Safe Trip: Kid-friendly Advice for Traveling with Children

November 20, 2023

By Dr Lee Soon Han, SMC Head of Accident and Emergency Department / Dr Nur Elayni Borhan, SMC Consultant Emergency Physician

Traveling with young children can present challenges, particularly if they’re under five. Despite our confidence in meeting their needs, have you ever questioned if you’re vigilant enough to ensure their safety and well-being during the journey?

Two medical experts share their advice to make travel with young children enjoyable, safe and hassle-free

Precaution against most common travel hazards

According to Dr. Lee Soon Han, Head of Accident and Emergency Department at Sunway Medical Centre, Sunway City (SMC), the most common travel-related injuries or illnesses among children include, but not limited to, motor vehicle accidents; falls resulting in cuts, bruises, or open wounds; febrile or respiratory illnesses due to viruses; water-related injuries, such as drowning; and diarrhea and vomiting due to food poisoning.
To lower the risk of such incidents, Lee advises parents to “Use booster or car seats and seatbelts correctly according to the child’s age, height, and weight. Also, ensure the use of water safety devices during swimming and always provide close adult supervision. Moreover, always consume clean water and proper food, maintaining hygiene with milk bottles.”

First Aid essentials can come handy

During emergencies, having an emergency kit and knowledge of first aid can be lifesaving. First-aid kit essentials are something every parent should prioritize when traveling with children. Dr. Lee recommends that the kit should contain “Paracetamol for fever or pain, oral rehydration solution (ORS), cough and cold medications such as antihistamines, and inhalers for children with asthma. Basic items for wound care, like gloves, gauze, antiseptic wipes, band-aids, adhesive tape, and a thermometer, should also be included.”
It also helps if parents are aware of the dos and don’ts if their child suffers from motion sickness or feels discomfort due to differences in pressure while in transit.

Tips for motion sickness
– Stay hydrated
– Avoid heavy meals; instead, consider eating and drinking small amounts regularly
– Avoid reading or using any screen devices during the ride
– Encourage sleep during the ride or flight

Risk for children with heart, lung ailments

For children with chronic heart or lung diseases, traveling to destinations with different climates or altitudes may be risky. “Parents should consult their doctors before traveling. Dress appropriately, with more layers at lower-climate destinations, and for hotter locations, apply sunscreen regularly to avoid sunburn,” advises Dr. Lee.

Tips for pressure in the ear
– Equalize by swallowing or chewing
– Babies and young children should nurse or suck on a bottle
– Older children can have snacks or chewing gum
– Bring along familiar toys for the child’s comfort

Check what kids are consuming

With a variety of delicacies waiting to be tried on holiday, always remember that what you consume may not agree with a child’s digestive system. Hence, diarrhea and vomiting are among the most common illnesses that Dr. Nur Elayni Borhan, SMC’s Consultant Emergency Physician, sees in the emergency department.

“Ensure your child follows safe food and water precautions. Frequent handwashing prevents foodborne and waterborne illnesses. Breastfeeding infants reduces risks, and ensure vaccinations are up-to-date as there is generally a higher risk for most vaccine-preventable diseases when traveling,” urges Dr. Elayni.

Most importantly, children should avoid swimming in any fresh, non-chlorinated bodies of water, such as rivers, ponds, or lakes, as they may be contaminated with diseases that can be transmitted if the water is ingested.

“For diarrhea treatment, consuming plenty of fluids is best. ORS may prevent dehydration, especially if the child is also vomiting. Seek medical attention immediately if your child appears dehydrated, has a fever, or bloody stools,” says Dr. Nur Elayni.

Be alert for allergies

For children with food allergies, planning ahead is key to a safe and enjoyable trip. Stay alert, take necessary precautions, and carry essential medications.

Tips to avoid allergy risks during trips
– Bring a medical kit with your child’s medication, including their epinephrine pen, regardless of the trip’s distance.
– Pack safe snacks and meals if safe restaurants for your child aren’t available.
– If traveling to a non-English speaking country, translate information about your allergy. Give this written information to those preparing your food to help them understand your child’s needs.
– For children with severe allergies, note the allergy policies of airlines and hotels; advance notice is necessary for accommodations.
– Research restaurants or grocery stores carrying products safe for your child.

Pack up with topicals

“I would also advise bringing topical medication like antiseptic cream, mentholated, or medicated topical ointment—anything you’re accustomed to from home,” Dr. Nur Elayni shares, adding, “You know your own children, so bring items that you know would benefit them. Try to avoid bringing new items.”

Think ahead, know emergency access

Dr. Lee encourages parents to know how to access emergency medical treatment if needed. “Before departure, identify all important healthcare facilities at the destination and get advice on available local medical services from hotels or tour company representatives. Above all, ensure child travelers are included in any travel insurance policies purchased for the trip, including medical repatriation if necessary.”

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