【经验】一些小技巧

下面是国外儿科医护人员的一些小技巧，供参考。这些小技巧也体现了中西文化的差异。
1. "Birthday candles" help auscultation
When trying to auscultate lung sounds on an uncooperative child, ask him or her to pretend to blow out candles on a birthday cake. Use your fingers as the candles, folding them down as the child blows and repeating as many times as needed for adequate auscultation.
Joan Grother, RN
Asheboro, North Carolina
2. Determining the severity of abdominal pain in children
Differentiating the severity of abdominal pain in children can be difficult. Two techniques can help determine whether a serious underlying disorder is present. During history taking, ask the child what his or her favorite food is, and then ask if he or she would want to eat the food if you had some. Chances are, seriously ill children would not want to eat even their favorite food. On physical examination, ask the child to stand and hop up and down a few times. The ability to do this significantly reduces the probability of true peritonitis.
Atma Persad, MD
Stefan Grzbowski, MD
Vancouver, British Columbia
3. Waiting room tools can calm kids
While doing a rotation at a pediatric center, I learned that placing old stethoscopes, patella hammers, and other "discarded" tools of the trade in the waiting room helps to calm kids. As young patients get acquainted with these instruments, they are less fearful when the doctor uses such tools on them during physical examinations.
This idea, coupled with an occasional shedding of the white coat during pediatric consultations, is tremendously helpful to children who are prone to the "white coat" or "doctor's office" syndrome.
Ayodele Erinle, MD
Blue Bell, Pennsylvania