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Posts for category: Child Safety
Immunizations offered by your La Jolla, CA, pediatricians at Children's Clinic La Jolla, Drs. S. Daman Paul and Gretchen Gainor, help protect your child's health. These immunizations will prevent common childhood diseases and help your child avoid potentially serious health consequences.
When are immunizations needed?
The American Academy of Pediatrics recommends that your child receive these vaccines as follows:
- Hepatitis B: First dose: at birth, second dose: 1 to 2 months, and third dose: 6 - 18 months.
- Diphtheria, Tetanus, and Pertussis: First dose: at birth, second dose: 4 months, third dose: 6 months, fourth dose: 15 to 18 months, fifth dose: between 4 to 6 years (Boosters are needed for Diptheria and tetanus every 10 years after the fifth dose.)
- Haemophilus Influenzae Type B: First dose: 2 months, second dose: 4 months, third dose: 6 months, fourth dose: 12 - 15 months (A third dose isn't needed with some vaccine types.)
- Rotavirus: First dose: 2 months, second dose: 4 months
- Polio: First dose: 2 months, second dose: 4 months, third dose: between 6 - 18 months, fourth dose: between 4 - 6 years
- Measles, Mumps, and Rubella: First dose: 12 - 15 months, second dose: 4 - 6 years
- Pneumococcal Conjugate: First dose: 2 months, second dose: 4 months, third dose: 6 months, fourth dose: 12 to 15 months
- Hepatitis A: First dose: 12 - 23 months, second dose: six months later
- Varicella: First dose: 12 - 15 months, second dose: 4 - 6 years
- Meningococcal Conjugate: First dose: 11 - 12 years, second dose: 16 years
- Meningococcal B: Single dose at 16 to 18 years
- Human Papillomavirus: First dose: 11 - 12 years, second dose: 6 to 12 months later
- Influenza: Every year for children between 6 months and 18 years
Why is it important to follow the immunization schedule?
Vaccines prevent your child from becoming sick if they're exposed to the viruses that cause the diseases on this list. After your son or daughter receives an immunization, his or her body begins to produce antibodies. Antibodies are proteins that prevent illness by attacking and killing viruses as soon as they enter your child's body.
If your child isn't vaccinated or hasn't received immunizations at the recommended times at the La Jolla pediatric office, he or she may be at risk of becoming very sick if exposed to a virus. Immunizations help your child avoid illness and also protect children who are too young to receive vaccines or can't receive them due to health conditions.
Is your child due for an immunization? Call your pediatricians in La Jolla, CA, Drs. S. Daman Paul and Gretchen Gainor of Children's Clinic La Jolla, at (858) 459-5437 to schedule your appointment.
- 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.
At some point in our childhood, we might have experienced chicken pox. While chicken pox most often occurs in children under the age of 12, it can also occur in adults who never had it as children.
Chickenpox is an itchy rash of spots that look like blisters and can appear all over the body while accompanied by flu-like symptoms. Chickenpox is very contagious, which is why your pediatrician in places a strong emphasis on keeping infected children out of school and at home until the rash is gone.
What are the Symptoms of Chickenpox?
When a child first develops chickenpox, they might experience a fever, headache, sore throat or stomachache. These symptoms may last for a few days, with a fever in the 101-102 F range. The onset of chicken pox causes a red, itchy skin rash that typically appears on the abdomen or back and face first, then spreads to almost any part of the body, including the scalp, mouth, arms, legs and genitals.
The rash begins as multiple small red bumps that look like pimples or insect bites, which are usually less than a quarter of an inch wide. These bumps appear in over two to four days and develop into thin-walled blisters filled with fluid. When the blister walls break, the sores are left open, which then dries into brown scabs. This rash is extremely itchy and cool baths or calamine lotion may help to manage the itching.
What are the Treatment Options?
A virus causes chickenpox, which is why your pediatrician in will not prescribe an antibiotic to treat it. However, your child might need an antibiotic if bacteria infects the sores, which is very common among children because they will often scratch and pick at the blisters—it is important to discourage this. Your child’s pediatrician in will be able to tell you if a medication is right for your child.
If you suspect your child has chickenpox, contact your pediatrician right away!
Even though you try as hard as possible to keep your child safe while they are playing sports, accidents still happen. At these moments, it’s important that you know whether these are injuries that can easily be treated from the comfort of your own home or whether you need to turn to a pediatrician for proper medical attention.
Pediatricians have seen a lot of sports-related injuries over the years and while we also focus as much of our attention on prevention, we know the importance of being able to get immediate and comprehensive care when your child does sustain an injury.
Common sports-related injuries include:
- Dislocations (particularly in the shoulder)
- Traumatic injuries (this includes cuts, sprains and strains, and broken bones)
- Stress fractures
- Tendinitis (often in the hand or wrist)
When a dislocation happens many times it is accompanied by an audible popping sound at the moment that the injury occurred. This unnerving sound is often followed by sudden and intense pain. It’s important that you turn to a pediatrician who can put the shoulder or any other area of the body back in place. The joints of a child’s body are looser than adults, so it makes shoulders and other areas more prone to dislocations.
Minor cuts, sprains, and strains can often be handled with at-home care. In most cases, the RICE method is a great way to ensure that your child gets the rest they need to heal properly and to stay off of the injury until it fully heals. Icing and elevating the injured area can also reduce pain and swelling. Of course, if you suspect that your child has a broken bone, this will need to be evaluated by a medical professional right away.
Children who are serious or long-term athletes are more likely to experience overuse injuries. These injuries occur over time rather than suddenly and they are often the result of performing repetitive movements. Overuse injuries include stress fractures and tendinitis. If your child feels pain whenever they move a certain area of the body or if they notice pain or swelling in a certain area it’s important that they get checked out.
Wearing a helmet is crucial for protecting your child’s head while playing sports. Of course, if your child has received a blow to the head and is experiencing dizziness, fatigue, frequent or severe headaches or just seems out of sorts it’s crucial that you bring them in right away to see if they’ve incurred a concussion.
When in doubt, pick up the phone and talk to a pediatrician about your child’s injuries and symptoms. They will be able to determine whether or not they should come in for proper care.
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.