
  • having yellow fluid coming from their nose or ears
  • having a loss of balance
  • experiencing sensitivity to light or noise
  • having pupils that aren’t the same size
  • complaining of a headache
  • persistent vomiting or feeling sick
  • constant severe headache
  • drowsiness

You should also seek immediate medical attention if you notice a bulging of the soft spot on the top of your child’s their head or if their sleeping patterns change in the week following a fall.

What to do when you don’t see any obvious signs

Comfort child
Though it is hard for a parent to not overthink a fall, not all falls are emergencies. Here are steps you can take If your toddler doesn’t have any of the symptoms that require emergency medical attention:

  • Comfort your toddler while looking for any signs of injury
  • Place a cold compress on any bumps or bruises
  • Let your toddler rest under your supervision as you monitor for any unusual symptoms or behaviour

Prevention measures

Keeping your toddler safe from falls requires more than just blind luck. Here are a few steps you can take to promote fall safety and minimise injuries both around the house and outdoors:
Indoors:

  • Don’t use a walker for an infant or toddler
  • Use childproof window guards
  • Move furniture away from windows to prevent toddlers climbing onto sills
  • Never leave a child alone around stairs
  • Avoid accordion gates, which can trap a toddler’s head
  • Remove all loose rugs
  • Apply non-skid strips to the bottoms of bathtubs
  • Never leave a baby unattended on a changing table or bed

Outdoors:

  • Never allow a toddler to play on a trampoline, even with adult supervision
  • Childproof your outdoor playground equipment (eg. no loose parts or rust)
  • Ensure playground surfaces are shock absorbent. (eg. sand and wood chips)
  • Ensure sidewalks and outdoor steps are clear of clutter
  • Hold your toddler’s hand when using an escalator
  • Only put your toddler in a shopping cart with a designated seat with a safety belt

When in doubt, rush down to the A&E

It can be difficult to make sound and rational split-second decisions when you witness your toddler take a hard fall for the first time. (It doesn’t get easier). If you ever find yourself in doubt, it is advisable to bring your toddler in to the A&E for a clearer diagnosis.

 

Article reviewed by Dr Low Eu Hong, paediatrician at Parkway East Hospital

Reference

What to Do When Baby Falls Off the Bed. Retrieved 07/05/2019 from https://www.healthline.com/health/parenting/baby-fell-off-bed#takeaway

Signs of Concussion in Children: When to Call the Doctor. Retrieved 07/05/2019 from https://www.healthline.com/health/parenting/concussion-signs-children

Fall safety for kids: How to prevent falls. Retrieved 07/05/2019 from https://www.mayoclinic.org/healthy-lifestyle/infant-and-toddler-health/in-depth/child-safety/art-20046124

Toddler health. Retrieved 07/05/2019 from https://www.mayoclinic.org/healthy-lifestyle/infant-and-toddler-health/basics/toddler-health/hlv-20049400

Household Safety: Preventing Injuries From Falling, Climbing, and Grabbing. Retrieved 07/05/2019 from https://kidshealth.org/en/parents/safety-falls.html

First Aid: Falls. Retrieved 07/05/2019 from https://kidshealth.org/en/parents/falls-sheet.html

27.JUN.2019
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Low Eu Hong
Paediatrician
Parkway East Hospital

Dr Low graduated from the National University of Singapore in 1985. He continued to pursue his postgraduate degree in Paediatrics in Singapore and obtained his Master of Medicine in Paediatrics in 1990. He has worked in the various government and restructured hospitals in Singapore and was awarded a HMDP, (MOH, Singapore) scholarship, for which he was then attached for one year from 1992-1993 at The Hospital for Sick Children, Toronto in Canada. On his return to Singapore, he set up a paediatric nephrology unit at the Singapore General Hospital.