Barton D. Schmitt - My Child Is Sick: Expert Advice for Managing Common Illesses and Injuries

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Published by the American Academy of Pediatrics

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Cover design by Daniel Rembert

Book design by Linda Diamond

Illustrations by David Roberts

My Child Is Sick! Expert Advice for Managing Common Illnesses and Injuries was created by Barton D. Schmitt, MD, FAAP.

Library of Congress Control Number: 2010915326

ISBN: 978-1-58110-552-0

The recommendations in this publication do not indicate an exclusive course of treatment or serve as a standard of medical care. Variations, taking into account individual circumstances, may be appropriate.

Statements and opinions expressed are those of the author and not necessarily those of the American Academy of Pediatrics.

Products are mentioned for informational purposes only. Inclusion in this publication does not imply endorsement by the American Academy of Pediatrics.

Every effort is made to keep My Child Is Sick! consistent with the most recent advice and information possible.

Authors Disclaimer: This information is not intended to be a substitute for professional medical advice. It is provided for educational purposes only. You assume full responsibility for how you choose to use this information.

Your childs doctor has the final word. If your childs doctor tells you something that is different than whats in this book, follow your doctors advice. Your doctor has the advantage of knowing you and your child, and taking an actual history and performing a physical examination before making a decision.

You know your child better than anyone else. If you remain uncomfortable with your childs symptoms or condition after reading this book, please call your doctor or nurse for additional assistance. Finally, if you think your child has a life-threatening condition (eg, struggling to breathe), always call 911 NOW.

Copyright 2011 Barton D. Schmitt, MD, FAAP. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without prior permission from the publisher. Printed in the United States of America.

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The author is grateful to the following individuals for their time and expertise in reviewing the triage content that has been incorporated into these guidelines:

Peter Dehnel, MD, Childrens Physician Network, Minneapolis, MN

Andrew Hertz, MD, Rainbow Babies Childrens Hospital, Cleveland, OH

Randy Sterkel, MD, St. Louis Childrens Hospital, St. Louis, MO

Debra Weiner, MD, Sirona Health, Portland, ME

Medical Advisory Board, Sykes, Toronto, Ontario, Canada

Elaine Donoghue, MD, St. Peters Medical Center Call Center, New Brunswick, NJ (former)

Hanna Sherman, MD, Boston Childrens Hospital Call Center, Boston, MA (former)

Francesco Beuf, MD, Boulder Pediatric Center, Boulder, CO

Vincent DiMaria, MD, Arapahoe Park Pediatrics, Littleton, CO

Matt Dorighi, MD, Cherry Creek Pediatrics, Denver, CO

Max Elliott, MD, Fort Collins Youth Clinic, Fort Collins, CO

Daniel Feiten, MD, Greenwood Pediatrics, Centennial, CO

Nancy Greer, MD, Broomfield Pediatrics, Broomfield, CO

Michael Kurtz, MD, Advanced Pediatric Associates, Aurora, CO

Jay Markson, MD, Childrens Medical Center, Denver, CO

Robert Mauro, MD, Greenwood Pediatrics, Littleton, CO

Martha Middlemist, MD, Pediatrics at 5280, Englewood, CO

Stefan Mokrohisky, MD, Kaiser Permanente, Denver, CO

Michelle Stanford, MD, Centennial Pediatrics, Centennial, CO

Jay Epstein, MD, Community Pediatrician, Forest Park Pediatrics

David Jaffe, MD, Washington University School of Medicine, Emergency Medicine

James Keating, MD, Washington University School of Medicine, Gastroenterology/Diagnostic Center

Katherine Kreusser, MD, Community Pediatrician, Childrens Clinic

Steve Lillpop, MD, Community Pediatrician, Jacksonville Pediatrics

Jerome ONeil, MD, Community Pediatrician, Southwest Pediatrics

Rachel Orscheln, MD, Washington University School of Medicine, Infectious Disease

Isabel Rosenbloom, MD, Community Pediatrician, Tots Thru Teens Pediatrics

Harold Sitrin, MD, Community Pediatrician, Suburban Pediatrics

Randy Sterkel, MD, Answer Line Medical Director, Community Pediatrician, Esse Health Pediatrics

Mary Tillman, MD, Community Pediatrician, Tillman Pediatrics

Teresa Baird, RN

Teresa Hegarty, RN

Kris Light, RN

Kathleen Martinez, RN

Kelli Massaro, RN

Ann Petersen-Smith, RN, PNP

Liz Stober, RN

Nancy Berryman, RN, Minneapolis, MN

Barbara Byrne, RN, Tigard, OR

Katrina Davis, RN, PNP, Salem, OR

Jenny DuFresne, RN, Phoenix, AZ

Alane Hall, RN, Denver, CO

Suzanne Haydt, RN, Tucson, AZ

Nicole Leujten, RN, Denver, CO

Melissa Masson, RN, London, Ontario, Canada

Cheryl Patterson, RN, Evergreen, WA

Teresa Pounds, RN, Maryville, TN

Lisa Swerczek, RN, St. Louis, MO

Michelle Violette, RN, London, Ontario, Canada

Suzanne Wells, RN, St. Louis, MO

Joan Bothner, MD, Aurora, CO

Peter OHanley, MD, Moncton, New Brunswick, Canada

David Thompson, MD, Berwyn, IL (adult emergency medicine)

Adolescent Medicine: David Kaplan, MD; Trina Anglin, MD; Eric Sigel, MD

Allergy: James Shira, MD; Dan Atkins, MD

Breastfeeding: Maya Bunik, MD; Lisbeth Gabrielski, RN; Marianne Neifert, MD

Cardiology: Michael Schaffer, MD; James Wiggins, MD; Robert Wolfe, MD; Henry Sondheimer, MD

Dentistry: William Mueller, DDS; Elizabeth Shick, DDS

Dermatology: William Weston, MD; Joseph Morelli, MD

Diabetes: Georgeanna Klingensmith, MD

Ear, Nose, and Throat: Kenneth Chan, MD

Endocrinology: Michael Kappy, MD

Gastroenterology: Ronald Sokol, MD; Judy Sondheimer, MD; Sara Fidanza, RN, PNP

General Pediatrics: Steven Poole, MD; Stephen Berman, MD; Robert Brayden, MD; Allison Kempe, MD; Maya Bunik, MD