My Blog

Posts for: May, 2019

By contactus@priority-pediatrics.com
May 14, 2019
Category: Immunizations
Tags: immunizations   Vaccines   Autism   Sc ience  

Blume is living proof that the antidote to misinformation about vaccines is science. "I was relieved," she said, "because I didn't hurt him. His autism wasn't my fault."

The current outbreaks of measles around the country are largely a result of parents being afraid to vaccinate their children against the virus. The number one concern? Autism.

This is a show worth watching!

https://www.cbsnews.com/news/mmr-vaccine-teaching-anti-vax-parents-to-trust-science/

http://www.boostoregon.org/


By contactus@priority-pediatrics.com
May 14, 2019
Category: Safety
Tags: safety   First Aid   Emergencies  

By: Kathleen Berchelmann, MD, FAAP

Every year the summer arrives with full force in my ER: cutstickspoison ivy, infected bug bitessunburnseye injuriesbroken bones, and all other kinds of summer fun gone wrong. Luckily, you can easily treat or prevent much of the summer craziness if you are prepared.

Being prepared means you need a "Dr. Mom" first aid kit and know how to use it. Although pre-made store-bought first aid kits are a good start, these kits typically lack many items you'll need for your family.

Shopping List for Your Summer First Aid Kit

So to help you get ready, I have prepared a shopping list below for your summer first aid kit. Get it built now, so that you spend your summer having fun, not in the ER.

  • Pre-made first aid kit: It's cheapest and easiest to start by buying a pre-made kit, because otherwise it is difficult to find small packages of all the different kinds of gauze, tape, and antibiotic ointment you will need. Find a large kit with a sturdy container with extra space to hold all the things you will add to it. Or, get a small duffle bag or backpack to hold your first-aid kit, and start by putting the pre-made kit in the bag. Be sure the pre-made kit includes Band-Aids, gauze, tape, antibiotic ointment, and anti-itch or steroid ointment.
  • Water bottle for cleaning out wounds: The first thing you'll need to do with a crying kid is clean out their wound. And the nearest water source is probably too far to walk. You can use your water bottle to treat dehydration, too.
  • Benadryl (Diphenhydramine): Benadryl is probably the most important over-the-counter medication to have in your first aid kit—it's a first line treatment for insect bites, hives, and other allergic reactions that can be deadly. Some premade kits will include Benadryl tablets, but if you have young children be sure to include a bottle of liquid, Children's Benadryl or the generic equivalent. Benadryl is also a great treatment for an attack of seasonal allergies
  • EpiPen: If you have a family member with a history of severe allergic reactions (anaphylaxis), ask your physician for a prescription. I keep mine in the outside pocket of my first aid kit for quick, easy access.
  • Numbing spray: Wound numbing spray can be purchased over-the-counter at any pharmacy and can really save-the-day when a child is burned, sunburned, or has a painful cut or scrape.
  • Prescription medication: Ask your physician for an extra prescription for any medication you use frequently, especially asthma and allergy medications. Keep the extra supply in your car first-aid kit. You'll be grateful when you can stay at your child's sporting event rather than head home for an inhaler or other medication.
  • Ibuprofen and Tylenol: Most pre-made kits include these standard pain medications, but you will have to add the liquid kind for children.
  • Dramamine, nausea medication: There's an easy fix for vomiting, car sick kids—nausea medication. Don't leave home without it. You'll kick yourself for not having it while you clean the vomit out of your car.
  • Sunblock: The worst sunburns occur when you least expect it—at sports events, or while doing yard work. Have some 30+ sunblock ready to cover those little spots on your ears and neck that your hat doesn't cover. Include some SPF lip balm or ChapStick, too.
  • Bug spray: The best protection comes from a repellant that contains 30% DEET. Insect bites are annoying at best, but at worst they get scratched and infected. We are seeing a growing number of insect bites that become infected with the antibiotic-resistant bacteria MRSA, which is difficult to treat.
  • Afrin nasal spray for nosebleeds: Although I generally don't recommend Afrin nasal spray for congestion related to allergies or illness, Afrin is a quick fix for a nosebleed. This medication causes the capillaries in the nose to constrict, thereby limiting the blood flow to the nasal mucosa and stopping the bleeding.
  • Hydrocortisone ointment: This inexpensive over-the-counter medication will treat almost anything that itches—insect bites, poison ivy, etc. If you stop the itch, the kids won't scratch, and you reduce the risk of secondary infection.
  • Flashlight/headlamp: If you don't have a reliable light on your cell phone, include an LED flashlight or headlamp. You can buy these very affordably now, even at the dollar store. A flashlight is not just for nighttime injuries—you'll need a bright light to get a good look at splinters, or look in kids' mouths, ears, etc.
  • Baby wipes: Even if your kids are out of diapers, a pack of baby wipes is infinitely useful in the car, especially for keeping hands clean and wiping noses.
  • ChapStick: ChapStick or lip balm can sooth cold sores, lip injuries, and sunburned lips in addition to regular chapped lips. You'll be glad you have it when you child complains about their chapped lips for the sixth time in ten minutes while you are on a family outing.
  • Clean towel: A nice clean towel is perfect for setting up your first-aid station while you dress a wound or remove a splinter. It's also useful for containing bleeding on bigger injuries. Consider a highly absorbent microfiber towel that can be stuffed into a small space.
  • Feminine hygiene supplies: Besides their obvious uses, tampons and maxi pads are very helpful for wound management and are an essential part of any first aid kit. Did you know that the modern tampon was invented in the 1800's for management of bullet wounds? An OB-style tampon can very effectively treat a persistent nosebleed. The smallest OB tampons fit nicely in the nose. Bleeding wounds can be easily controlled with a maxi-pad held in place with an ace wrap.
  • Premade finger splint: Not sure if that finger is broken or not? Just put it in a pre-made finger splint until you get your child to the doctor. You can buy premade finger splints at any pharmacy.
  • Alcohol wipes: I mostly use these for sterilizing my first aid kit instruments, such as tweezers and scissors. They are also useful for cleaning skin before trying to remove splinters.
  • ACE bandage: Although a first line treatment for sprains and strains, ACE bandages are also useful for holding bandages in place on bigger wounds, and holding splints on fractures.
  • Small scissors: For cutting dressings to the right size, cutting medical tape, opening packages, trimming fingernails and hangnails, etc.
  • A bottle of Gatorade: Very useful for hypoglycemia, dehydration, etc. Also useful as an occasional bribe for an over-tired, hungry child.
  • Ziploc bags: Ziplocs are essential for keeping track of teeth that fall out or are knocked out. Did you pull a tick off your child? Stick it in the Ziploc bag for later identification. Certain kinds of ticks are more likely to carry pathogens that cause Lyme disease and other illnesses.
  • Tweezers & small magnifying glass: I mostly use these for removing splinters, but occasionally they are necessary to remove bugs from ears, fishing hooks from fingers, etc. Of note, tweezers are NOT the best way to remove a tick—tweezers often cause you to remove the tick body and leave the head in the skin. The best way to remove a small deer tick is to scrape it off with a credit card. You can clean the credit card first with your alcohol wipes. Here's more on how to remove a tick.

