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The Risk Of Dehydration In Hot Tubs

My health club’s outdoor pool’s hot tub has a new sign:

“No children under 12 allowed in the hot tub…this includes dangling feet and dipping toes!”

It’s very large and placed in front of the entrance to the hot tub at the stairs. Not only can you not miss it, you can’t miss reading it – the letters are huge and neatly written.

You only have to be at the club for a few minutes to see why the need for the sign:

1. This week, the high heat: in this weather, kids will dehydrate quickly and put themselves at risk for heat-related illnesses. Just not worth the few minutes in the very hot water. Kids may already be relatively dehydrated if not drinking enough in heat waves so time in hot water will hasten the onset of heat illnesses in that situation.
2. Parents were already ignoring the smaller posted signs.
3. Hot tubs are really grown-up venues and actually have a therapeutic function. They are not toys or meant as recreation so shouldn’t be used or fostered as such.

Adults, too, shouldn’t be in a hot tub for very long when the outside temperature is in the mid 80’s and above with high humidity. We, too, can become dehydrated and put ourselves at risk for heat exhaustion and heat stroke. However, sometimes us adults need the hot tub for therapeutic reasons, such as after exercise, to aid in the healing of injury, arthritis, etc. That’s how I use the hot tub and why I found myself sitting in it for a few minutes on an 85 degree, very humid day. My healing back needed a few minutes of intense heat and those jets after my usual swim. I kept my eye on the time and after 10 minutes got out and downed some cold water.

The sign did keep away most people and most older kids and adults did respect it. But, a few blatantly did not. One mom actually read the sign for a good few minutes and then when her toddler tossed a fit because she wanted to go in she finally relented but said “only your toes…that’s allowed.” Well, actually not. The sign specified no toes specifically so I’m not sure how she made the leap that her daughter’s toes were the exception.

Her daughter didn’t dip for long before a lifeguard came over and shooed her away. The mom looked miffed but hopefully will be wiser next time and not attempt to pull one over on the staff or the rest of the people there to have fun and were willing to follow the rules.

Safety aside, the ultimate issue here, the other important issue is teaching our kids that rules are meant to be followed. If we break the rules and don’t follow them ourselves, our kids will grow up thinking they, too, can break rules, that they are “above the rules”. Those are the kids who tend to get themselves into all sorts of trouble as teens. The seeds of risk taking and bad behavior do start young and are often planted by watching us.

So, have a blast this summer but follow the posted rules. You’ll not only keep your kids safe today…but tomorrow, too.

For more information on heat illness in kids, click here.

*This blog post was originally published at Dr. Gwenn Is In*

Book Review – Over the Edge: Death in Grand Canyon

Michael Gighlieri and Thomas Myers are coauthors of Over the Edge: Death In Grand Canyon, which is one heck of an interesting read. It is an encyclopedic rendition of all of the fatal accidents known (at the time of the writing) to have occurred in the Grand Canyon. The over-arching observation, made by the authors and almost certainly by the readers, is that the vast majority of these deaths were avoidable. Failure to recognize risk, or frank disregard for hazards, led to tragic loss of human lives. For every person who died, countless more suffered.

Early in the book and at intervals thereafter, the authors apologize for the graphic descriptions and for articulating the opinion that the fatalities were avoidable. They are apologizing for accurately observing that people can be uninformed, or informed and foolish. There is, of course, an element of risk inherent in many outdoor recreational activities, but the authors present an entirely different spin on risk – namely, unambiguously unnecessary risk. They are correct – too many people have paid the price, in the theme of this book, with loss of life and great emotional suffering (presumably) to family and friends.

There is a bit of adventure in the telling of tales, but this is not an adventure book. It is, rather, a series of accountings, some written in great detail and some more superficially. There is nothing boring about this book, but it is easily put down after a section is completed.

From the back cover: “Two veterans of decades of adventuring in Grand Canyon chronicle the first complete and comprehensive history of Grand Canyon misadventures. These episodes span the entire era of visitation from the time of the first river exploration by John Wesley Powell and his crew of 1869 to that of tourists falling off its rims today. These accounts of the nearly 600 people who have met untimely deaths in the Canyon set a new high water mark for offering the most astounding array of adventures, misadventures, and lifesaving lessons published between two covers. Over the Edge promises to be the most intense yet informative book on Grand Canyon ever written.”

The major and minor sections represent the categories of accidents: falls from the rims, falls within the canyon, heat illness (and dehydration), flash floods, river accidents (including crossings and drownings), air accidents, rockfall, envenomations, freak accidents, suicide, and murders.

The book is replete with lessons learned and safety advice – all of it useful for educators, adventurers, explorers, search and rescue personnel, and casual visitors. The book truly serves a purpose, which is to articulate history in such a way that the reader can learn from it, and hopefully, avoid the catastrophes that befell the unfortunate victims portrayed in these tales. Other interesting books co-authored by Dr. Myers are Fateful Journey – Injury and Death on Colorado River Trips in Grand Canyon and Grand Obsession – Harvey Butchart and the Exploration of Grand Canyon.

This post, Book Review – Over the Edge: Death in Grand Canyon, was originally published on Healthine.com by Paul Auerbach, M.D..

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