Bluffing and self-righteousness in early childhood emergencies

  If your child is between 4 months and 2.5 weeks old, born all normal, usually well-nourished, nothing sick, the first time there is a high fever, the temperature is above 38.5 ℃, or even every time is straight to 40 ℃, as soon as the effect of antipyretic drugs, immediately high fever again. May be you have to hands and feet, the whole family to chicken, afraid to burn the little one’s head, the first day to the hospital, mostly to check the blood, the doctor should tell that it is a viral infection, look at the throat may be a little red, prescribe some antipyretic drugs, some will prescribe antibacterial, but go back to the drug also ate, after still continue to high fever, the second visit to the hospital parents will be a little nervous to drive the doctor to their However, even if the child is given more medication, his fever still lasts for 3 to 4 days until the fever subsides and a dense rash appears, and some children may poop a little before it stops.  I have observed that most of the children born in the city nowadays have to get the toddler rash once, so sensible parents and doctors should understand the process and identify the toddler rash is not always confirmed until the rash comes out, as long as they grasp its diagnostic points, it can be found immediately without having to go through the ordeal.  1, toddler emergency rash occurs in children between the ages of 4 months – 2.5 years, better nutrition, urban children mostly. This is because the virus of toddler rash is a very common human herpes virus in the population, basically after the addition of complementary foods, good nutrition, urban children have fewer opportunities for bacterial infection, this viral infection is very common.  2, most of the early childhood emergency rash is high fever, relying on antipyretic drugs to reduce the fever, usually once the antipyretic drugs wear off, the fever will be high again, but once the fever is reduced, it is mentally active, and there are almost no other symptoms of infection such as cough, nasal discharge and diarrhea. This is a very important sign and is also the main aspect to observe before determining the toddler rash. If the fever is caused by another disease, it is usually accompanied by more obvious symptoms of infection.  In most cases, children with toddler rash show abnormally high lymphocyte ratios and lower neutrophils, and if there is hypersensitivity CRP, it is usually not high. This markedly different blood count is helpful for experienced physicians who can almost always confirm the diagnosis of toddler rash early on, but it can sometimes be a nuisance for inexperienced physicians who can even give parents a diagnosis of a blood disorder, which can cause more panic. Identifying a possible toddler rash relies on sensible parents and experienced physicians. It should be said that the current system of training pediatricians is flawed, being that a viral infection with such common and prominent symptoms is not mentioned in pediatric textbooks, which results in very common misdiagnosis. This is especially common in primary care hospitals, where many primary care pediatricians have rarely seen rash in their lifetime, and their misjudgment naturally leads to wrong treatment, and they are given fluids and even hospitalized as other infectious diseases. It is only after the fever has subsided for almost 72 hours that the rash comes out that many of them realize it or continue to be obsessed with it.  After talking about the identification and diagnosis of the emergency rash, let’s talk about its treatment. In fact, the identification of the toddler rash is the key, but the treatment is simple, because no matter what treatment is given, the fever will always be so long, then the focus of treatment is care and active fever reduction.  1, the high fever of toddler rash is very intense, if it is a child with family high fever convulsions, most of them will cause convulsions, so active fever reduction is necessary. The choice of antipyretic drugs can use ibuprofen, acetaminophen, both of which have a safe range of use. The higher the temperature of the fever, the highest dose should be used, not just the medium dose of the instructions, which is usually not effective. At the same time should be combined with physical cooling, including the comfort of the ambient temperature, appropriate warm water baths and other measures.  2.Emergency rash in young children is a high fever disease, so it is important to feed more milk and ensure fluid intake. The primary care measures are the emotional stability and composure of parents and other caregivers. A high fever of up to 72 hours or so, whether you are a peddler or a dignitary, is difficult to calm down if you are not informed in advance. Over-treatment is always unavoidable in the case of anxious parents with a child with a high fever, facing a doctor who is unfamiliar and afraid to take responsibility.  Children with toddler emergency rash have a fever that subsides after a high fever of up to about 72 hours, and a rash usually develops within 24-48 hours of the fever subsiding, and the rash subsides from a few hours to a few days, it is a rash that does not require special treatment, and bathing and going out is possible without affecting the child’s healing. Older people often say that children with rashes can not see the wind, can not wash hair, bathing requirements mainly because of the previous measles, rubella disease occurs a lot, both diseases because in the appearance of the rash when the child is just entering the most serious period of the disease, may have a higher fever, more serious condition, so it makes sense to be careful to protect. And now, due to the widespread vaccination, the occurrence and severity of such diseases are greatly reduced and less severe than before, so there is no need to be so afraid. For this kind of toddler emergency rash that has gone down, it is not necessary to wrap it too tightly, otherwise it will be easy to have a high fever again.  The rash is a bluff in terms of its pathogenesis, because this virus, despite the high temperature of the fever, still does not have a tendency to brain infection, so the overall is a self-healing disease, as long as appropriate care and timely fever reduction, it is possible to pass calmly. However, both doctors and parents, if they do not recognize it early and commit some self-righteous thoughts, the unnecessary but potentially harmful infusion or other medical measures may instead cause harm to the child.