CHATTANOOGA (WRCB)-- During these warm summer months kids are often more active and have more free time.
Unfortunately for some that can spell trouble.
For all the hours Ryan Brill spends on the playground, he knows it only takes a split second for something to go wrong.
Just weeks ago Ryan fell while playing on one and ended up in the hospital with a badly broken leg.
"You just don't think about stuff like that when you let your kids go out and play on a playground. It's just something you don't think about," says Stephanie Brill, Ryan's mother.
Unfortunately it is something Dr. Kathy Ness thinks about, especially this time of year.
She and her team have charted injuries that cause kids to be hospitalized.
Ness says there are some very familiar seasonal patterns.
Consistently topping the list of the top five ways summer injuries occur are falls.
Things like trampolines can prove dangerous but most often, as in Ryan's case, injuries come from things parents may assume are much safer.
"Kids tend to be top heavy. Our younger kids fall and hit their heads a lot, so we see a lot of head injuries. In the summer though, we see a lot of falls from playground equipment," says Dr. Ness.
At number two are bike injuries, usually from kids not wearing helmets. Also, injuries on motorized vehicles like scooters and ATVs.
Burns are in the top five, but not always from fireworks.
This is an injury that differs according to age groups and may be something parents don't often think about.
"The younger kids that are climbing and pulling food off of the counter. They tend to get scald burns. Our older kids, particularly in the teenagers, most of their burns are sustained with direct contact from the fire," says Dr. Ness.
Vehicle accidents round out the top five. While kids have little control over them, they can be made worse for kids if parents don't use car seats properly.
Doctors say you may not be able to avoid the top five causes for injuries entirely, but keeping a close eye on your kids this summer is the one thing that's sure to help.
While they don't crack the top five, near-drownings are also a serious problem this time of year.
Most of the time kids get into trouble in backyard pools and in landscaping ponds.
Experts say you should always watch your children around water and never rely on flotation devices to protect them unless they are approved life vests.