A B C Diaper Dermatitis E…

The ABCDEs of Diaper Dermatitis Management [Klunk, 2014]

  • Air
    • Take the diaper off!
  • Barrier
    • First line therapies are typically non-medicated barrier creams.
    • Using simple petroleum product (ex, Vasoline) on top of the cream to prevent the barrier cream from sticking to the diaper.
  • Cleansing
    • Important to keep the area clean, but to use soaps with near-physiology pH levels.
    • Important to avoid scrubbing or over-cleaning.
  • Diaper
    • Frequent diaper changes (ie, every 2 hours) can help reduce time spent in a moist environment.
  • Education
    • Avoid potentially hazardous therapies:
      • Powders (ex, Talc, Baby Powder)
      • High-dose steroids (can become too potent in the occluded diaper region)
 

Coke Bottle named Asthma

Metered-dose inhalers with a spacer can perform at least as well as nebulisation in delivering beta-agonists in children with acute asthma. Salbutamol has systemic side effects – tremor and increased pulse rate were more common when using nebulisers.

 

Coin ingestions

  • More than 100,000 foreign body ingestions are reported in children each year; coins are #1 cause
  • Although not always 100% true, coins typically appear circular on an AP Xray of the neck when in the esophagus and linear when in the trachea
  • Coins usually pass without issue, but warning signs are drooling, dysphagia, hoarse voice, wheezing, or stridor
  • 10-20% require endoscopy for removal and 1% require surgery
  • Objects lodged in the middle esophagus should raise concern for underlying pathology such as strictures, masses, or webs