The Medical Minute: Steering clear of sledding risks

When snowflakes begin to fall, kids of all ages — from toddlers to teens — get excited about sledding down hills covered in the white stuff.

The recent snowstorm in the Eastern United States brought significant amounts of snow that will keep kids entertained outdoors for days, if not weeks, to come — but it’s important for parents to teach their children important safety measures to prevent injury while having fun.

According to the Center for Injury Research and Policy, bruises, cuts and broken bones are the most common sledding injuries, but head and neck injuries also frequently occur.

Shannon DePatto, a health educator with the Pediatric Trauma Injury Prevention Program at Penn State Hershey Children’s Hospital, said sledding safety starts by making sure children are dressed in layers, with their hands, heads and feet appropriately covered.

Because head injuries are among the most common sledding risks, she recommends children wear bicycle helmets if they don’t have a winter sport helmet. “It’s something that seems so simple, but in the event of an accident, a head injury is going to be the No. 1 issue,” she said.

DePatto also recommends using only sleds that can be steered, and staying away from tubes, discs, lunch trays and cardboard. “If they can’t be steered, they aren’t safe,” she said.

Children younger than 5 can go down smaller hills with an adult, but older children should sled solo and avoid tying sleds together or hanging onto each other. The best way for a toddler to enjoy the snow is to be pulled along a flat surface by an adult.

Although it might seem fun to go down a hill head-first, backwards or on your stomach, sitting upright and sledding feet-first is the safest way. If you lose control of your sled, let go and roll to the side rather than trying to hold onto the sled and ending up with an injury. And never ride in a sled pulled by a motorized vehicle.

When sledding in groups, children should be taught to walk back up the hill off to the side — away from where others are sledding down — to avoid collisions.

Parents should also be smart about selecting a location for their children to sled. DePatto said it’s especially important to make sure there is enough flat area at the bottom of the hill for the sled to come to a stop before entering a roadway or hitting fences, trees, vehicles or other obstacles.

“If you are going down a very steep hill and there is no room to stop until you hit an object, that is obviously going to cause injury,” she said.

The Medical Minute is a weekly health news feature produced by Penn State Milton S. Hershey Medical Center. Articles feature the expertise of Penn State Hershey faculty physicians and staff, and are designed to offer timely, relevant health information of interest to a broad audience.

Last Updated February 09, 2016