Search

Summer is around the corner, bringing heightened risks of heatstroke, especially for children who cannot regulate their body temperature as efficiently as adults. Infants are particularly vulnerable and may not express discomfort, so never leave a child unattended in a vehicle. Top Tips for Preventing Heatstroke Reduce the number of deaths from heatstroke by remembering to ACT. Avoid heatstroke-related injury and death by never leaving a child alone in a car, not even for a minute. And make sure to keep your car locked when you’re not inside so kids don’t get in on their own. Create reminders. Keep a stuffed animal or other memento in your child’s car seat when it’s empty, and move it to the front seat as a visual reminder when your child is in the back seat. Or place and secure your phone, briefcase or purse in the backseat when traveling with your child. Take action. If you see a child alone in a car, call 911. Emergency personnel want you to call. They are trained to respond to these situations Keeping Your Baby Cool in the Back Seat In hot weather, it is crucial to keep your baby cool and hydrated by using a car seat cover or towel over them to reflect the sun's rays. Dress your baby in lightweight clothing that covers their arms and legs. Keep an eye on your baby's skin color. Move them to a cooler place if they look too red or flushed. Keep the temperature at a comfortable temperature for you, not for your child. Keep the windows cracked open for ventilation and ensure nothing is blocking the airflow from entering or exiting the vehicle. Dress your infant appropriately for their environment, including appropriate head and neck coverings, to keep them cool and protected from sunburns. Ensure you have enough fluids to last an hour before getting out of the car or use bottled water if possible. Never leave your child unattended in a car. Steps to Follow if You Suspect Heatstroke  Call 911 immediately.  Cool the victim – Get the person to a shady area, remove restrictive clothing and cover skin with sheets soaked in ice-water, and place ice packs in the arm pits and groin.  Have the victim drink cool fluids, preferably an electrolyte-containing sports drink.  Monitor body temperature with a thermometer but stop cooling efforts after temperature has dropped to 102 Fahrenheit. Baby Safe Classes These classes help prepare parents for emergencies that may occur in baby’s first year. Safe Kids Worldwide Did you know heatstroke is the leading cause of non-crash related fatalities in children? “On average, every 10 days a child dies from heatstroke in a vehicle. In more than half of these deaths, the caregiver forgot the child was in the car.”

Read More About How to Protect Your Kids from Heatstroke

Dr. Shipra Singh, a Pediatric Pulmonologist, outlines the challenges of diagnosing asthma in children due to symptoms resembling other respiratory issues. It's particularly difficult to identify in infants and young children, who may not clearly exhibit breathing difficulties. Asthma, often confused with bronchitis, croup, or allergies, is a significant chronic illness causing school absenteeism, as per the CDC. Risk factors include prenatal smoking and family history of allergies or asthma. Infants and toddlers are more susceptible due to smaller airways and respiratory viruses, which can exacerbate conditions like colds and bronchitis. How can I tell if my child has asthma? Unfortunately small children are unable to describe their symptoms, making asthma difficult to diagnose. Your child may even be active, playing and smiling, although they are experiencing chest tightness or labored breathing. Observe your child and let the child’s doctor know if: Your child’s breathing behavior has changed (coughing, wheezing, rapid breathing) Your child’s breathing pattern changes (day vs. night, with rest or activity, inside vs. outside) You have a family history of asthma or allergies Your child’s breathing is triggered by any foods or allergies With your help, your child’s doctor can make the best diagnosis to determine if your child has asthma. A pediatric pulmonologist (lung specialist) or pediatric allergist may also have to be consulted for special testing. Tests may include lung function testing, allergy tests, blood tests and X-rays for an accurate diagnosis. What is the treatment for infants and toddlers? Young children can use many of the same medications as older children and adults, although the way they take them and the dosage will differ. A nebulizer (or breathing machine) creating a medicated mist for your child to breathe through a mask may be used. An inhaler with a small spacer tube connected to a mask is also common to help your child breath medication into their lungs. Either of these options are effective. Asthma in children is treated with both fast-acting and long-term medicines to open up airways quickly for easy breathing and also to lessen asthma symptoms over time. Communicate with your child’s medical providers to create a personalized asthma management plan for them. How can I manage my child’s asthma? Recognize your child’s breathing habits and be aware of worsening symptoms. Consult with your child’s doctor on a daily asthma action plan to recognize worsening symptoms and track medications. Here’s an example of an asthma action plan provided by the U.S. Department of Health and Human Services’ National Institutes of Health). Be consistent with the plan and talk to your doctor before changing it. Have an emergency plan in case of a serious asthma attack. Know where the closest ER is and know who can take care of your other children. Also know what the medical treatment coverage is under your insurance plan. Dr. Singh explains, "Discussing asthma with your child may be difficult. Some kids find the subject frightening or confusing. Others, especially the older kids, may resent the treatment and may not be interested in doing it. Talk to your doctor about advice to build an open and trusting relationship regarding your child's asthma care."

