There’s been a lot of promising news regarding the COVID-19 pandemic recently; cases in most areas of the U.S. are trending downward while testing and vaccination programs are (slowly) helping to curb public anxiety about the virus. This is no time for hubris or a false sense of security, however, as an article just published in the Journal of the American Medical Association reveals newly identified characteristics of children who become ill with multisystem inflammatory …
Read MoreChin Lacerations in Children—A Call for Caution
Urgent message: Adhesive repair for skin lacerations in pediatric patients is a viable (sometimes preferable) option—under the right circumstances. Careful consideration is warranted when the wound is to the chin. Joshua Sherman, MD and David Mathison, MD, MBA INTRODUCTION The use of adhesive repair in lieu of sutures for the management of minor lacerations has become increasingly commonplace.1 When used correctly, cosmetic outcomes are similar and may be superior to suture repair in certain situations. …
Read MoreJust How Many Patients Are You Missing Out On by Not Being Child-Friendly?
Now more than ever, parents are mindful of where they bring their children for medical care—especially for immediate concerns like minor injuries and run-of-the-mill illness. The last thing they’ll want to do is sit for hours in the emergency room among patients who might be presenting with symptoms of COVID-19. If your urgent care center has a reputation for being child-friendly, it’s likely they’ll come your way. If not…well, they just might end up at …
Read MoreWary Pediatricians May Be Referring More Children to Urgent Care During the Pandemic
Concern over exposing children who either have chronic conditions or are waiting for a well-visit to COVID-19 is prompting more pediatricians than usual to refer sick patients to urgent care, according to an article just published by Kaiser Health News. While the parents quoted in the article were angered by such experiences, this phenomenon is both an affirmation of and an opportunity for child-friendly urgent care centers. Clearly, it reflects a high level of trust …
Read MoreNew Evidence on What to Tell Anxious Parents About Analgesics for Younger Children
Parents are wary of bringing their children to the emergency room, the urgent care center, or even their own pediatrician’s office these days. That doesn’t mean children have stopped getting sick, of course. The go-to recommendations for children with pain or fever have been ibuprofen or acetaminophen, but does it really make a difference which one you recommend? A new study just published by JAMA Network suggests it might, actually. A meta-analysis of 19 studies …
Read MoreCOVID-19 Is Not Only Surging–It’s Striking More Children Than Ever
As the mainstream media remind us several times a day, the United States continues to break records for daily confirmed cases of COVID-19. What is lost in the big picture, however, is the changing breakdown of who is being infected. Early in the pandemic, there was a perception that children were somehow less susceptible to the virus. However, according to new data from the American Academy of Pediatrics, children now make up 11.3% of all …
Read MoreCurb Antibiotic Prescribing for Children—Before It’s Too Late
Just recently, we told you about Intermountain Healthcare’s efforts to improve its providers’ antibiotic prescribing habits through educational initiatives—and its success in establishing better antibiotic stewardship. Now a study published in the journal Pediatrics reveals similar progress with pediatricians affiliated with NorthShore University HealthSystem and the American Academy of Pediatrics’ practice based-research network. The program that formed the basis of the study involved 19 pediatric practices and reflected 72,723 visits between November 2015 and June …
Read MoreChildren Sick with Something Other than COVID-19 Require Special Care During the Pandemic
Your clinical team has had to adapt to a whole new way of administering care since the COVID-19 pandemic landed in the U.S.—and not just for patients with the virus. The highly infectious nature of the disease not only scared some patients into delaying care, but also forced urgent care operators (and all healtchcare professionals) to adapt the way they operate on a daily basis. It’s largely been a process of trial and error. Guidance …
Read MoreMake Sure You Understand the Implications of COVID-19 on Immunization as Kids Head Back to School
Back-to-school time typically means parents are scrambling to make sure their children’s immunization status is current. This year, of course, how (or even if) schools should reopen is a hotly debated issue in many communities. Regardless of how that controversy works out in your neck of the woods, you have to be prepared to administer needed vaccines—and to answer questions. Anticipating this, the Centers for Disease Control and Prevention has produced a Vaccination Guidance During …
Read MoreNew Clues to Which Children May Be Headed for MIS-C—and Poor Outcomes
Parents and caregivers took some small degree of comfort as COVID-19 surged in “knowing” that the virus didn’t pose much of a risk to children—or so the thinking went at the time. Since then, we’ve become acquainted with multisystem inflammatory syndrome in children (MIS-C), a related illness that does seem to pose a greater risk in younger patients. A new article published in Morbidity and Mortality Weekly Report reveals characteristics of MIS-C that could be …
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