ation in mental status should also prompt an ER visit,” Diep continues, mentioning these may be signs of a head injury. “Warning signs of extremity injuries (arms and legs especially) include the inability to bear weight or persistent limping, redness or swelling, pain out of proportion to injury, persistent numbness or tingling, and reduced perfusion (blood flow) to an extremity,” says Diep. “Sometimes it is difficult after an injury to know whether it is a minor sprain or whether it is a broken bone. If there is an obvious deformity to the bone, immediately go to the ER,” adds Diep. “If there isn’t an obvious deformity, it may be helpful to apply an ice pack or wrap to the area to help decrease the swelling, and immediately stop all activity to allow healing.” In any situation, if pain or concerns persist, consult your pediatrician for further advice. If you would like to speak more with Dr. Diep, call (808) 945-9955 or email pediatrics@doctordiep.com. office at Kapiolani Medical Center for Women & Children. “We often think about the height of the fall, which if it is less than three feet, it shouldn’t cause significant damage.” Two falling injuries are common in young children: Toddler’s Fracture and FOOSH (“falling on outstretched hand”). Diep explains, “Toddler’s Fracture is usually due to a twisting or falling injury, or sliding down a slide and getting their leg caught under them. School-aged children are susceptible to FOSH, which happens if a child is running and falls but puts their arm out to break their fall; this causes the impact to be on the wrist which can then be distributed up into the forearm and cause something known as a buckle fracture, common around the wrist.” When should a caregiver bring a loved one to see a doctor after a fall? “If there is any suspected loss of consciousness, bring the child to the ER. Persistent vomiting, lethargy, or any alter90 HAWAII PARENT NOVEMBER/DECEMBER 2023 Make sure your child’s play area is safe and age appropriate. “Everyone can benefit from learning some basics. ”
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