Read More About Understanding and Managing Childhood Asthma

Most babies weigh just one pound and are roughly the size of an eggplant when they reach 24 weeks of development inside the womb. It is a crucial stage when internal organs begin functioning, and the babies' respiratory and central nervous systems are still developing.     So, in November 2021 when Kallie Johnson experienced a premature rupture of amniotic fluid around this point in her pregnancy, her care team in Winnemucca decided to transport her via Care Flight to Renown Regional Medical Center. The team at Renown Children’s Hospital immediately began discussing the risks of delivering at 24 weeks with the Johnson family.  Moving Forward with Hope Knowing the stakes, Kallie remembers never feeling rushed to decide about delivering her baby preterm. “I felt educated and supported by my care team at Renown throughout our entire stay, starting with the education they provided about what it meant to deliver my baby early,” Kallie said. “The team really helped me make the best decision for myself and my family.”    Together, Renown employees and the Johnson family moved forward with a healthy set of nerves and a powerful feeling of hope.  Weighing in at one pound 11 ounces, Sloan entered the world on Nov. 19, 2021, via emergency Cesarean section. Her birth was classified as a micro preemie because she was born before week 26 of pregnancy and so small that she fit inside the palm of her father Sterling’s hand. A full-term pregnancy is classified as reaching 39 weeks.   A Fighting Chance  Called a fighter by many Renown Children’s Hospital care team members, Sloan spent over five months in the neonatal intensive care unit (NICU). She was placed on a ventilator, fed through a feeding tube and monitored 24/7, overcoming daily challenges with the Renown team and her family.  As a result of being born prematurely, Sloan developed a grade one brain bleed and a congenital heart defect called patent ductus arteriosus, a persistent opening between two major blood vessels, causing too much blood to flow to the lungs and heart.   To meet the oxygen needs of her tiny lungs, Sloan was intubated and developed a severe oral aversion and high-arched palate as a result. The effects would lead to difficult developmental and physical challenges that she still conquers today. Yet, with the help of her care team – including physical, occupational and speech therapists, dieticians and doctors – Sloan continues to make progress every day.

Read More About A Fighting Chance at 24 Weeks Sloans Story

Car seat mistakes can have very serious consequences. Misuse of a car seat can injure your child, or fail to keep them safe in the event of a crash. A lot goes into finding the right car seat for your child. With so many factors to consider (including age, weight and height of the child, type and brand of a car seat, cost of the car seat, etc.) it can be easy to forget critical factors. Here are two common mistakes that certified technicians often find when speaking with parents. Mistake #1: Getting a used car seat without knowing its history Why: A used or secondhand car seat can pose several factors that can compromise its safety in a crash. First, car seats expire six to ten years after their date of manufacture, so refer to the car seat's manual for recommended car seat longevity. The safety mechanisms can be compromised if a car seat has been in a crash. So it's crucial to replace your car seat following a collision. Solution: Only use a car seat if you know its history. A new car seat is your best bet, as they are up to date on the latest safety guidelines, and safety mechanisms are up to standard. However, if you are considering a used car seat for your child, please ensure the following: The car seat has never been in a car crash. The car seat isn't expired or outside the manufacturer's recommended longevity. It comes with the car seat manual and has all safety labels, including manufacture date, model number, and use instructions and restrictions. The car seat or any of its parts have not been recalled. The overall state and integrity of the car seat and its parts are undamaged. The carseat or any of its parts have not been recalled and are present and in working order.

