TIP TUESDAY: EAR INFECTIONS

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  • TIP TUESDAY: Ear infections, also called otitis media, are a common problem in children. It is an infection in the middle section of the ear. Symptoms include pain, pulling on the ear, fever, temporary hearing loss, loss of appetite and general irritability. An ear infection can be caused by a virus or a bacteria and treatment may depend on several factors. This includes your child’s age, history of previous infections, and any underlying medical conditions. Most ear infections are caused by a virus but occasionally have a bacterial component that warrants antibiotics. Your doctor may recommend a period of “observation” for your child. This is to help determine whether antibiotics are actually needed. Symptoms may improve on their own, and you will have just saved your child from the pesky side effects of antibiotics and the chance of antibiotic resistance – a win for all! If you think your child has an ear infection, have them evaluated by a medical professional. 👂🏻👀👩🏻‍⚕️



    #ear #infection #otitismedia #virus#bacteria #fever #baby #infant #childhood#pediatrics #ER #urgentcare #physician#doctor #parenting #medicine #education#3MD #hospitalgrade #firstaid #babySTAT#kidSTAT

TIP TUESDAY: HAND-FOOT-MOUTH DISEASE

TIP TUESDAY: HAND-FOOT-MOUTH DISEASE

TIP TUESDAY: As if you don’t already have enough reasons to wash your hands. Hand, foot, and mouth disease (HFMD) is an acute viral illness that presents as discolored spots or bumps in the mouth, but can also involve the hands, feet, buttocks and genitalia. It is most commonly caused by the Coxsackie family of viruses.  Patients with HFMD often report sore throat and mouth, general malaise and fever. The diagnosis is typically based on clinical grounds, as HFMD is one of the most recognizable viral exanthems in adults and children. There is no specific antiviral medication for HFMD and the treatment is supportive. This includes ensuring adequate fluid intake (preferably cold liquids), avoiding spicy or acidic foods (which may cause discomfort) and treating any fever and/or pain with ibuprofen or acetaminophen. The illness is self-limited but can unfortunately cause you or your loved one to feel miserable for up to a week. Since HFMD is contagious, those infected should not go to work, daycare or school. But hey, at least it gives you a valid excuse to stay home and eat popsicles. 



#handfootmouthdisease #coxsackie #rash#viral #viralexanthem #handhygiene#handwashing #prevention #education#health #ER #emergency #hospital#hospitalgrade

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TIP TUESDAY: Brain Injury Awareness Month

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TIP TUESDAY: March is Brain Injury Awareness Month. As emergency physicians, brain injury is a topic very near and dear to our hearts (and brains!) We regularly care for individuals with head injuries due to trauma, and we know firsthand how devastating they can be for patients and their families. Here are some statistics about traumatic brain injuries (TBIs) that may surprise you: • According to the CDC, more than 1.7 million TBIs occur each year

• 52,000 result in death

• 275,000 cause hospitalization

• 1.4 million require an emergency room visit

• TBIs cost $76.5 billion each year • 75% of TBIs are concussions

• Children, teenagers, and the elderly are the most likely to suffer a TBI

• The majority of TBIs in children and teenagers occur during sports, most commonly biking, football, playground activities, basketball and soccer

• A young athlete who suffers a concussion is three times more likely to suffer a repeat concussion in the same season

So how do you go about your day protecting yourself and the ones you love?  Simple. Wear a seatbelt. Never drink and drive. Pay attention and obey traffic laws. Install window guards and safety gates to keep small children from falling from great heights. Wear a helmet. Practice good sportsmanship. Never return to an activity after a concussion unless evaluated, treated and cleared by a medical professional. 

For more information on brain injuries, visit the Brain Injury Association of America at www.biausa.org#ChangeYourMind

#brain #injury #headinjury #trauma #traumaticbraininjury #prevention #sports #safety #helmet #concussion #seatbelt #emergency #education #emergency #doctor #3MD #hospitalgrade #firstaid

TIP TUESDAY: Daylight savings & circadian rhythm

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TIP TUESDAY: Your circadian rhythm is your body’s natural, 24-hour internal clock. Is is also known as your sleep-wake cycle. A part of your brain (the hypothalamus) controls your circadian rhythm and it is affected by lightness and darkness. When it’s dark, your eyes send a signal to the hypothalamus that it’s time to feel tired. In response, your body releases melatonin, making you tired. (Note: this is why shift work is terrible for your circadian rhythm… sleeping during the day at peak sunlight is not what your body normally does.) Your circadian rhythm works best when you maintain regular sleep habits, like going to bed at night and waking up in the morning at the same time each day. When things get in the way, like jet lag, daylight savings time, or something on TV that you must absolutely stay up to see how it ends (thank you, World Series) it can disrupt your circadian rhythm. This can leave you feeling out of sorts, or in the case of our children, behaving like little beasties for the past several days...😫 Get back on track through a regular sleeping routine and try to minimize any further disruptions to your sleep-wake cycle. 🌒

