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When to Head to the ER
ER Checklist-
The thought of taking your child to the
emergency department can be an emotional
proposition – for you and your little one.
And that hesitation can sometimes delay much-needed
care. So what’s a parent to do? Here are some injuries
or illnesses that can best be handled in an emergency
department setting:
	 • A severe cut or laceration
	 • A serious animal bite
	 • Severe sprains or fractures
	 • Difficulty breathing
	 • Signs of shock, including pale, cold, clammy
skin and/or a rapid pulse
	 • Severe headache accompanied by vomiting
	 • Poisoning
	 • A head or neck injury with loss of conscious-
ness or vomiting
	 • High fever with change in level of alertness or
lasting more than 2 days
	 • Vomiting or diarrhea with signs of dehydration
Brain Injury Checklist-
Symptoms of Potential Brain Injury in Infants
and Toddlers:
	 • Loss of consciousness
	 • Not recognizing parent or making eye contact
	 • Vomiting
	 • Listlessness,irritability or other behavior changes
	 • Tiring easily
	 • Change in appetite
	 • Change in sleep pattern
	 • Lack of interest in favorite toys or activities
	 • Loss of new developmental milestones, such
as toilet training
	 • Unsteady walking
If your child exhibits any of
these symptoms after a bump on
the head, take your child to your
local emergency department for
a complete assessment.
www.skyridgemedcenter.com
Sue Kirelik, MD, medical director of Pediatric Emergency
Services and chair of the Pediatric Department at Sky
Ridge Medical Center in Lone Tree
Rest a ‘Must’ After Head Trauma
Head injuries are especially concern-
ing because symptoms of concussion
or brain injury are sometimes subtle.
After a head injury, it is imperative that children rest
– mentally and physically – until they are fully recov-
ered, says Sue Kirelik, MD, medical director of Pediatric
Emergency Services and chair of the Pediatric Depart-
ment at Sky Ridge Medical Center in Lone Tree.
“After a concussion, any increase in blood flow to the
brain from physical or mental activity can cause dizzi-
ness, nausea and other symptoms,” she says. “Rest is the
only treatment.” Research shows that kids who rest af-
ter a concussion recover significantly more quickly than
those who do not. Most children recover in about a
week, but some require a lot longer. A child might need
to stay home for a matter of days or weeks, or in rare
cases, even months.
Get It in Writing!
Keep a medical record for your child
and be sure to bring it with you.
“When you arrive at an emergency department, it’s
important to have a good handle on your child’s
symptoms,” says Dr. Kirelik. “It’s also critical to know
your child’s medical history – allergies, past illness-
es, injuries, surgeries or chronic conditions. You may
know this medical history by heart. But consider writ-
ing it down so it’s handy during a stressful situation.
And making a written record readily available at home
will allow anyone caring for your child – such as a
babysitter or grandparent – to provide it to emergency
department staff.”
Your child’s medical history should include:
	 • Medications your child is taking including over
the counter medications, herbal or alterna-
tive medications and vitamins
	 • Immunizations
	 • Allergies
	 • History of previous hospitalizations
	 • Any previous surgeries
	 • Illnesses
	 • Relevant family history
Understanding the care that is provided at your local
hospital will also reassure you in an emergency. “At
Rocky Mountain Hospital for Children at Sky Ridge,
for instance, we have pediatricians in the Emergency
Department 24 hours a day,” notes Dr. Kirelik. “This
gives our parents peace of mind knowing that their
child will be seen by a physician who specializes in
children and their well-being.”
