Practice Resources

Health agency and professional associations guidance

• AAP guidance: Recommendations on well child and sick visits for primary care pediatric offices, 20 Mar 2020.
  • Telehealth Payer Policy in Response to COVID-19
• AAP Chapter Resources, Washington State: Great information for pediatric practices about COVID-19, including triaging patients, infection control protocols, and coping with PPE shortages.
• American College of Obstetrics and Gynecology COVID-19 guidelines: FAQs for obstetrician-gynecologists, obstetrics.
• CDC website: Information for pediatric healthcare providers including: burden of disease and risk factors, clinical presentation in children, clinical course and complications, treatment and prevention, additional information, and references.

Hospital resources

• Children’s National Medical Center’s Coronavirus (COVID-19) Resources for Primary Care Providers includes information on screening guidelines, test locations, telehealth, and resources for practices and families, 23 Mar 2020.

Pediatric practice and guidance

Every pediatric practice is trying to care for families in the best way possible during the COVID-19 pandemic. For examples of approaches taken by some practices, click below to visit their webpages:

• Annapolis Pediatrics 
• Coronavirus Protocol for The Pediatric Center of Frederick, 25 Mar 2020.
• COVID-19 Clinical Resources, UNC Department of Pediatrics.
• COVID-19 Coronavirus Protocols page by ClearTriage and Coronavirus (COVID-19) Exposure protocol pdf, 12 Mar 2020.
• COVID-19 Protocols, Pediatric Center, Columbia, MD, 21 Mar 2020.
• COVID-19 Practice Management Guide Clinical Management of COVID-19 with a broad range of topics related to COVID-19, including kids and pregnant women, Department of Defense (DoD), 23 Mar 2020. 
• Script for Outpatient Pediatric Infectious Diseases Clinic telephone screening of patients/families, University of Maryland Children’s Hospital, 23 Mar 2020.

Videos

• COVID-19 Pandemic – Clinical Guidance for Pediatric Practices video outlining strategies for pediatricians to increase infection control practices in their office to protect patients and health care workers by Ann-Chris Nyquist, MD, MSPH, FAAP, Professor, Pediatric Infectious Disease, Medical Director, Infection Prevention and Control, Children’s Hospital of Colorado, Member AAP Committee on Infectious Diseases. Posted 18 Mar 2020.
• Disaster Preparedness During COVID-19 video by Joelle N. Simpson, MD, MPH, FAAP, Assistant Professor, Pediatrics and Emergency Medicine, Medical Director Emergency Preparedness, Children’s National Hospital, Washington, DC, AAP Member of Council on Disaster Preparedness and Recovery Executive Committee. Posted 19 Mar 2020.

Presentations

• COVID-19: Chloroquine Toxicity, Elizabeth Hines, MD, University of Maryland School of Medicine, Pediatric Emergency Medicine, Assistant Medical Director of the Maryland Poison Center. The total amount of chloroquine that adults are being prescribed for a course of post-exposure prophylaxis is fatal in a child, if he/she were to accidentally ingest it. It is very important for parents to know that the drug can be very dangerous for children if adult doses are inadvertently taken. The drug must be kept out of reach and in child-proof containers. All medicines, especially dangerous ones like chloroquine, should be stored up, away, and out of sight in a cabinet where a child cannot reach them.
• COVID-19 Disease in Children, David W. Kimberlin, MD, University of Alabama, 19 Mar 2020.
• Pediatric COVID-19: What We Know (& Don’t Know), E. Adrianne Hammershaimb, MD, MS, University of Maryland, Baltimore, Pediatric Grand Grounds, 19 Mar 2020.
• The World of Coronaviruses SARS, MERS, and COVID-19 slides and video, Meagan Deming, MD, PhD and Wilbur Chen, MD, MS, FACP, FIDSA, University of Maryland, Baltimore, Medicine Grand Grounds, 18 Mar 2020.

Other resources

• COVID-19 Guidance for Children’s Health Care Providers by Susan D. Swick, MD and Michael S. Jellinek, MD, 18 Mar 2020.
• UpToDate, an online medical textbook has free access to its COVID-19 page, with frequent updates to new information. It also has information for patients and links to guidelines published by medical societies around the world.