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In the emergency department (ED) at Children’s Hospital Colorado, winter is the busiest time of year. “We do our best to accommodate the volume,” says Mike DiStefano, MD, an emergency medicine specialist at Children’s Colorado.
But emergency departments, Dr. DiStefano explains, care for the most acute patients first — meaning high volumes can lead to long wait times for less urgent cases. The good news is that many times those less urgent cases don’t need to be in the ED in the first place.
Below, Dr. DiStefano outlines the three biggest winter reasons kids end up in the ED — and what parents can do to avoid it.
Influenza is unpleasant enough as it is, but one potentially dangerous consequence of it for kids and adults alike is that all those, uh, expelled fluids can result in dehydration. Dr. DiStefano frequently sees kids requiring intravenous rehydration.
“When kids throw up, parents give them a bottle of Powerade or Pedialyte,” says Dr. DiStefano. “And kids are thirsty, so they chug it, and that doesn’t go that well if the intestines aren’t functioning.”
Instead of a bunch of water all at once, Dr. DiStefano recommends offering kids a teaspoon or so every three to five minutes. “Then the stomach can absorb it, and the intestines aren’t needed,” he says. He also recommends acetaminophen and ibuprofen to ease fever and aches.
If that approach doesn’t seem to be working, call your child’s pediatrician first. Parents can also address questions to a nurse at Children’s Colorado’s ParentSmart Healthline by calling 720-777-0123 or 855-543-4636, free of charge, 24/7.
This common virus produces cold-like symptoms in older children and adults. For a very small minority of kids 2 years old and under, it can also have potentially life-threatening effects.
“It essentially causes mucus production in the lungs,” says Dr. DiStefano. “The smaller the air tubes, the bigger the problem.” In very rare cases, the condition in babies can be severe enough to require a ventilator.
“Sometimes when kids get high fevers, the respiratory system gets taxed,” says Dr. DiStefano. “Getting the fever down can help.” Try a cool washcloth, a fan, cool foods like popsicles, a cool bath, and acetaminophen (be sure to give your child the correct dose for their age and weight). Nasal suctioning, as well as a nasal saline solution, can also be helpful.
What won’t help: over-the-counter cough and cold remedies, as well as products that claim to “break up mucus.” They’re neither particularly effective nor good for babies.
And if your child seems to be having trouble breathing, call 911 right away.
“When we get a big dump of snow, the number of sledding injuries and fractures go up,” says Dr. DiStefano. “I had one day where two separate kids decided to sled off the roof. Both broke bones.”
Lots can happen in the snow. Sledding, skiing and snowboarding can lead to concussions, fractures and sprains. Even heading outside without the right clothing can result in exposure injuries.
Sledding injuries can result from collisions with trees, equipment and debris, but just as many result from one person plowing into another. Here are a few tips for finding a safe place:
Choose skating rinks over pond skating.
If you do choose pond skating, here are some recommendations:
|Activity||Type of helmet|
Skiing and snowboarding
Sledding, snow tubing
Ski helmet or bicycle helmet
Bicycle helmet, multi-sport helmet
*Some of these guidelines are adapted from the American Academy of Orthopaedic Surgeons (AAOS) position statement on winter sports safety.
Still, accidents do happen, and when they do, it’s a good idea to take advantage of urgent care instead of the ED whenever appropriate. Children’s Colorado’s urgent care clinics treat many of the same conditions and injuries as the ED, and the wait times are a lot shorter.
How do you know whether urgent or emergency care is most appropriate? Our guide can help you decide.