Read More About 2 Dangerous Car Seat Mistakes and Solutions

Although the exact cause of Sudden Infant Death Syndrome is unknown, there are steps parents and caregivers can take to reduce the risk. Here's what every parent needs to know. SIDS is the leading cause of death in the country in infants in their first year of life. However, the exact cause of SIDS still remains a mystery, though it is often attributed to unsafe sleeping practices. Karen Wagner, a Pediatric Nurse Practitioner at Renown Health answers some of the most commonly asked SIDS questions. Protecting Babies from SIDS: Always place babies on their backs when putting them to sleep for naps and at night. Use a firm sleep surface, such as a mattress in a safety-approved crib, covered by a fitted sheet. Share your room – not your bed – with your baby. Your baby should not sleep in an adult bed, on a couch, or on a chair alone, with you, or with anyone else. Keep soft objects, such as pillows and loose bedding, out of your baby's sleep area. Do not smoke during pregnancy or around the baby; these are strong risk factors for SIDS. The risk of SIDS is even greater when a baby shares a bed with a smoker. To reduce risk, do not smoke during pregnancy, and do not smoke or allow smoking around your baby. Your SIDS Questions Answered:  Who's most at risk? Three out of five SIDS victims are boys. African American and Native American infants are twice as prone to the syndrome. Other groups at increased risk include preemies, low-birthweight babies, and infants exposed to cigarette smoke. Is putting my baby down on their back really that important? It's vital. Back-sleeping increases a baby's access to fresh air and makes her less likely to get overheated (another factor linked to SIDS). I put my child to sleep on their back at night, but can I let this rule slide for a short nap? It's not worth the risk. Babies who normally sleep on their back are 18 times more likely to die of SIDS when placed down on their tummy for a snooze. Is side-sleeping safe? No. Studies show that putting a baby down on her side rather than on her back doubles the SIDS risk. It's easier for an infant to roll onto her tummy from her side than from her back. I'm worried about my baby getting cold. Is it safe to cover them with a blanket? Wait until their first birthday. Blankets, pillows, comforters and stuffed toys can hinder your child's breathing; even soft or improperly fitting mattresses can be dangerous. If you're worried that your little one may get chilly, swaddle them in a receiving blanket or use a sleep sack.