Keep Your First Aid Kit in Your Car

You'll never have to remember to pack it. If you need something while you are at home, just go out and get it. If you have more than one family car, consider making a first aid kit for each car.

Additional Information from HealthyChildren.org:


By contactus@priority-pediatrics.com
May 14, 2019
Category: Prevention
Tags: safety   sunburn   Sunblock   sun   burn   suntan  

Encourage your teen to avoid solar radiation between 10 A.M. and 4 P.M

This is when the ultraviolet rays are the harshest. The safest measure—stay indoors or seek shade—isn’t always practical. Next best? Protect that skin by wearing the proper clothing and sunscreen.

Light-colored, tightly woven clothing

Light-colored, tightly woven clothing reflects sunlight rather than absorbs it. A hat with a brim at least three inches wide also affords protection.

Get your teen into the habit of applying sunscreen

And not just when she goes to the beach and not just on bright, sunny days. Even when clouds obscure the sun, 80 percent of its UV light reaches the earth. You can singe your skin during the winter, too, since snow reflects 80 percent of the sun’s rays.

Sunscreens used to be classified according to their sun protection strength, which was expressed as a Sun Protection Factor (SPF) ranging from 2 to 50. The higher the number, the longer the user can stay in the sun without burning. So let’s say that your youngster typically burns in about fifteen minutes. A sunblock with an SPF of 15 would afford him 225 minutes (just under four hours) of safe exposure. If he is dark-complexioned and generally doesn’t burn for, say, forty minutes, the same product would enable him to spend six hundred worry-free minutes outdoors.

Having said that, no one should bake in the sun for that long, regardless of how much sunscreen he slathers on his skin. The U.S. Food and Drug Administration has since pared down the categories to just three strengths: minimum (which corresponds to 2 SPF to 12 SPF), moderate (12 SPF to 30 SPF) and high (30 SPF or greater). Moderate strength is the sensible choice for most people.

Memo to Mom and Dad: Before purchasing sunscreen, look for the words “broad-spectrum” on the label; this assures you that the product screens out both types of ultraviolet light: UVA and UVB. UVA radiation doesn’t burn skin as readily as UVB—and the jury is still out on whether or not it contributes to skin cancer—but we do know that UVA rays penetrate tissue more deeply and age the skin.

Buying sunscreen is the first step; using it correctly is the second

Studies show than most sun worshipers use only about one-fifth to one-half as much sunscreen as they should. To thoroughly cover the entire body—including the ears and hands, which most people neglect—the general rule of thumb is to apply about one ounce of water-resistant lotion or cream fifteen to thirty minutes before going outdoors. Then generously reapply every two hours and immediately after swimming or strenuous activities.

Protect the eyes too

According to the American Optometric Association, sunglasses should block out 99 to 100 percent of both UVA and UVB radiation and screen out 75 to 90 percent of visible light. Gray, green or brown lenses work best.

The American Academy of Dermatology recommends that teens periodically inspect their bodies for suspicious-looking moles

To do this, they’ll need a full-length mirror, a hand mirror, and a well-lit room.

