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    Considerations when examining NICU babies with blistering diseases


    The neonatal intensive care unit (NICU) can be a scary place for some dermatologists, pediatric dermatologist, Sheila Fallon Friedlander, M.D., told colleagues at the MauiDerm 2016 meeting this week. She provided two key messages aimed at enabling clinicians and the babies to get the help they need:

    ·  First, Dr. Friedlander told her colleagues to consider the neonatal nurses as their allies.

    ·  Second, she emphasized the need to be able to recognize serious conditions so that they can act quickly with intervention.

    Using Star Wars analogies, she said that dermatologists may consider the NICU as if it is the Death Star in terms of it being a very threatening place to enter, where they may not have the first clue as to what the tiny patient has. Once inside, they may feel as if they have entered an alien world populated by strange people and strange contraptions.

    READ: Zika virus, Chikungunya, Syphilis infections increase in newborns

    “There is a lot of technology in the unit, and the babies laying in their incubators attached to an assortment of equipment can be difficult to see and intimidating to touch,” she said. Dr. Friedlander is professor of clinical dermatology and pediatrics, Rady Children's Hospital and UCSD School of Medicine, San Diego, Calif.

    NEXT: Partner with NICU staff


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