The Q&A format for this article was drawn from a conference webinar held in November, during which Barbara DiGirolamo of Boston Children’s Hospital reviewed the types of situations that arise when transporting children with special needs, as well as the CRs that are available to ensure these children continue to ride safely. DiGirolamo, a CPST-I and STAC (Safe Travel for All Children)-certified instructor, draws from her experience fitting children with a variety of special needs with suitable CR systems. Read More from “Special Needs Transportation Q&A”
Halo traction is used to hold the head in place and stabilize the cervical spine after surgery or injury. It is comprised of a metal framework (called a halo, due to the fact that it encircles the head) attached by pins to the patient’s skull and connected to the body using straps or a vest. The device allows children to move around and participate in many regular activities during the weeks or months of recovery. Although helpful tips for caregivers of children using a halo can be found online, very little is said about safely transporting these children.
Angel Guard Products, Inc., made it official in March that it has discontinued its Angel Ride Infant Car Bed. The announcement confirmed the fears of regular customers, who had noted with concern that the product was unavailable for the past several months.
Small babies and those with special needs due to prematurity or other medical conditions will not fit well in all car seats sold for newborns. Selection must consider both proper harness fit and the manufacturer’s lowest weight limit rating.
Based on a review of research related to the infant car seat challenge (ICSC), the Canadian Paediatric Society (CaPS, Canada’s version of the American Academy of Pediatrics, or AAP) has issued a revised position statement. It now says that insufficient evidence exists to recommend routine use of the ICSC as part of discharge procedures for preterm infants.
As readers know, I am not a doctor. Occasionally, though, as CPSTs we must consider certain medical conditions that influence the safety or children as vehicle passengers. Fortunately, there’s no need for CPSTs to hold a medical degree; simply follow the advice of doctors regarding the relevant symptoms of a diagnosis and how they might influence a child’s safety (either in a crash or during normal riding). To guide us, we are fortunate to have peer-reviewed scientific studies and policy statements from the medical community.
The American Academy of Pediatrics (AAP) has released the updated clinical report, “Safe Transportation of Preterm and Low Birth Weight Infants at Hospital Discharge.” The report is the result of a lengthy and thorough analysis and review process headed by Marilyn J. Bull, MD, and William A. Engle, MD. The new clinical report replaces the policy statement on this subject that had been in effect since 1996. The AAP added the clinical report classification sometime after the prior policy statement was issued. With this update, it was determined that the document better suited the definition of a clinical report (“guidance for the clinician in rendering pediatric care”), so it was reclassified.