Unique circumstances call for unique solutions.
Cornerstone Pediatrics is pleased to offer expanded telemedicine appointments to our families at this time.
We recognize that these are extraordinary times.
We appreciate your patience as we work to keep your children healthy.
Sick patients (specifically with respiratory illness and/or fever) may also be evaluated via telehealth to avoid referrals to the Emergency Room or unnecessary office consultation that could expose other families or our staff to illness.
Set a timer for 30 seconds and count the number of times your child’s chest rises. Double that number to get his respiratory rate.
If your baby or has any of the following symptoms, it could mean he’s having trouble breathing- please call 911 immediately:
To take your child's pulse, you will need a watch with a minute hand or stopwatch app (easier) with the minutes and seconds displayed. Find a quiet place where your child can sit or lie comfortably.
If your child has just been active (running, jumping, crying, etc.), wait at least 5 minutes to allow the heart time to slow down and return to a normal beat.
To feel a pulse, you press two fingers — your index ("pointer") and middle fingers — onto a major artery in the body. Press gently. Never press with your thumb, as it has a pulse all its own and can throw off a reading. When you've located the pulse, you will feel a throbbing sensation.
There are several areas on the body to read a pulse, but in kids these are generally the easiest places:
· On the neck (carotid artery pulse). The carotid artery runs along either side of the throat (windpipe). Run your fingers about halfway down the neck and press gently to the left or right side of the windpipe (carefully avoiding the Adam's apple in teen boys). Press gently. You should feel the pulse. If not, try again or on the other side.
· On the wrist (radial pulse). To find the right spot, place a finger at the base of your child's thumb and slide it straight down to the wrist. On the wrist, press gently to feel for the pulse. This works best if your child's hand is lying flat or bent slightly backward.
· In the armpit (axillary pulse). Press your fingertips into the armpit, feeling around for the arm bone. When you feel the arm bone beneath your fingers, you should also feel the pulse. This method works well for infants.
· In the crease of the elbow (brachial pulse). This location works best for infants. Place your infant on his or her back with one arm flat along the baby's side (elbow crease facing up). In the crease of the elbow, gently place your fingers on the inside of the arm (the pinky side). Feel around for a pulse.
Once you've located the pulse (feeling a "throbbing" or "beating" sensation on your fingers), begin counting the beats within a 30-second timeframe. After 30 seconds, stop. Take the number of beats (for example, 45 beats in a 30-second period) and double it. 45 x 2 = 90 beats per minute
If you don't feel comfortable taking a pulse this way, or have difficulty, there is another option. Many smartphone apps and Apple watches can give pulse readings simply by pressing a finger over the camera lens or watch. For a good reading, your child needs to be very still, so this method works best in older kids who are more cooperative.
To measure height accurately at home:
8. Tap Send message when you're done. You'll receive a Message sent!