Read More About What Every Parent Needs to Know About SIDS

Jason Farnsworth, Evan Fox and Jennifer Jenni are three of Renown’s more than 500 employees who currently serve, or who have served, in our miliary. Their deep-rooted passion for helping our community extends to the Nevada National Guard (NANG), an organization that shares many values with Renown. We sat down with Jason, Evan and Jenni to ask their perspective on what propels them to serve people in our home state and learn more about how Renown's partnership with the Nevada National Guard has supported their personal and professional growth. Meet Jason Farnsworth, the Face Behind Renown’s Partnership with the National Guard Jason Farnsworth is the Director of Respiratory Care Services at Renown and the Chief Master Sergeant, Medical Superintendent of the Nevada National Guard. He has been with the Guard and Renown for 23 years. Jason joined the Guard over 20 years ago to help pay for his college education. After using up his paid vacation time from Renown for Guard events like deployments or training in his initial years as a Guard member, Jason approached Renown senior leadership with the idea of paid military leave. “In full support of employees who choose to serve, Renown stepped up to give a resounding, ‘yes,’ as they have time and time again for our military community,” Jason said. From that day forward, policies were implemented at Renown to further support individuals who serve our country with paid military leave. As a result, Jason submitted an Employer Support of the Guard and Reserve (ESGR) Secretary of Defense Freedom Award nomination and Renown Health won the highest-level department of defense employer recognition in the nation. Since then, Jason has received four associate degrees, one bachelor’s degree and a master’s degree with the government’s support and has been promoted several times to his current roles at Renown and the Guard. “As I progressed at Renown, I was able to progress in the National Guard. They've complimented one another on leadership skills and clinical competencies.” How Evan Fox Finds Synergy in His Roles at Renown and the National Guard After five years as a cardiac intensive care unit (ICU) nurse at Renown Regional Medical Center and two years as a First Lieutenant Critical Care Nurse in the Guard, Evan Fox has implemented care plans for many community members and put his expertise to good use. The countless trauma hours he has completed at Renown have directly translated to the field as a Guard member. He states that “his roles are synergistic, and his innumerable hours of critical care are worth their weight in gold because of the transferability between the two positions.” Evan’s Roles Provide Service to Our Community, and Beyond Evan feels passionately that his experience with the Guard is unique because you live in the area that you serve, whereas with other military branches you are often stationed elsewhere. Recently, he’s cared for many people involved in firefighting missions in our surrounding areas. As a member of the medical group of the Nevada National Guard, Evan is prepared to provide critical care at any given moment in the event of deployment due to a natural or man-made disaster. He can provide critical care in our region and across the nation. How Jennifer’s Leadership Journey Continues to Grow Jennifer Jenni is the nurse manager of the cardiac ICU and intermediate care unit at Renown Regional Medical Center. She has been with Renown for 13 years and initially started at Renown South Meadows Medical Center in the general surgical unit. She felt compelled to take advantage of Renown’s development programs as she worked her way up to supervisor and now as a manager. She is also a registered nurse and captain in the Nevada National Guard as well as a member of an enhanced resource force team, equipped to provide aid anywhere in the nation in the event of a disaster. With Jennifer, People Always Come First Her dedication to serving people has always been a part of who she is, even before she became a leader. From an early age, Jennifer felt strongly that she wanted to be involved in the military in some way stating that “the Guard is very much a service to the people, whether it's our community or nationwide.” While her clinical leadership qualities and skills have translated well to her role as a captain, holding two leadership titles is no easy feat – especially when it comes to the continued training her roles require. However, because of the support Renown provides its military community, Jennifer was able to confidently attend officer training in Alabama last year. Jennifer was fully supported by her Renown team when she was away and took advantage of her paid military leave benefit. More Than Just a Partnership, but a Family Jason, Evan and Jennifer are among the many employees who choose to serve both here at Renown and in the Guard. You might see National Guard members who are also Renown employees in areas like the cardiac ICU, trauma ICU, emergency department or medics who work on hospital floors. “Not only is my family out at the National Guard, but they are also here at Renown. It’s amazing to see how many people spend their lives giving back,” Jason said.

Read More About Renown & The National Guard: How These Employees Serve with Maximum Impact

Renown Health welcomes you back from Burning Man. To make sure you have the support you need, here are some tips on where to get healthcare after your return from the playa. Our urgent cares see patients 365 days a year for medical concerns that are urgent but not life-threatening. This can include fractures, cuts, burns, sprains, fevers, animal bites, rashes, sore throats and fevers. Where To Get COVID-19 & Monkeypox Tests in Reno-Sparks Renown Health’s emergency rooms do not provide walk-in COVID-19 or monkeypox testing for patients. If you are experiencing symptoms related to COVID-19 or monkeypox, we recommend you make an appointment with your primary care provider or visit one of our urgent care locations. Testing for COVID-19 is also available at local pharmacies in the Reno-Sparks area. Please visit Washoe County's COVID-19 page to learn more. Labor Day Holiday Hours: Fernley and Fallon urgent care locations will be open from 9 a.m. to 3 p.m. on Monday, Sept. 5; all other Renown urgent care locations are open from 9 a.m. to 5 p.m.

