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January 1, 2011

Pediatrics and H1N1

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Pandemic (H1N1) 2009: Treating Children

May 1, 2009

Illnesses caused by influenza virus infection are difficult to distinguish from illnesses caused by other respiratory pathogens based on symptoms alone. Young children are less likely to have typical influenza symptoms (e.g., fever and cough) and infants may present to medical care with fever and lethargy, and may not have cough or other respiratory symptoms or signs.

Influenza-associated deaths among children, while uncommon, do occur with seasonal influenza with an estimated average of approximately 92 influenza-related pediatric deaths each year in the United States. Some deaths in children have been associated with co-infection with influenza and Staphylococcus aureus, particularly methicillin resistant S. aureus (MRSA).

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Pediatric Care in Rural Hospital Emergency Departments

August 31, 2010

Particular aspects of emergency care for children may be especially difficult for rural hospitals to meet as they often have less access to pediatric and emergency medicine trained physicians.

The attached study “Pediatric Care in Rural Hospital Emergency Departments”, was compiled using data  analysis which compared rural and urban hospitals’ responses on various dimensions of pediatric ED care:

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Pandemic Influenza Planning for Pediatric Patients

October 30, 2009

Created by experts at Childrens Hospital Los Angeles as a deliverable for the U.S. Department of Health and Human Services Healthcare Facilities Emergency Care Partnership Program Grant, the Information included in this document is based on learnings from the 2009 H1N1 Influenza outbreak that began in early 2009. The information is intended to provide supplementary recommendations for pediatric pandemic influenza planning and can be used as an addendum to a larger pandemic planning document.

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H1N1 Flu Considerations in Obstetric Settings

October 29, 2009

The Centers for Disease Control and Prevention (CDC) released interim guidance on July 6, 2009 for preventing and managing novel H1N1 infections in obstetric settings. Severe illnesses in pregnant women and infants have been a feature of the flu pandemic, though experts don’t have a firm grasp on the epidemiology and illness spectrum. The new guidance says areas where prenatal care and labor and delivery services are delivered should be separated from areas where the sick are handled. 

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Pandemic (H1N1) 2009: Treating Children

October 29, 2009

Little is currently known about how H1N1 may affect children. However, we know from seasonal influenza and past pandemics that young children, especially those younger than 5 years of age and children who have high risk medical conditions, are at increased risk of influenza-related complications.

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Tamiflu Antiviral Flu Medication: Availability, Mixing and Dosing Options

October 23, 2009

Tamiflu is one of two antiviral medications that are effective against the H1N1 pandemic virus. Tamiflu is available in capsule and liquid (oral suspension) formulations. There are millions of treatment courses of Tamiflu in the U.S., and Roche continues to make all formulations of Tamiflu. However, deliveries of the liquid form to some locations are going to be sporadic this fall.

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Pediatric Disaster Resource and Training Center

July 15, 2009

The Pediatric Disaster Resource and Training Center provides training, resources and new models of virtual linkage with health care centers throughout Los Angeles County. By providing a unique environment that marshals all the forces of pediatric disaster training, they provide excellent resources and training for the health care community.

As a multi-disciplinary team, they come together to serve children facing crises. Their subject matter experts work in partnership with nurses and staff leaders to facilitate dialogue with community leaders about best practices in regard to children in disasters.

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Pediatric Surge Pocket Guide

July 15, 2009

Clinical checklists, guides, and just-in-time references to manage a surge of pediatric patients. This resource is being shared from Los Angeles County.

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Pediatrics During Disasters

July 15, 2009

All hospitals should plan for pediatric patients arriving during a disaster. The following document addresses the issues surrounding pediatric emergency care during a disaster.

It is presented under the supposition that all hospitals need to recognize the potential for receiving pediatric patients during a disaster and appropriately plan for pediatric mass casualty care. This resource is brought to you courtesy of New York City of Department of Health.

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