Splash pad Q&A: emergency

Keep the child still until you confirm no head, neck, or limb injury. Move them off the wet surface to a dry shaded spot, apply a cold compress to bumps, clean and bandage scrapes, and watch for any change in alertness. Call 911 for any loss of consciousness or suspected fracture.

Move the child away from the area, scrape the stinger out sideways with a fingernail or card, wash with soap and water, apply a cold pack and dab on hydrocortisone or baking-soda paste. Watch for swelling beyond the sting, hives, wheezing, or facial swelling — those signal anaphylaxis and need 911.

Sunburn is red, painful skin from UV. Heat exhaustion is heavy sweating, weakness, nausea, and a fast pulse — get to shade, cool, and hydrate. Heat stroke is the medical emergency: hot dry skin, confusion, body temp over 103 F. Call 911, cool the body aggressively, do not give fluids if unconscious.

Encourage them to cough — coughing clears most water inhalation. If they cannot cough, breathe, cry, or speak, perform 5 back blows then 5 abdominal thrusts (or chest thrusts for infants). Call 911 if breathing does not return quickly or if there is wheezing or blue lips after.

Even though splash pads have no standing water, kids can lose consciousness from face-down falls into a puddle or aspiration. Get the child out, check breathing, start CPR if not breathing, call 911, and insist on ER evaluation even if they seem fine — secondary drowning can develop over 24 hours.

For mild reactions (hives, itching) give a children's antihistamine and watch closely. For anaphylaxis (swelling lips or tongue, wheezing, vomiting, dizziness, collapse) inject epinephrine immediately, call 911, lay the child flat with legs raised, and give a second dose in 5-15 minutes if no improvement.

Loudly call their name, scan the pad and adjacent water immediately (drowning is the first risk), then alert nearby parents, post someone at the exit, search the perimeter and parking lot, and call 911 within 5 minutes. Pre-trip prep: dress kids in bright colors and write your phone number on their forearm.

Call 911 immediately, send someone for the AED if available, check responsiveness and breathing, and start CPR if there is no normal breathing. Move them off wet ground to a dry surface, do not give fluids if unresponsive, and keep bystanders back to give fresh air.

AEDs are not required at splash pads in most states but are increasingly common at municipal aquatic complexes and large parks. Look for a green AED sign near the restrooms or rec center entrance. If unsure, ask the parks staff in advance. Public AED apps and 911 dispatchers can also direct you to the nearest unit.

Stay calm, state the emergency type (medical, drowning, missing child) first, give the splash pad name and street address (read the sign), describe the patient's age and condition, and stay on the line. Send someone to the entrance to flag the ambulance. Do not hang up until told to.

Watch 24-48 hours for repeated vomiting, unusual sleepiness or hard to wake, slurred speech, uneven pupils, severe or worsening headache, seizures, clear fluid from nose or ears, balance problems, or behavior changes. Any of these means immediate ER care, not a wait-and-see at home.

Bandaids and waterproof bandages, antiseptic wipes, instant cold pack, kid-dose antihistamine and ibuprofen, tweezers, hydrocortisone, sting wipes, baby wipes, oral rehydration packets, sunscreen, child's emergency contact card, and a charged phone. Stash in a small dry bag in your car or stroller.

Do not move them or the limb. Look for visible deformity, severe pain, swelling, or unwillingness to bear weight. Stabilize with a rolled towel, apply a cold pack with cloth between, and get to urgent care or ER. Call 911 if the bone is exposed, bleeding heavily, or the injury is to the spine, head, or hip.

Lower them to a dry surface on their side, clear the area of hard objects, do not put anything in their mouth, time the seizure, and call 911 if it lasts over 5 minutes, repeats, follows a head injury, or is the child's first ever. Stay until they are fully alert.