#sleep #wake #circadianrhythm #daylight #daylightsavings #routine #goodnight #goodmorning #health #education #3MD #physician #doctor #ER #hospitalgrade

TIP TUESDAY: Halloween

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TIP TUESDAY: Be safe out there tonight! The name of the game is visibility. 👀 Before you take your ghouls & goblins trick or treating, make sure everyone can see and be seen. Limit masks & eyewear, use reflective tape on costumes, and attach bike lights on your wagons & strollers.  Remind children not to cross the street outside of designated crosswalks and to always watch out for cars. Traveling in groups is best. 🎃👹👻

Happy Halloween!

#halloween #safety #costumes #trickortreat #prevention #emergency #ER #doctor #parent #education #3MD #hospitalgrade

TIP TUESDAY: Car seat safety

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TIP TUESDAY: Chances are you have at least one car seat in your vehicle, if not two. But is your child properly and safely strapped in? The number one leading cause of death in children four years and older is motor vehicle accidents. Child safety seats reduce this risk of fatal injury in infants and children by up to 71%, when compared with a seat belt alone. To avoid the most common errors, review the following safety tips. 👶🏻👦🏻🚘 

5 Tips for Car Seat Safety Installation:

1. Confirm that the car seat base is securely tightened. There should be no wiggle room. This is the number one mistake made by parents. 

2. Angle the car seat as directed by the manufacturer, to prevent your child’s head from flopping forward.

3. Ensure that there is adequate spacing between the car seat and vehicle front seat. 

4. Check the harness straps to ensure that they go through the height-appropriate harness slot (at the shoulder level). 5. Place the harness clip at the level of your child’s armpits (not stomach or neck), so that it overlies the breastbone.

As our kids grow, it is equally important to place them in the appropriate car seat for their height and weight. The latest height & weight guidelines according to The National Highway Traffic Safety Administration can be found at

#carseat #safety #seatbelt #installation #collision #injury #prevention #EMS #hospital #ER  #physician #doctor #emergency #mom #dad #caregiver #education #3MD #babySTAT #kidSTAT #hospitalgrade #firstaid

 

 

 

TIP TUESDAY: Newborn fever

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TIP TUESDAY: A fever in a newborn is not the same as a fever in an older infant or child and should be considered a medical emergency. Before three months of age, infants are at greater risk for serious bacterial infections. These infections can spread quickly in the bloodstream and cross into the brain, as the protective blood-brain barrier is still developing. 👶🏻 Alarmingly, newborns may often lack the signs and symptoms of a serious infection that one might expect. It is essentially impossible to tell if their infection is due to a less-concerning viral illness or a more serious bacterial infection, just by looking at them. Seeking immediate medical attention is critical to determine what further testing your baby may need to decipher the type of infection they have. 🏥

#fever #newborn #baby #babies #emergency #illness #hospital #bacteria #brain #health #wellness #mommy #momlife #daddy #dadlife #doctor #physician #education #3MD

TIP TUESDAY: Fidget spinners

TIP TUESDAY: Heard of a fidget spinner? Chances are, your child already has one. Initially intended as stress relievers for children with special needs, they have quickly become this summer’s hottest toy. But they are not without risk. The bearings in fidget spinners may come apart and pose a choking hazard. 😳 Numerous cases have been reported of children requiring surgical procedures for removal of a fidget spinner component. ⚠️  As with all toys, make certain to (1) check for small parts (2) read the labeling and (3) supervise for safety.

TIP TUESDAY: Stitches

TIP TUESDAY: Did you know that stitches on different parts of the body are taken out at different times due to differences in healing?

👧🏻 Face: 3-5 days; has a great blood supply and heals pretty quickly.

💪🏻🏃🏻‍♀️Arms & legs: 7-10 days; thicker tissue and under more tension, warranting a longer duration.

⚠️ Of note, sutures themselves can cause scarring and can also become infected. Make sure to get them out as directed!

TIP TUESDAY: Coffee & pregnancy

TIP TUESDAY: According to The American College of Obstetricians and Gynecologists, moderate caffeine consumption (less than 200 mg per day) does not appear to be a major contributing factor in miscarriage or preterm birth. That equates to about one 8 oz cup of joe per day. ☕️ 🤰🏻

⚠️Of note, research is limited to retrospective studies because it would be unethical to give pregnant women a drug or substance in order to see if it causes complications. Caffeine does cross the placenta, but the evidence we do have suggests it is okay in moderation.

 

TIP TUESDAY: R.I.C.E therapy & sprains

 TIP TUESDAY: Wondering how to properly care for that sprained ankle? 🏃🏻‍♀️R.I.C.E. therapy is the answer.   R•est the affected limb  I•ce the area to reduce swelling  C•ompress the area with an elastic bandage  E•levate whenever possible  🚸 Be aware: some sprains can appear similar to fractures in kids. Children are more susceptible to fractures because their bones are still growing. If your child is in severe pain, the area is deformed or they are unable to bear weight, seek medical attention immediately.

