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Parenting U: Responding to Emergencies

"Responding to Emergencies" with Dr. Kevin Haughton, East Olympia Family Medicine, and Dr. Joe Pellicer, Providence St. Peter Hospital Emergency Center, May 2011 in Olympia.

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Parenting U: Responding to Emergencies

  1. 1. Pediatric Emergencies Kevin Haughton, MDProvidence Medical Group – East Olympia Family Medicine With special guest Joe Pellicer, MD, Emergency Medicine
  2. 2. Kevin Haughton, MD • Served as director of St. Peter Family Medicine Residency Program for 11 years. • Providence Medical Group Primary Care Section Chief • Enjoys making personal connections with patients and their families. Cares for all ages at East Olympia Family Medicine, to schedule an appointment call 360.486.6777
  3. 3. Topics we will cover • Choking • Poisoning • Bug bites and bee stings • Rashes and sunburns • Sprains and head injuries • Heat exposure • Home medicine cabinet • Travel medical supplies
  4. 4. Choking • Higher risk at younger age • Small portions • Ample time • Good posture • Cut up food: half inch maximum less than 4 yo • Limit distractions while eating • Avoid feeding while in the car • Airway the size of drinking straw
  5. 5. Choking • Hidden toys in seat cushions • Coins, marbles, • Watch batteries, pieces of other toys • American Red Cross CPR class • Medic One: 360-704-2780 • Babysitter training
  6. 6. Poisoning • Identify the poison • Call poison control: 1-800-222-1222 • Dilute the poison: drugs, plants, contaminated food • Avoid absorption • Do not induce vomiting in kids who are not fully conscious and awake
  7. 7. Poisoning continued • Syrup of Ipecac • Controversial • No longer made • Do not use with drain cleaner, petroleum based products (kerosene or gasoline), or corrosive chemical product • Do not induce vomiting if the patient is not fully conscious and coherent • Substitute for Ipecac: drink 2 tbsp. of mild soap or 1 tbsp. of dried mustard mixed with a half liter of water; tickle the back of the throat. 1-800-222-1222
  8. 8. Bug Bites & Bee Stings • Mostly mosquitoes • Watch the time outdoors • Do not allow standing water near your house • Long sleeve shirts and trousers • DEET and permethrin
  9. 9. Spiders Bites,Bee Stings • Much maligned spiders • Deer and horse flies • Fleas and bed bugs • Yellow jackets and wasps • Bee stings • Remove stinger, wash thoroughly, ice, antihistamine • 911 Emergency: trouble breathing, swelling around face or mouth, hoarse voice, feeling weak, or turning blue
  10. 10. Rashes • Fewer rashes than we used to see • Impetigo – common • Sick with fever and rash may need further evaluation
  11. 11. Sunburn • Sunscreen, shade, cover skin, avoid 11AM – 2PM • Fluids, tylenol, ibuprofen, cool packs, aloe vera • Avoid burning
  12. 12. Fevers • Febrile seizures • Can get goofy with high fevers • Tylenol or ibuprofen will lower temp – treats symptoms only not curing underlying problem • Ear infections may not need antibiotics
  13. 13. Heat injuries • Heat exhaustion – thirsty, headache, nausea, vomiting, irritability, muscle cramps • Heat stroke – confusion, seizure, loss of consciousness • Prevention – lots of fluids, light colored clothing, avoid excessive heat with exercise • If concerned, bring the child into a cool shady spot
  14. 14. Vomiting, diarrhea,and dehydration • Fluids: popsicle, jello, pedialyte – small amounts frequently • Abdominal pain: appendicitis usually no appetite, fever, and severe abdominal pain – progresses rapidly • Jump up and down test • Blood in diarrhea?
  15. 15. Unintentional injuries • Falls are the most common • Being hit by something • Car accidents • Head injuries • Hope to avoid CT scans
  16. 16. What to saywhen you call: • How old is the child? • How far did he fall? • What did she land on? • Is there any blood or broken bones? • Did he lose consciousness? • What is she acting like now?
  17. 17. Injury Prevention • Helmets • Car seats • No walkers • Water can be dangerous – do not leave kids unsupervised
  18. 18. Home MedicineCabinet First Aid Kit • Get rid of bad stuff: old medicines • Tylenol, ibuprofen • Bandaids, antibiotic ointment • Gauze, moleskin, tape, ace wrap, safety pins • Benadryl, Hydrocortisone cream • Thermometer • List of contacts and emergency phone numbers • First Aid Manual
  19. 19. Travel medicine supplies• Encourage travel – good for kids• Basic first aid plus: – insect repellent, sunscreen, motion sickness medication, safety pins, Afrin or drinking for airplanes• Wash your hands – consider bringing hand sanitizer• Be careful of cars & dogs• Get vaccinated
  20. 20. Questions?