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To learn more about this and many other topics for children, go to May 2010

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There’s no doubt that kids are our most precious treasures. We try our best to keep them safe, happy and healthy. Sometimes, despite our best efforts, they get hurt or sick. As a parent, the best medicine is a good dose of preparation. And while a lot of good parenting is just plain common sense, there are other times when knowing how to treat an illness or injury allows for quicker intervention and better care for your child

— especially during the summer months. That’s why Rocky Mountain Hospital for Children at Sky Ridge Medical Center has created this quick reference guide for you. Keep it handy and you’ll be better prepared for life’s little emergencies...any time of year. please read on >>>

To learn more about this and many other topics for children, go to

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Allergic Reactions can

be triggered by food, medications, insect stings, pollen or just about anything! Most allergic reactions cause hives and itching but aren’t serious. However, severe reactions can be life-threatening and require immediate medical attention.

Mild Allergic Reactions

Symptoms of a mild allergic reaction will usually improve with the use of an antihistamine. If symptoms are more severe or cause alarm, contact your pediatrician immediately.  Itchiness, redness or slight swelling of the skin  Stuffy, runny nose and/or sneezing  Itchy, watery eyes  Hives (raised red bumps or welts) anywhere on the body

Severe Allergic Reactions

Occasionally, allergic reactions can be very severe and even life threatening. If you have an EpiPen, you should immediately provide an injection as directed. Severe allergic reactions require immediate emergency medical assistance and may present with:  Swelling of the tongue or mouth  Difficulty speaking or swallowing  Wheezing or labored breathing, dizziness or fainting  Abdominal pain, nausea, vomiting or diarrhea

Animal Bites and scratches

can sometimes cause infection. Some bites require stitches while others heal on their own. In rare cases, animal bites can cause rabies, which is a life-threatening illness. Always watch young children around animals – even your own pets – and teach them to treat animals gently and to stay away from wild and unknown animals.


don’t allow the child to eat (in case surgery is required)

 Wash the bite area thoroughly

with soap and water  Apply pressure with sterile gauze

Do NOT move the child or touch the injury and immediately call 911 if:

or clean cloth if there is bleeding  Apply antibiotic ointment and

cover the area with a bandage or clean gauze  Provide acetaminophen or ibuprofen to reduce pain

Seek immediate medical care if:

 The bite was from a wild animal, a

pet that isn’t up-to-date on rabies vaccinations or an animal that is acting strangely  The bite has broken the skin  The bite is on the head, neck, face, hand, foot or near a joint  The wound becomes red, hot, swollen or increasingly painful  The child is behind on shots or has not had a tetanus shot in the past five years

Broken Bones are a

common injury in children. It’s important to seek medical attention for any broken bone – regardless of where it occurs or how large or small it appears. You can help your child avoid broken bones by installing proper safety equipment and ensuring that he/she wears protective gear when participating in sports or physical activity.

Signs & Symptoms

Your child may have broken a bone if:  There was a “snap” or “grinding noise” when the injury occurred  The area is bruised, swollen or tender  The injured part is difficult to move or hurts when moving, being touched or bearing weight


 Remove clothing from the injured site

and immediately apply an ice pack wrapped in a soft cloth  Avoid excessive movement of the injured limb  Place a simple splint on the injured limb, if available  Seek medical attention and

 You suspect a serious

injury to the head, neck or back  A bone is protruding through the skin

Sunburn can happen

with as little as 15 minutes of sun exposure but may not cause redness or discomfort for a few hours. Repeated sunburns can lead to skin cancer later in life. Children who have fair skin or hair, lots of freckles or moles, or a family history of skin cancer are at a higher risk. Limit the amount of time your children are in the sun between 10:00 a.m. and 4:00 p.m. and make sure they wear protective clothing, sunglasses and a hat. Apply a sunscreen that provides UVA and UVB protection with an SPF of 15 or higher prior to going into the sun; reapply after 30 minutes and continue to apply to children who are sweating or playing in the water.

Symptoms of Mild Sunburn

 Skin redness and warmth  Pain and itchiness

Symptoms of Severe Sunburn

 Skin redness and swelling  Pain and tingling  Headache, nausea, fever and chills  Dizziness


 Remove the child from the sun  Put the child in a cool (not cold) bath

or shower or apply cool compresses as needed  Increase fluids for 2-3 days  Give ibuprofen or acetaminophen as directed to reduce pain

RMHC CO Parent May 2010_RMHC Colorado Parent 4/16/10 3:45 PM Page 3

 Use moisturizing creams or aloe gel

to reduce discomfort  Fully cover all sunburned areas before

going outside

Seek emergency medical treatment if:

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 Blisters appear or the area is

extremely painful  Facial swelling occurs  The sunburn covers a large area  The child has a fever or chills, a headache, confusion or faintness  The child becomes dehydrated (signs of increased thirst or dry eyes/mouth)

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Join us for our 5th annual fun-filled day and:  Learn the latest health & safety tips  Meet pediatricians and other experts  Bike rodeo and helmet check  Tour our AIRLIFE Chopper  Visit with firefighters  See the K-9 unit in action  Learn how to use 911  Win prizes and play safety games

Mild Dehydration

PLUS lots of info and safety gadgets for parents, too!

