Posts for category: Pediatric Care
- You or your child hears a snap or grinding noise as the injury occurs
- Your child experiences swelling, bruising or tenderness to the injured area
- It is painful for your child to move it, touch it or press on it
- The injured part looks deformed
What Happens Next?
- Call 911 - If your child has an 'open break' where the bone has punctured the skin, if they are unresponsive, if there is bleeding or if there have been any injuries to the spine, neck or head, call 911. Remember, better safe than sorry! If you do call 911, do not let the child eat or drink anything, as surgery may be required.
- Stop the Bleeding - Use a sterile bandage or cloth and compression to stop or slow any bleeding.
- Apply Ice - Particularly if the broken bone has remained under the skin, treat the swelling and pain with ice wrapped in a towel. As usual, remember to never place ice directly on the skin.
- Don't Move the Bone - It may be tempting to try to set the bone yourself to put your child out of pain, particularly if the bone has broken through the skin, do not do this! You risk injuring your child further. Leave the bone in the position it is in.
A new baby needs a lot of things. From bottles and car seats to high chairs and baby monitors, an expectant parent has a lot of decisions and purchases to make before baby’s arrival. Considering your baby will spend a great deal of time here, a crib is one of the most important things a parent will buy.
Whether you’re shopping for a brand new crib or receiving a hand-me-down from a relative or friend, remember to evaluate your baby’s resting place carefully to ensure it meets all of the safety guidelines. You can visit the Consumer Product Safety Commission (CPSC) website for information regarding all of these important safety standards.
There are many types of cribs available today, and parents will want to be educated about safety features and guidelines before choosing one for their baby. Here are a few helpful tips from the AAP:
- Make sure the crib meets current safety standards before purchasing it. As of June 28, 2011, new federal safety standards prohibit the manufacture or sale of drop-side rail cribs. The standards also require stronger hardware and increased durability.
- If you have a crib that was manufactured before the new safety standards were enacted, contact the manufacturer to see if they offer hardware to keep the drop side from being raised or lowered. Consider buying a new crib that meets the stronger standards, if possible.
- Read and follow the directions carefully for setting up, using and caring for the crib.
- Regularly inspect your crib’s screws and hardware, and tighten them as necessary.
- The mattress should fit snugly in the crib to prevent the baby from slipping between the mattress and the crib sides. As a general rule, no more than two of your fingers should fit between the mattress and the side of the crib.
- Do not use the crib if there are any missing, damaged or broken parts, and never substitute original parts with pieces from a hardware store. Always contact the crib manufacturer for replacement materials.
- Be sure to inspect every crib your child uses—from grandma’s house to the day care center—for safety.
- Visit the US Consumer Product Safety Commission website to see if your crib has been recalled.
- The slats of the crib should be no more than 2 3⁄8 inches apart, as widely spaced slats can trap the infant.
- All surfaces of the crib should be covered with lead-free paint, and the wood should be smooth and free of splinters.
Remember, your baby will spend many hours in his or her crib. Take special care to ensure that your baby’s sleeping place offers very little opportunity for injuries and problems. You can learn more about crib safety standards, as well as safe bedding practices by visiting www.healthychildren.org and www.cpsc.gov, or by contacting your pediatrician for more information.
A number of factors can cause a child to develop a headache, such as stress, lack of sleep, skipped meals and certain medications. Other times a child may suffer from a headache due to a common illness or infection, such as a cold or flu. And in serious cases, head trauma or an underlying condition such as meningitis could be causing the child’s headache. That’s why it’s important for parents to pay close attention to their child’s headache patterns.
Although it’s easy for parents to worry, most headaches in children are rarely a sign of something serious. However, parents should contact their child’s pediatrician if the child has unexplained or recurring headaches over a short period of time or on a regular basis.
Parents should also notify their pediatrician if the child’s headache is accompanied by one or any combination of these symptoms:
- Double vision, weakness in a limb or loss of balance
- Disabling pain that does not improve with over-the-counter pain medication
- Interrupted sleep
- Decreased level of alertness
- Change in personality
To help pinpoint the causes of your child’s headaches, parents should keep a diary of their child’s symptoms. Track when headaches occur, how long they last, the severity of the headache and if anything provides relief. Over time, your notes can help you and your pediatrician understand the child’s symptoms to reach a diagnosis and proper treatment plan.
Your child’s pediatrician may also ask you a series of questions to determine the source of your child’s headaches:
- Do the headaches follow a pattern or do they change over time?
- Has your child recently suffered a serious injury?
- What seems to help or worsen headaches?
- Does your child take any medications or have any past medical issues?
- Does your child have allergies?
- Is there a history of headaches in your family?
In many cases, a child’s headache may be relieved at home with simple care. Over-the-counter pain medications, rest and avoiding those triggers that prompt headaches may be enough to ease the pain.
Remember, headaches are not always a symptom of something more serious. However, parents should be mindful of the types of headaches their child has and how frequently they occur. If you suspect something is wrong or not normal, always contact your pediatrician for an appointment.