Read More About Attending Burning Man? Health Tips From Renown

The kids are back in school and the holidays are all but a distant memory: Now what? Karen Wagner, APRN, offers specific tips about getting kids back to their routines in the post-holiday-hustle-and-bustle. Are you finding the kids struggling with bedtime routines? Having trouble getting them to tackle homework? There’s a simple reason: The holidays messed with their mojo! Here, we talk with Nurse Practitioner Karen Wagner about what to do to get them back on the straight and narrow.  Why Routines Are Important “Holidays are a fantastic time to get together with family and friends, so our routines are usually off — and this is understandable, “Wagner says. “While the holidays are exciting, they are chaotic and can put our kids out of the routines.” So how do you get kids back into those routines they crave?  “Consistency/routines are crucial for our kids,” she says. “Most people — kids and adults —  experience a let-down feeling after the holidays, and post-holiday adjustment takes time.” So what can we do, specifically? Wagner recommends the following:  Re-establish family routines, including before- and after-school programs or child care routines. Once kids are back on the regular schedule, they’ll find that sense of familiarity as the old routine returns. But keep in mind, this won’t happen overnight.  Encourage healthy eating, as the upheaval of their schedule can be offset by a balanced diet.  Make sleep time a priority: Keep in mind that it might take up to three nights of strict bedtime to get them back on track. But enforcing normal bedtime will get their bodies back on a normal schedule.  Return to usual chores and expectations. Nothing encourages a return to routine like reminding them of the basics.  Incorporate indoor and outdoor time. They likely spent lots of time outdoors during our unseasonably warm winter break — and they even had a snow day or two! So encouraging both indoor and outdoor time will help them return to a circadian rhythm and tire them out from exposure to fresh air.  “It is never too early to encourage a love for physical activity in kids by exposing them to fun fitness activities and sports,” Wagner says. “Physical activity improves bone health, cardiorespiratory and muscular fitness, decreases levels of body fat, reduces symptoms of depression, and improves cognitive skills and the ability to concentrate.”

Read More About Bye-Bye Holidays, Hello Routines! Getting Kids Back into the Groove

With more than 3 million cases in the United States each year, human papillomavirus (HPV) is a common sexually transmitted disease and can lead to the risk of several cancer diagnoses. Fortunately, a vaccine can prevent more than 90% of HPV cancers when given at the recommended ages. We talked to Renown Pediatrician Vanessa Slots, M.D., to learn more about HPV and the importance of getting your child fully vaccinated.   What is HPV?   Talking about sexually transmitted infections can be uncomfortable, but learning how HPV is spread is important for prevention. HPVs are spread via skin-to-skin contact. According to the National Cancer Institute, there are low/medium-risk HPVs that can cause warts and cervical dysplasia (abnormal cells on the cervix), and there are high-risk HPVs that can cause various cancers. HPV is perhaps most known for causing cervical cancer. Other cancers related to HPV are anal, vaginal, vulvar, penile and oropharyngeal cancers. In fact, men are four times more likely than women to suffer from HPV-associated oropharyngeal (mouth and throat) cancer. HPV is so common that nearly all sexually active people will be exposed at some point in their lifetime, with around half of infections being a high-risk virus.  Benefits of the HPV vaccine   Immunizations are safe and effective and have successfully reduced the transmission of many deadly diseases. The CDC (Centers for Disease Control and Prevention) states the HPV vaccine protects against infections that can lead to HPV related cancers and abnormal cells that can lead to cancer (precancers), as well as genital warts.   The recommended HPV vaccine schedule   The American Cancer Society states that the HPV vaccine is most effective when two doses are given to girls and boys between the ages of 9 to 12. There should be at least 6 months between the first and second dose. “You might be asking why your child needs to get the HPV vaccine at this young age when they are not sexually active,” says Dr. Slots. “Research shows that people have a better immune response to the vaccine when younger than in their late teens and early 20s.”   For teens and young adults ages 13 through 26 who have not been vaccinated, getting the HPV vaccine is still highly effective in preventing cancers and genital warts.   CDC recommended HPV vaccination suggestions:  2-dose schedule for people who get their first dose before their 15th birthday.  3-dose schedule for people who get their first dose on or after their 15th birthday.   “By following the recommended HPV vaccine schedule and getting your child the correct number of doses, this will ensure they have adequate protection against HPV associated diseases including cancer,” says Dr. Slots.

