Pediatrician - Wall
3350 Highway 138 Building 2 Suite 126
Wall, NJ 07719
732-280-6455

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By contactus@steppingstonepediatrics.com
January 07, 2019
Category: Uncategorized
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Most common poisons in children

  • cosmetics and personal care products
  • cleaning substances and laundry products
  •  pain medicine
  • foreign bodies such as toys, coins, thermometers
  • topical preparations 
  • vitamins
  • antihistamines
  • pesticides
  • plants
  • antimicrobials

 

Bottom Line:

Children will swallow anything they can reach. Most of the time, these objects pass through the gastrointestinal tract with no trouble; the object turns up in the child's stool. Sometimes, surgery is needed to remove the object(s). In one recent study, coins made up 80 percent of swallowed foreign objects that had to be removed by surgery.

Source: https://www.poison.org/articles/2012-oct/kids-will-swallow-anything & https://www.poison.org/common-and-dangerous-poisons

 

By contactus@steppingstonepediatrics.com
November 01, 2018
Category: Uncategorized
Tags: Untagged

From New Jersey Poison Control:

(Newark, NJ) – Warning. During New Jersey’s 2017 – 2018 heating season, the state’s poison control center received approximately 250 calls related to carbon monoxide (CO). Of these, 162 victims were evaluated in emergency departments and many required hospitalization.

Don’t be the poison center’s next statistic. Exposure to carbon monoxide can produce headaches, sleepiness, fatigue, confusion and irritability at low levels. At higher levels, it can result in nausea, vomiting, irregular heartbeat, impaired vision and coordination, and death. During cold and influenza season, symptoms of carbon monoxide poisoning can easily be confused with symptoms of viral illnesses like the common cold and the flu.

“Prevention and early detection are crucial in preventing poisoning injury and death from carbon monoxide,” says Diane Calello, MD, Executive and Medical Director of the NJ Poison Control Center at Rutgers New Jersey Medical School’s Department of Emergency Medicine. The sudden shift in frigid weather forced homeowners and landlords to have to turn on their heating systems earlier than expected; without having them properly serviced beforehand to prevent CO exposure. 

“You want to catch a leak before it turns into a serious problem,” says Calello. Carbon monoxide is called the “Silent Killer” because it is a gas that gives no warning – you can’t see it, smell it or taste it. “Don’t gamble with your family’s health and well-being; CO detectors are a must.” Battery-operated carbon monoxide detectors should be put on every level of the home and near every sleeping area. Always check the batteries of both detectors (fire and CO) when changing the clocks twice a year for daylight savings time. 

Safety tips to help reduce your risk of carbon monoxide exposure:

  1. If you do not have any carbon monoxide detectors, install them right away. If your detectors are old and/or not working properly, replace them immediately.
  2. Don’t remove the batteries from detectors to use somewhere else. The detector can only save lives if it works.
  3. Gas appliances must have adequate ventilation. If need be, keep a window slightly cracked to allow airflow.
  4. Open flues when fireplaces are in use. Have chimneys inspected periodically to prevent blockage.
  5. Never use the stove to heat your home/apartment. 
  6. Only use generators outside. Keep them more than 20 feet from both you and your neighbor’s home, doors, or windows.
  7. Do not bring generators, pressure washers, grills, camp stoves, or other gasoline, propane, natural gas or charcoal-burning devices inside your home, basement, garage, carport, camper, boat cabin, or tent – or even outside near an open window or door.
  8. DO NOT cook with charcoal indoors.
  9. DO NOT idle a car in a closed garage. Once you pull in, immediately turn off the engine. Be extra careful with “remote start” engines which may be on without your knowledge.

 

If you suspect a carbon monoxide exposure, take immediate action:  

  1. If someone is unconscious or unresponsive, get him or her out of the house and call 9-1-1 immediately.
  2. Exit the house/building immediately. Do not waste time opening windows. This will delay your escape and cause you to breathe in even more dangerous fumes.
  3. Contact your local fire department/energy provider.
  4. Call the NJ Poison Control Center at 1-800-222-1222 for immediate medical treatment advice. Do not waste time looking for information on the internet about carbon monoxide poisoning.  Call us for fast, free and accurate information.

 

Carbon monoxide poisoning is serious. If you have questions or concerns about carbon monoxide or suspect CO exposure, call the medical professionals at the NJ Poison Control Center. If someone is unconscious, not breathing, hard to wake up, or seizing, call 9-1-1 immediately.  Poison control centers are a great resource for information and emergencies. Call, text, or chat with a health professional for free, 24/7.  Save the Poison Help line, 1-800-222-1222, in your phone today to be prepared for what may happen tomorrow, (www.njpies.org).   

By contactus@steppingstonepediatrics.com
October 05, 2018
Category: Uncategorized
Tags: Untagged

Still unsure if your child should get the flu shot? We've compiled a few articles and sources for our readers to convince you, yes, you and your children should get the flu shot! Call us today at (732) 280-6455 to schedule!

TIME Magazine

http://time.com/5415276/flu-shot-2018/

CDC

https://www.cdc.gov/flu/about/season/flu-season-2018-2019.htm

American Academy of Pediatrics

https://www.aap.org/en-us/about-the-aap/aap-press-room/Pages/AAP-Issues-Flu-Vaccine-Recommendations-for-2018-2019.aspx

NY Times

https://www.nytimes.com/2018/09/06/well/live/kids-get-your-flu-shot.html

By contactus@steppingstonepediatrics.com
August 31, 2018
Category: Uncategorized
Tags: Untagged

From the American Academy of Pediatrics. - HealthyChildren.org

Question

How long should my child ride rear-facing?

Benjamin Hoffman, MD, FAAP

Answer

Rear facing is not just for babies! The American Academy of Pediatrics (AAP) has long recommended that―infants ride in rear-facing car seats, and in 2018 the AAP updated that recommendation to encourage rear facing for as long as possible, until a child reaches the highest weight or height allowed by the manufacturer. Most convertible car safety seats have limits that will permit children to ride rear-facing past the second birthday.

Why the Change?

This recommendation was based not only on motor vehicle crashes in which children died or were injured, but also from what we know about the anatomy of young children. Young children have large heads compared to their body size, and a high center of gravity. The vertebrae in their spine are more shallow, and their ligaments are looser. All of these factors increase the risk of a spine injury in a crash. In a sudden, violent stop, a rear-facing seat will cradle a child's entire back and spread out the force of the crash, reducing the risk of serious injuries to the neck and spine.

More Evidence:

Children in other countries routinely ride rear-facing until age 4. Deaths and serious injuries to these children are extremely rare. While differences in car seats, vehicles, and driving conditions make it tricky to compare, data from those countries suggest that children in the U.S. are also best protected by riding rear-facing for as long as they can.

The Good News:

Over the years, car seat manufacturers have increased the weight and height limits on their rear-facing seats. This means that more children can ride rear-facing as they grow well into the toddler and preschool years.

No matter which direction your child faces in the car, though, it is important to read and follow the instructions from your car seat manufacturer. A certified child passenger safety technician can help you figure out what is best for your child and your vehicle. Find one online from the National Highway Traffic Safety Administration or Safe Kids Worldwide.



Please contact us with any questions or concerns!

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3350 Highway 138 Building 2 Suite 126,
Wall, NJ 07719