  1. Standing in front of the full-length mirror, examine the front and back of the body. Then, with arms raised, do the same for the left side and the right side.
  2. Bend both elbows and carefully inspect the forearms, the back of the upper arms, and the palms of the hands.
  3. Next, look at the backs of the legs and the feet, the spaces between toes, and the soles of the feet.
  4. Hold up the hand mirror and examine the back of the neck and the scalp. Part hair to lift.
  5. Finally, check the back and the buttocks with the hand mirror.
  6. If you spot any unusual-looking moles, immediately make an appointment with your pediatrician. Skin cancers are eminently treatable when caught early.

By contactus@priority-pediatrics.com
May 14, 2019
Category: Prevention
Tags: repellents   ticks   insects   bugs   mosquitos   camping   outdoors.  

Choosing an Insect Repellent for Your Child

 

Mosquitoes, biting flies, and tick bites can make children miserable. While most children have only mild reactions to insect bites, some children can become very sick.

One way to protect your child from biting insects is to use insect repellents. However, it’s important that insect repellents are used safely and correctly.

Read on for more information from the American Academy of Pediatrics (AAP) about types of repellents, DEET, using repellents safely, and other ways to protect your child from insect bites.

Types of Repellents

Insect repellents come in many forms, including aerosols, sprays, liquids, creams, and sticks. Some are made from chemicals and some have natural ingredients.

Insect repellents prevent bites from biting insects but not stinging insects. Biting insects include mosquitoes, ticks, fleas, chiggers, and biting flies. Stinging insects include bee​s, hornets, and wasps.​​Available Insect Repellents - Chart

NOTE: The following types of products are not effective repellents:

  • Wristbands soaked in chemical repellents

  • Garlic or vitamin B1 taken by mouth

  • Ultrasonic devices that give off sound waves designed to keep insects away

  • Bird or bat houses

  • Backyard bug zappers (Insects may actually be attracted to your yard). ​

About DEET

DEET is a chemical used in insect repellents. The amount of DEET in insect repellents varies from product to product, so it’s important to read the label of any product you use. The amount of DEET may range from less than 10% to more than 30%. DEET greater than 30% doesn’t offer any additional protection.

Studies show that products with higher amounts of DEET protect people longer. For example, products with amounts around 10% may repel pests for about 2 hours, while products with amounts of about 24% last an average of 5 hours. But studies also show that products with amounts of DEET greater than 30% don’t offer any extra protection.

The AAP recommends that repellents should contain no more than 30% DEET when used on children. Insect repellents also are not recommended for children younger th​an 2 months.

Tips for Using Repellents Safely

Dos:

  • Read the label and follow all directions and precautions.

  • Only apply insect repellents on the outside of your child’s clothing and on exposed skin. Note: Permethrin-containing products should not be applied to skin.

  • Spray repellents in open areas to avoid breathing them in.

  • Use just enough repellent to cover your child’s clothing and exposed skin. Using more doesn’t make the repellent more effective. Avoid reapplying unless needed.

  • Help apply insect repellent on young children. Supervise older children when using these products.

  • Wash your children’s skin with soap and water to remove any repellent when they return indoors, and wash their clothing before they wear it again.

Dont's:

  • Never apply insect repellent to children younger than 2 months.

  • Never spray insect repellent directly onto your child’s face. Instead, spray a little on your hands first and then rub it on your child’s face. Avoid the eyes and mouth.

  • Do not spray insect repellent on cu​ts, wounds, or irritated skin.

  • Do not use products that combine DEET with sunscreen. The DEET may make the sun protection factor (SPF) less effective. These products can overexpose your child to DEET because the sunscreen needs to be reapplied often. 

Reactions to Insect Repellents

If you suspect that your child is having a reaction, such as a rash, to an insect repellent, stop using the product and wash your child’s skin with soap and water. Then call Poison Help at 1-800-222-1222 or your child’s doctor for help. If you go to your child’s doctor’s office, take the repellent container with you.

 

Other Ways to Protect Your Child from Insect Bites

While you can’t prevent all insect bites, you can reduce the number your child receives by following these guidelines:

  • Tell your child to avoid areas that attract flying insects, such as garbage cans, stagnant pools of water, and flowerbeds or orchards.

  • Dress your child in long pants, a lightweight long-sleeved shirt, socks, and closed shoes when you know your child will be exposed to insects. A broad-brimmed hat can help to keep insects away from the face. Mosquito netting may be used over baby carriers or strollers in areas whe​re your baby may be exposed to insects.

  • Avoid dressing your child in clothing with bright colors or flowery prints because they seem to attract insects.

  • Don’t use scented soaps, perfumes, or hair sprays on your child because they may attract insects.

  • Keep door and window screens in good repair.

  • Check your child’s skin at the end of the day if you live in an area where ticks are present and your child has been playing outdoors.

  • Remember that the most effective repellent for ticks is permethrin. It should not be applied to skin but on your child’s clothing.


By contactus@priority-pediatrics.com
May 14, 2019
Category: Healthy Kids