Dr. M.J. Bazos, MD,
4 Year Old
• Establish and enforce consistent,
explicit, and firm rules for safe
• Use a car seat or a
properly secured booster until the child weighs 27 kg (60lb) or his head is
higher than the back of the seat.
Ensure that swimming pools in the child's community, in his apartment complex,
or at his home have a four-sided fence with a self-closing, self-latching gate.
Children should be supervised by an adult whenever they are in or around water.
Teach the child how to swim.
Continue to put sunscreen on the child before he goes outside to play or swim.
Sunscreens should be of at least a Sun Protection Factor of
• Continue to keep the child's
environment free of smoke. Keep the home and car nonsmoking zones. Test smoke
detectors to ensure that they work properly. Change batteries
• Keep cigarettes, lighters,
matches, alcohol, and electrical tools locked up and/or out of the child's sight
• Exclude poisons,
medications, and toxic household products from the home or keep them in locked
cabinets. Have safety caps on all medications. Keep Syrup of Ipecac in the home
to be used as directed by the poison control center or the health professional.
Never give Ipecac or induce vomiting without first contacting the poison control
• Ensure that guns, if in the
home, are locked up and that ammunition is stored separately. A trigger lock is
an additional important precaution.
Never leave the child alone in the car or the house or while taking a bath.
Supervise all play near streets or driveways. Know where the child is all the
time. He is too young to be roaming the neighborhood alone. Teach your child
pedestrian and neighborhood safety skills. Teach the child about
Ensure that the child wears a bicycle helmet when riding a tricycle or a bicycle
with training wheels.
caregivers carefully. Discuss with them their attitudes about and behavior in
relation to discipline. Prohibit corporal
• Teach the child safety
rules regarding strangers.