“A detailed history to identify possible exposure to common allergens such as pet dander, pollen, dust mites, or mold is essential. In addition, exposure to pollutants such as cigarette smoke are reviewed when a child presents with asthma,” says Julie Caucino, DO, who is board certified in allergy and immunology and a member of the Medical Staff of Penn Medicine Princeton Health. “Skin testing can identify allergies, and aggressive environmental control can reduce or eliminate triggers. Performing a breathing test is also a helpful tool to help determine asthma severity and control.”
“Allergy shots have been shown in studies to reduce the effects of allergy triggers and asthma attacks. Starting a course of a low-dose inhaled steroid at the onset of a pollen season can also be effective in preventing an asthma attack,” adds Dr. Caucino. “Likewise, if colds are a trigger, medication at the onset of a cold can help reduce attacks and severity.”
Have a Plan in Place
“Once your child has been diagnosed with asthma, you should work with your doctor to establish a treatment plan to control triggers and have an action plan in place in case your child has an asthma attack,” says Alicia Brennan, MD, Medical Director of Children’s Hospital of Philadelphia (CHOP) Pediatric Care at Penn Medicine Princeton Health. “That includes being prepared with medications that might be needed and seeking emergency medical attention if home treatment is not relieving the symptoms. In the ED, we can administer medications and other treatments, including oxygen, to help treat the attack.”
Proper treatment with medical guidance is important, both physicians agree. While a child may outgrow the condition, left untreated asthma can result in lung damage.
As part of Princeton Medical Center’s (PMC) partnership with CHOP, a pediatrician is in the Emergency Department between the peak pediatric emergency hours of 2 and 10 p.m. At all other hours of the day, CHOP pediatricians and neonatologists are on site in the Regan Family Center for Pediatric Care and CHOP Newborn Care at PMC, and are available for consultations on pediatric emergencies.
Watch for These Signs
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