When to Head to the ER
www.skyridgemedcenter.com
Physician Resources Guide
www.rockymountainhospitalforchildren.com
Physician Referral Line: 1-877-752-2737 pslmc.com
Pediatric Medical/Surgical Specialists
Adolescent Medicine
	 Christine Gilroy, MD				303-869-2160 			
	 Richard Miranda, MD 		303-869-2160 			
Allergy  Asthma
	 Sanford E. Avner, MD		303-706-9923
Asthma
	 Margarita Guarin, MD			303-831-9853 			
	 Tania Khan, MD 					 				 	303-869-2120 		
	 Lee Rusakow, MD 				 				 	303-831-9853 	 	
Cardiology										303-860-9933 	
	 Samuel Brescia, MD 			
	 Douglas Christensen, MD		
	 David Miller, MD	 	 		
	 Jane Nydam, MD
Cleft Palate  Craniofacial Clinic 303-320-7122
Congenital Deformities: Hand
	 Laurel Benson, MD 				303-861-2663	
	 David Schnur, MD 			303-830-7200	
Congenital Deformities: Leg
	 Laurel Benson, MD 				303-861-2663	
	 David Hahn, MD 				 	303-837-0072	
Craniofacial Surgery
	 Khalid Chowdhury, MD 			303-839-5155	
	 Mario Imola, MD 					303-839-7980	
Dermatology
	 Meg Lemon, MD 					303-831-0400 	
	 Margaret Muldrow, MD 			303-830-2900	
	 Barbara Reed, MD 				303-322-7789	
Developmental
Next Step Developmental Clinic			303-839-6798
							866-610-4076
Endocrinology
	 Clifford Bloch, MD 			 	303-783-3883	
	 Stephanie Hsu, MD				303-795-3375	
	 Aristides Maniatis, MD 			303-783-3883	
	 Sunil Nayak, MD 			 	 	303-783-3883	
Gastroenterology
	 Jose Barrios, MD 					303-869-2121	
	 Sandy Oesterreicher, MD 			303-869-2121	
	 Jeff Rosensweig, MD 			303-830-9190	 	
	 Ted Stathos, MD 					303-869-2121	
Gynecology: Adolescent
	 Carol Stamm, MD 				303-869-2158	
Hand Surgery
		Laurel Benson, MD 			 	303-831-9861	 			
	 William Brown, MD 				303-830-7200	
	 David Schnur, MD 				303-830-7200	
	 Conrad Tirre, MD 				303-830-7200	
Hematology Office			303-832-2344	
	 Jennifer Clark, MD 			
	 Lorrie Odom, MD 			
	 Julie Zimbelman, MD 		
Infectious Disease			 		 303-831-4774	
	 Ray Blum, MD 		
	 Wendy Gill, MD 				
	 Matthew Terra, MD 		
Nephrology
	 Ian Dresner, MD 				 	 970-947-9999	
	 (Request Denver P/SL Clinic)
Neurology				 	 303-226-7230	
	 Jessica Litwin, MD	
	 Benjamin Ross, MD
Neurosurgery
	 Roderick Lamond, MD 	 303-861-2266	
	 Renatta Osterdock, MD 	 303-832-2449	
Oncology					 303-832-2344	
	 Jennifer Clark, MD
	 Lorrie Odom, MD
	 Julie Zimbelman, MD 	
Ophthalmology					 303-456-9456	
	 Christopher Bardorf, MD 	
	 Justin Cohen, MD
	 Diana DeSantis, MD 	
		Robert King, MD 	
	 Adrienne Ruth, MD
	 Anna Steele, MD 	
Orthopedics
	 Laurel Benson, MD 			 303-861-2663	
	 David Hahn, MD 					 303-837-0072	
Orthopedic Injury Clinic 	 303-861-2663	
Orthopedic Oncology Office	303-837-0072	
	 Ronald Hugate, MD	
	 Cindy Kelly, MD
	 Ross Wilkins, MD
Orthopedics: Sports Medicine
	 Kris Geiger, MD 					 303-861-2663	
Otolaryngology (ENT)
Head Neck Office	
	 James Jaskunas, MD			 303-839-7900 	
	 Nigel Pashley, MD
Physiatry/Physical Medicine
	 Suzanne Rosenberg, MD 	 303-881-3739	
Plastic Surgery Office		 303-830-7200	
	 William Brown, MD 	
	 David Schnur, MD
	 Conrad Tirre, MD 	
Psychiatry
	 Asa Yancey, MD 					 303-740-0400	
Psychology
	 Jeanne Floerke, Psy D 		 303-861-1128	
Pulmonology
	 Margarita Guarin, MD 	 303-831-9853	
	 Tania Khan, MD 					 303-869-2120	 		
	 Lee Rusakow, MD 				 303-831-9853	
Sleep Medicine
	 Robert Ballard, MD				 303-832-2955	
	 Jessica Litwin, MD				 303-226-7230 	 	
	 Sleep Scheduling 					 303-869-2069 	
