Diese Präsentation wurde erfolgreich gemeldet.
Wir verwenden Ihre LinkedIn Profilangaben und Informationen zu Ihren Aktivitäten, um Anzeigen zu personalisieren und Ihnen relevantere Inhalte anzuzeigen. Sie können Ihre Anzeigeneinstellungen jederzeit ändern.

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.

  • Loggen Sie sich ein, um Kommentare anzuzeigen.

  • Gehören Sie zu den Ersten, denen das gefällt!

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?