TIP TUESDAY: Wondering how to properly care for that sprained ankle? 🏃🏻‍♀️R.I.C.E. therapy is the answer. 

R•est the affected limb

I•ce the area to reduce swelling

C•ompress the area with an elastic bandage

E•levate whenever possible

🚸 Be aware: some sprains can appear similar to fractures in kids. Children are more susceptible to fractures because their bones are still growing. If your child is in severe pain, the area is deformed or they are unable to bear weight, seek medical attention immediately.

TIP TUESDAY: Honey & babies

 TIP TUESDAY: Honey should not be given to babies due to the possibility of botulism. Infant botulism is caused by the ingestion of bacteria found in soil and honey. The bacteria releases a neurotoxin in the intestine causing progressive weakness, lethargy, poor feeding & dehydration, and can rapidly progress to respiratory failure. Although rare, 90% of cases are diagnosed in the U.S. and nearly 50% are reported in California. 🚫🍯

TIP TUESDAY: Honey should not be given to babies due to the possibility of botulism. Infant botulism is caused by the ingestion of bacteria found in soil and honey. The bacteria releases a neurotoxin in the intestine causing progressive weakness, lethargy, poor feeding & dehydration, and can rapidly progress to respiratory failure. Although rare, 90% of cases are diagnosed in the U.S. and nearly 50% are reported in California. 🚫🍯

TIP TUESDAY: Bee stings

TIP TUESDAY: Spring is here! 🌷🐝 Remember these steps if your little one is stung: (1) Remove the stinger by scraping, or better yet, using forceps. (2) Clean the area. (3) Use an ice pack to help decrease swelling. (4) Apply a topical steroid cream to decrease inflammation. ⚠️ Be on the look out for signs of severe allergic reaction such as lip swelling & difficulty breathing, for which you should seek medical attention immediately. 👉🏻All of these items available in kidSTAT

#spring #springbreak #bee #beesting #insects #woundcare #hymenoptera #3MD #kidSTAT

TIP TUESDAY: Nursery product injuries

TIP TUESDAY: A new study published in the journal Pediatrics found that nursery product-related injuries have increased by 25% within the last eight years.  The most common injuries occurred with baby carriers, cribs, and strollers, and frequently involved the baby falling out of the product. While we love gadgets that help make parenting easier, make sure you know how to use them. Read those manuals! #3MD #prevention #safety #babySTAT 

http://pediatrics.aappublications.org/content/early/2017/03/09/peds.2016-2503

TIP TUESDAY: Concussion

 

TIP TUESDAY: A concussion is any injury to the brain that causes a temporary loss of “normal brain function.” They are typically caused by a direct hit or blow to the head. The most common immediate symptoms of concussion can include loss of consciousness, headache, nausea or vomiting, dizziness, confusion, and memory loss. Just because your child didn't "pass out" does not put them in the clear. If you note any of these red flag symptoms in your child after a head injury, take them to your nearest ER for prompt evaluation. #concussion #3MD #kidSTAT

TIP TUESDAY: Medication safety

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TIP TUESDAY: Children can succumb to accidental, toxic overdoses with just 1 pill intended for an adult. These include common medications prescribed for blood pressure and diabetes. Keep medications locked & out of reach at all times. 3MD had another case in the ED this week and luckily, the child is now doing well. #medicationsafety #poisoncontrol #3MD #babySTAT #kidSTAT

CAR SEAT SAFETY - AN EMERGENCY PHYSICIAN'S PERSPECTIVE

CAR SEAT SAFETY - AN EMERGENCY PHYSICIAN'S PERSPECTIVE

Driving in cars has become such an everyday convenience, that we often forget that even the shortest ride can be dangerous. Motor vehicle accidents remain the leading cause of death in children in the United States. Although seat belt laws and public safety campaigns in the last decade have reduced motor vehicle-related deaths, crashes still cause 1 of every 4 unintentional injury deaths. Car seats (when installed properly) reduce this risk of fatal injury in infants and children by up to 71%, when compared with a seat belt alone. And knowing how to safely and properly restrain your children can actually save their lives.

For 3MD's full blog feature, see http://www.celebrityredcarpetevent.com/news/car-seat-safety-an-emergency-physicians-perspective/

 

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TIP TUESDAY: Mastitis

TIP TUESDAY: Mastitis while breastfeeding may be due to inflammation or infection. Signs may include: a red, swollen, warm or painful area of the breast, fever, chills and body aches. Warm compresses and frequent nursing/pumping should be attempted, but if no improvement after 24hrs, see your doctor. #nationalbreastfeedingmonth #3MD #babySTAT