Spine and Scoliosis
	 Shay Bess, MD					 303-788-5230	
Surgery: General  Minimally 	
Invasive Office
	 Saundra Kay, MD					 303-839-6001	
	 Steve Rothenberg, MD 	
	 Kristin Shipman, MD	
	 Suzanne Yoder, MD
Tracheostomy Clinic 			 303-839-7900
Urology					 303-839-7200	
	 Bruce Blyth, MD 	
	 Peter D. Furness, III, MD
	 Stan Galansky, MD 			 303-733-8848
HealthONE Pediatric Emergency					
The Medical Center of Aurora 	
												 303-695-2780
Centennial Medical Plaza 	 303-699-3060
North Suburban Medical Center
												 303-450-4519
Presbyterian/St. Luke’s Medical Center 	
												 303-563-3111
Rose Medical Center	 	 303-320-2455
Sky Ridge Medical Center	 720-225-1900 		
Southwest ED 					 303-932-6911
Swedish Medical Center 	 303-788-6911
Reginald L. Washington, MD
FAAP, FACC, FAHA
Chief Medical Officer
303-839-6100
Jack HT Chang, MD
Pediatric Physician Liaison
303-839-6100
They’ll be cared for in an emergency depart-
ment staffed with pediatricians 24/7.
They’ll be seen by doctors who are board
certified pediatricians, and by nurses who
are trained in pediatrics.
They’ll have access to many of Denver’s finest
pediatric specialists, right here close to home
at our pediatric specialty center.
Parents want the best possible care for their
sick or hurt child. So, Sky Ridge has expanded
its services for kids by becoming an affiliate of
HealthONE’s Rocky Mountain Hospital for Chil-
dren. All this care from Sky Ridge – the hospital
you already know and trust – 24 hours a day.
To learn more about all we’re doing for children
go to - www.skyridgemedcenter.com
PARENTS - DID YOU KNOW? When your child
comes to Rocky Mountain Hospital for Children
at Sky Ridge:
©2008HealthONELLC
We welcome Kaiser Permanente Members in the Emergency Department I-25  Lincoln, Phone - 720 . 225 . 1000

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When to head to the er skyridge

  • 1. When to Head to the ER ER Checklist- The thought of taking your child to the emergency department can be an emotional proposition – for you and your little one. And that hesitation can sometimes delay much-needed care. So what’s a parent to do? Here are some injuries or illnesses that can best be handled in an emergency department setting: • A severe cut or laceration • A serious animal bite • Severe sprains or fractures • Difficulty breathing • Signs of shock, including pale, cold, clammy skin and/or a rapid pulse • Severe headache accompanied by vomiting • Poisoning • A head or neck injury with loss of conscious- ness or vomiting • High fever with change in level of alertness or lasting more than 2 days • Vomiting or diarrhea with signs of dehydration Brain Injury Checklist- Symptoms of Potential Brain Injury in Infants and Toddlers: • Loss of consciousness • Not recognizing parent or making eye contact • Vomiting • Listlessness,irritability or other behavior changes • Tiring easily • Change in appetite • Change in sleep pattern • Lack of interest in favorite toys or activities • Loss of new developmental milestones, such as toilet training • Unsteady walking If your child exhibits any of these symptoms after a bump on the head, take your child to your local emergency department for a complete assessment. www.skyridgemedcenter.com Sue Kirelik, MD, medical director of Pediatric Emergency Services and chair of the Pediatric Department at Sky Ridge Medical Center in Lone Tree
