Pure Direct Pediatrics

This has sat with me since yesterday.

We health care workers speak a universal medical language. The plight and trauma of HCW’s, especially after 2020, is something we acknowledge and need to understand.

If you’ve even worked in healthcare (or maybe even been a patient) in the ER or ICU for even a day, you know how important pain control is.

Practicing medicine like this in 2023 on children?

Chills. Nightmares. Medical terror.

Ok so we are going there!

Lice.
Super common in school age children.

Swipe through and let’s answer all the questions you didn't know you had on head lice!

➡️We typically diagnose lice by visual inspection which I will discuss more in stories today.

➡️Super important-Children should not be excluded from school based upon the presence of live lice or nits. Why?

Lice are often present for WEEKS prior to detection, plus majority of children with nits may not develop active infestation.

➡️That being said, anyone who has had close contact (for example in the house), should be inspected and if a sibling shares a bed with someone who has head lice, they should be treated prophylactically.

Ok who's gonna be super brave and admit they had lice? I did once as a kid and it was super resistant to therapy! My sisters and I all had to be treated at home twice.😅

This week, I was a little surprised that Minnie‘s pediatrician wanted to give her her vaccines in her legs for the 12 month and then now the 15th month check up.

At the 15th month check up, she seemed confused why I would not want the arms.

Because legs are the recommended site for intramuscular shots at this age!

I’ve received tons of these questions in the last few months asking

“Is it ok my child got the Covid vaccine in his leg/her arm?”

Straight from the CDC itself, I am sharing this resource for practicing pediatricians, family medicine physicians, and other healthcare workers who give kids vaccines and/or other INTRAMUSCULAR injections on tips for where to give them and at what age.

Remember, some vaccines are also given subcutaneous and those have slightly different preferential sites for children over 12 months.

Parents, feel free to screenshot this as well and keep on hand!

Source