can happen if kids don’t drink enough fluids or if a large amount of fluid is lost due to vomiting or diarrhea. It’s important to replenish fluid losses quickly. Mild dehydration can typically be treated at home. If the child has diarrhea but is not vomiting, he/she may continue a normal diet. If the child is vomiting, stop milk products and solid foods and give infants 1 tablespoon of oral electrolyte solution (Pedialtye) every 15-20 minutes. Give children over the age of one year sips of clear fluids, oral electrolyte solutions, ice chips, flat non-caffeinated soda, clear broth or ice pops (1-2 tablespoons every 15 to 20 minutes). Signs of mild dehydration include:  Dry tongue  Few/no tears when crying  Rapid heart rate  Fussiness in infants  No wet diapers for six hours, in infants or no urination for eight hours, in children

Severe Dehydration

Get immediate emergency medical care if your child is unable to keep clear fluids down or experiences any of the following:  Very dry mouth (looks sticky inside)  Dry, wrinkly or dough-like skin (especially on the belly and upper arms and legs)

At SkyRidge Ridge Medical At Sky Medical CenterCenter

www.RockyMountain Hosp italF or

Chil dren .


 Inactivity or decreased alertness and

excessive sleepiness  Sunken eyes  Sunken soft spot on top of infant’s head  No urination for eight hours or more in an infant/10 hours in a child  Deep, rapid breathing  Rapid or weakened pulse

Heat Illness or heat exhaus-

tion starts slowly and, if not treated, can quickly progress to heatstroke. Heatstroke requires immediate emergency medical care as the body temperature can rise to 105° F or higher resulting in

To find a physician: 720-225-5DOC I-25 at Lincoln Avenue • Lone Tree 720-225-1000

severe injury or death. To help avoid heat illness, do not let your children participate in intense outdoor activities during the hottest part of the day and teach them to drink plenty of fluids before and during activity — and to come indoors as soon as they feel overheated. Never leave a child alone in the car.

continues >>>

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Signs & Symptoms of Heat Exhaustion

 Increased thirst  Weakness  Fainting  Muscle cramps  Nausea, vomiting or headache  Irritability  Increased sweating and/or body

temperature  Cool, clammy skin

Signs & Symptoms of Heatstroke

 Find the tooth  Hold the tooth by the crown (the sur-

face farthest from the gum line) and try to put it back into the socket and have the child hold in place  If the tooth can’t be put back into the socket, store it in cold milk — do not store it in tap water  Have the child bite on a gauze pad or cloth to relieve bleeding and pain

Strains and Sprains

or confusion  Rapid breathing and heartbeat  Loss of consciousness leading to coma or seizures  Flushed, hot, dry skin  Body temperature of 105° F or higher

are muscle injuries that occur due to overstretching — or are partial tears of ligaments or tendons. You can help your children avoid strains and sprains by teaching them to warm up properly before exercising and making sure they wear the proper sports equipment.


Signs & Symptoms

 Severe headache, weakness/dizziness

If a child has symptoms of heatstroke, seek immediate emergency medical care. If your child is suffering from heat exhaustion or while you wait for emergency medical care:  Move the child indoors or to a shady spot  Undress the child and have him/her lie down and slightly elevate feet  Place the child in a cool bath or mist with a garden hose  If the child is alert and coherent, give frequent sips of cool, clear fluids  If the child is vomiting, turn onto his/her side to prevent choking

Dental Injuries that

involve a permanent tooth require medical attention. To help avoid mouth injuries, make sure your children wear mouth guards and protective gear for contact sports and helmets when biking, skateboarding, skating or skiing.


If a permanent tooth is knocked out, go to the dentist or emergency room immediately after following these steps:

 Pain in the joint or muscle  Swelling and bruising  Warmth or redness at the injury site  Difficulty moving the injured part


 Make sure the child stops activity

immediately  Follow the R.I.C.E. guidelines (below)

for 48 hours after injury:

Rest the injured part. Ice the injured part by applying a

wrapped ice pack or cold compress. Continue for no more than 20 minutes at a time, four to six times daily.

Compress the injured part immediately by using an elastic bandage for at least two days. Elevate the injured part above heart level to decrease swelling. Seek emergency medical attention if the child has:

 Severe pain when the injured part

 A strain or sprain

that doesn’t improve in five to seven days.

Bike Safety

should be a top priority this time of year! Bike riding is a great way to get exercise and fresh air and share time as a family. But before you and the kids rush out and start pedaling, make sure everyone is protected with a properfitting helmet.

Buying the Right Helmet

 Pick bright, highly visible colors

and adequate air vents  Make sure that the helmet has a

sticker inside noting that it has met safety standards  Make sure your child's helmet fits correctly and can be adjusted (Most bike stores can help you find and adjust a helmet so that it fits correctly.)  Fasten straps securely and be sure not to wear a hat under the helmet since it would affect fit  Replace helmets made before 1999 or ones that have been involved in hard-impact accidents  Buy a bike helmet rather than one made for another sport

For more information on parenting, health tips and more, please visit Rocky Mountain Hospital for Children’s main website or

is touched or moved  Continued trouble bearing weight  Increased bruising  Numbness or a feeling of “pins and

needles” in the injured area  A limb that looks bent or misshapen  Signs of infection (warmth, redness,

streaks, swelling, pain)

At SkyRidge Ridge Medical At Sky Medical CenterCenter To find a physician: 720-225-5DOC I-25 at Lincoln Avenue • Lone Tree 720-225-1000

Colorado Parent Insert May 2010