  • 2. Rest a ‘Must’ After Head Trauma Head injuries are especially concern- ing because symptoms of concussion or brain injury are sometimes subtle. After a head injury, it is imperative that children rest – mentally and physically – until they are fully recov- ered, says Sue Kirelik, MD, medical director of Pediatric Emergency Services and chair of the Pediatric Depart- ment at Sky Ridge Medical Center in Lone Tree. “After a concussion, any increase in blood flow to the brain from physical or mental activity can cause dizzi- ness, nausea and other symptoms,” she says. “Rest is the only treatment.” Research shows that kids who rest af- ter a concussion recover significantly more quickly than those who do not. Most children recover in about a week, but some require a lot longer. A child might need to stay home for a matter of days or weeks, or in rare cases, even months. Get It in Writing! Keep a medical record for your child and be sure to bring it with you. “When you arrive at an emergency department, it’s important to have a good handle on your child’s symptoms,” says Dr. Kirelik. “It’s also critical to know your child’s medical history – allergies, past illness- es, injuries, surgeries or chronic conditions. You may know this medical history by heart. But consider writ- ing it down so it’s handy during a stressful situation. And making a written record readily available at home will allow anyone caring for your child – such as a babysitter or grandparent – to provide it to emergency department staff.” Your child’s medical history should include: • Medications your child is taking including over the counter medications, herbal or alterna- tive medications and vitamins • Immunizations • Allergies • History of previous hospitalizations • Any previous surgeries • Illnesses • Relevant family history Understanding the care that is provided at your local hospital will also reassure you in an emergency. “At Rocky Mountain Hospital for Children at Sky Ridge, for instance, we have pediatricians in the Emergency Department 24 hours a day,” notes Dr. Kirelik. “This gives our parents peace of mind knowing that their child will be seen by a physician who specializes in children and their well-being.” When to Head to the ER www.skyridgemedcenter.com
  • 3. Physician Resources Guide www.rockymountainhospitalforchildren.com Physician Referral Line: 1-877-752-2737 pslmc.com Pediatric Medical/Surgical Specialists Adolescent Medicine Christine Gilroy, MD 303-869-2160 Richard Miranda, MD 303-869-2160 Allergy Asthma Sanford E. Avner, MD 303-706-9923 Asthma Margarita Guarin, MD 303-831-9853 Tania Khan, MD 303-869-2120 Lee Rusakow, MD 303-831-9853 Cardiology 303-860-9933 Samuel Brescia, MD Douglas Christensen, MD David Miller, MD Jane Nydam, MD Cleft Palate Craniofacial Clinic 303-320-7122 Congenital Deformities: Hand Laurel Benson, MD 303-861-2663 David Schnur, MD 303-830-7200 Congenital Deformities: Leg Laurel Benson, MD 303-861-2663 David Hahn, MD 303-837-0072 Craniofacial Surgery Khalid Chowdhury, MD 303-839-5155 Mario Imola, MD 303-839-7980 Dermatology Meg Lemon, MD 303-831-0400 Margaret Muldrow, MD 303-830-2900 Barbara Reed, MD 303-322-7789 Developmental Next Step Developmental Clinic 303-839-6798 866-610-4076 Endocrinology Clifford Bloch, MD 303-783-3883 Stephanie Hsu, MD 303-795-3375 Aristides Maniatis, MD 303-783-3883 Sunil Nayak, MD 303-783-3883 Gastroenterology