Read More About HPV Vaccine: Prevention Is the Best Medicine

Young children under 4 and adults over 65 are especially vulnerable to heat exhaustion. Avoid heat exhaustion this summer with some expert tips. Northern Nevada summers can be downright hot, and although the balmy temperatures can feel great, they may cause heat-related illness, also known as heat exhaustion. Infants and children under 4 and adults over 65 are particularly vulnerable to heat exhaustion because their bodies adjust to heat more slowly. Without proper intervention, heat exhaustion can progress to heat stroke, which can damage the brain and other vital organs and even cause death. The Warning Signs of Heat Exhaustion Heavy sweating Elevation of body temperature Paleness Muscle cramps Tiredness, weakness, dizziness Headache Fainting Nausea or vomiting Cool and moist skin Fast and weak pulse Fast and shallow breathing Heat stroke happens when the body’s temperature rises rapidly and the body loses its ability to sweat. The Symptoms of Heat Stroke Body temperatures rising to 106 degrees or higher within 10 to 15 minutes Red, hot and dry skin (no sweating) Rapid, strong pulse Throbbing headache Dizziness or nausea Prevention and Treatment Make sure your air conditioner works Stay indoors and drink plenty of fluids Limit strenuous outdoor activities to mornings and evenings Drink plenty of water throughout the day Avoid caffeine and alcohol Do outdoor activities in the shade and wear light, loose clothing Take plenty of breaks and drape a wet bandanna around your shoulders to cool down If you suspect you or someone else is headed toward heat exhaustion or heat stroke, call 911 immediately.

Read More About Avoid Heat Exhaustion With This Simple Checklist

Renown Health recently announced that it has contracted with the Centers for Medicare and Medicaid Services (CMS) on a new program that offers enhanced Medicare benefits for Medicare beneficiaries. This new direct contracting Medicare program is designed specifically for patients with Original Medicare. Here are three things to know about Renown’s new program: The goal of the program is to help care providers work together to improve patients’ health by better coordinating patient care and reducing costs. Medicare beneficiaries who choose to sign up will have peace of mind knowing that they are in a program that ensures coordinated care along with potential cost-sharing assistance for chronic care management. Signing up for this program is easy – and it does not affect your existing Medicare benefits in any way. Simply click the button below, select either your current Renown Health or Geriatric Specialty Care provider from the drop down menu, complete the form and click “Submit Form.” It only takes a minute or two to fill out the form. You will be asked to provide the name of your primary care provider and be sure have your red, white, and blue Medicare card handy. Sign Up for Renown’s Enhanced Medicare Benefit Program Voluntary Alignment Sign Up Note: Participation in this program is voluntary. If you choose to sign up, your benefits will NOT change, and you can visit any doctor, other health care professional, or hospital. Learn more about Renown’s Direct Contracting Entity for Medicare Beneficiaries here. The statements contained in this document are solely those of the authors and do not necessarily reflect the views or policies of CMS. The authors assume responsibility for the accuracy and completeness of the information contained in this document.

Read More About Three Things to Know About the Enhanced Benefits of Renown’s New Medicare Program

You may recognize her from billboards around town or the cover of Renown's latest annual report, but what you might not know is the story behind the now-familiar face. Paola Espinoza-Patino is the oncology unit's associate nurse manager at Renown Regional, and she grounds her work in hope and determination daily. Meet Paola:

Read More About Paola’s Story: Bringing Hope and Determination to Patient Care