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It’s a Saturday afternoon, and you’ve just watched your 8-year-old take a terrifying flip over the handlebars of his bicycle. Or, it’s dinner time on a Tuesday night, and your 2-year-old has put his peas into his nose — instead of his mouth — and now they’re stuck. Should you call your child’s regular doctor? Should you pack up and head to the Emergency Department, or seek out your nearest urgent care center? It can be a tough decision, and it doesn’t help when you’re tired, stressed, and concerned for your child’s health. In some cases, you’ll know instantly if your child requires immediate medical attention. But in other cases, it might be hard to determine whether an injury or illness needs the attention of a medical professional or can be treated at home. The first call can always be to your child’s primary care physician. Your doctor — or […]

Sudden cardiac arrest is nothing new, but it still gets plenty of attention when it affects a young athlete—usually because it’s so rare, unexpected and tragic. We’re all familiar with the stories of seemingly healthy teenagers collapsing on the field or court and succumbing to cardiac arrest. It’s estimated that between 6,000 and 8,000 young people experience sudden cardiac arrest (or SCA) each year, and only about one in 10 survive. The exact causes of SCA vary widely. Abnormalities in the heart or genetic conditions are often to blame, though there are times in which a definite cause is never found. In all cases, something causes the heart to unexpectedly beat out of control or stop beating altogether. Sudden cardiac arrest is so dangerous because it’s so hard to predict. But if the symptoms are recognized immediately, lives can be saved. Symptoms of SCA include: Collapse Lack of pulse No […]

We all know about time-outs: Sending children to their room or removing them from enjoyable people or activities. But how well do we practice time-ins, which help reinforce good behaviors? And why should we work on quality time together? Why Time-Ins and Quality Time? Quality time with parents provides many benefits to kids. An important thing to remember is that quality really does matter over quantity. It’s not necessarily how many minutes you spend with your children, but that you’re present and make the time matter when you’re together. Research suggests positive quality time with parents results in a number of positive outcomes, including: strengthening the parent-child relationship fostering communication improving behavior decreasing later risks in adolescents for both mental health and health outcomes You’re also modeling positive relationships for your children and helping them understand the importance of being engaged and consistent. Start Simple 1. Snuggle. Be generous with your […]

Imagine you’re walking through the park, on a play date with a good friend and both of your children, when the outing takes an unexpected turn. Your friend stops mid-stride, struggling to catch her breath. She begins sweating, and before you can understand what’s happening, she’s collapsed on the ground. What do you do? Cardiac arrest is an electrical malfunction in the heart that causes an irregular heartbeat (also called arrhythmia) and disrupts the flow of blood to the brain, lungs and other organs. It’s a leading cause of natural death in the United States. Each year, some 350,000 people experience cardiac arrest outside of a hospital setting. Of those, 90% will die. And while the prompt administration of CPR can double—or even triple—a person’s chance of surviving a heart attack, most bystanders feel helpless to act when it’s most important. Either they’re not confident in their abilities to give […]

The term performance-enhancing substances brings to mind elite athletes, doping trials and drug tests. But substances like creatine, protein supplements and caffeine are commonly used by teenagers who are driven to perform-and look-their best. It’s a trend that has pediatricians concerned, and one that parents should be aware of. What Are Performance-Enhancing Substances? Performance-enhancing substances, also called sports supplements, are products that claim to use natural products to enhance athletic performance. The claims include increasing muscle mass, strength, speed, endurance, fat loss or recovery time. Most are available over the counter. They may include vitamins, minerals, amino acids, herbs, or botanicals (plants)-or any concentration, extract, or combination of these ingredients. Creatine One of the most popular supplements on the market, creatine, is easy to obtain and comes in a variety of forms (like powders, tablets, energy bars). Creatine is a natural substance that we usually get from protein-rich foods in […]

When Jill’s third child, Emmy, was born with a hole in her heart, Jill wasn’t too worried. Her two older sons also had the condition—called Atrial Septal Defect (ASD)—and theirs had cleared up over time. In children with ASD, blood recirculates inside the heart, and doesn’t reach the rest of the body as well as it should. Dr. Mary Mehta, Pediatric Cardiologist at Nemours Children’s Specialty Care, Pensacola, worked with the family to track Emmy’s condition. It didn’t improve, and it soon became clear that Emmy would need complex and invasive surgery to repair the hole in her heart. When Emmy was just three years old, the right side of her heart began to enlarge, presenting more risks: asthma-like symptoms and other coronary issues.  It was time to prepare for open heart surgery. Emmy’s family met with Dr. Peter Wearden, Cardiothoracic Surgeon at the Nemours Cardiac Center at Nemours Children’s Hospital […]