Jose Barrios, MD 303-869-2121 Sandy Oesterreicher, MD 303-869-2121 Jeff Rosensweig, MD 303-830-9190 Ted Stathos, MD 303-869-2121 Gynecology: Adolescent Carol Stamm, MD 303-869-2158 Hand Surgery Laurel Benson, MD 303-831-9861 William Brown, MD 303-830-7200 David Schnur, MD 303-830-7200 Conrad Tirre, MD 303-830-7200 Hematology Office 303-832-2344 Jennifer Clark, MD Lorrie Odom, MD Julie Zimbelman, MD Infectious Disease 303-831-4774 Ray Blum, MD Wendy Gill, MD Matthew Terra, MD Nephrology Ian Dresner, MD 970-947-9999 (Request Denver P/SL Clinic) Neurology 303-226-7230 Jessica Litwin, MD Benjamin Ross, MD Neurosurgery Roderick Lamond, MD 303-861-2266 Renatta Osterdock, MD 303-832-2449 Oncology 303-832-2344 Jennifer Clark, MD Lorrie Odom, MD Julie Zimbelman, MD Ophthalmology 303-456-9456 Christopher Bardorf, MD Justin Cohen, MD Diana DeSantis, MD Robert King, MD Adrienne Ruth, MD Anna Steele, MD Orthopedics Laurel Benson, MD 303-861-2663 David Hahn, MD 303-837-0072 Orthopedic Injury Clinic 303-861-2663 Orthopedic Oncology Office 303-837-0072 Ronald Hugate, MD Cindy Kelly, MD Ross Wilkins, MD Orthopedics: Sports Medicine Kris Geiger, MD 303-861-2663 Otolaryngology (ENT) Head Neck Office James Jaskunas, MD 303-839-7900 Nigel Pashley, MD Physiatry/Physical Medicine Suzanne Rosenberg, MD 303-881-3739 Plastic Surgery Office 303-830-7200 William Brown, MD David Schnur, MD Conrad Tirre, MD Psychiatry Asa Yancey, MD 303-740-0400 Psychology Jeanne Floerke, Psy D 303-861-1128 Pulmonology Margarita Guarin, MD 303-831-9853 Tania Khan, MD 303-869-2120 Lee Rusakow, MD 303-831-9853 Sleep Medicine Robert Ballard, MD 303-832-2955 Jessica Litwin, MD 303-226-7230 Sleep Scheduling 303-869-2069 Spine and Scoliosis Shay Bess, MD 303-788-5230 Surgery: General Minimally Invasive Office Saundra Kay, MD 303-839-6001 Steve Rothenberg, MD Kristin Shipman, MD Suzanne Yoder, MD Tracheostomy Clinic 303-839-7900 Urology 303-839-7200 Bruce Blyth, MD Peter D. Furness, III, MD Stan Galansky, MD 303-733-8848 HealthONE Pediatric Emergency The Medical Center of Aurora 303-695-2780 Centennial Medical Plaza 303-699-3060 North Suburban Medical Center 303-450-4519 Presbyterian/St. Luke’s Medical Center 303-563-3111 Rose Medical Center 303-320-2455 Sky Ridge Medical Center 720-225-1900 Southwest ED 303-932-6911 Swedish Medical Center 303-788-6911 Reginald L. Washington, MD FAAP, FACC, FAHA Chief Medical Officer 303-839-6100 Jack HT Chang, MD Pediatric Physician Liaison 303-839-6100
  • 4. They’ll be cared for in an emergency depart- ment staffed with pediatricians 24/7. They’ll be seen by doctors who are board certified pediatricians, and by nurses who are trained in pediatrics. They’ll have access to many of Denver’s finest pediatric specialists, right here close to home at our pediatric specialty center. Parents want the best possible care for their sick or hurt child. So, Sky Ridge has expanded its services for kids by becoming an affiliate of HealthONE’s Rocky Mountain Hospital for Chil- dren. All this care from Sky Ridge – the hospital you already know and trust – 24 hours a day. To learn more about all we’re doing for children go to - www.skyridgemedcenter.com PARENTS - DID YOU KNOW? When your child comes to Rocky Mountain Hospital for Children at Sky Ridge: ©2008HealthONELLC We welcome Kaiser Permanente Members in the Emergency Department I-25 Lincoln, Phone - 720 . 225 . 1000