What Information Should Be in a Health Care Plan for a Child
with Special Health Care Needs? A pediatric resident was called
to see an 6-year-old male in the emergency room, in a general
community hospital where the residents worked on a small
pediatric inpatient ward. The emergency medicine staff physician
said the child was known to have familial dysautonomia and was
vomiting with labile blood pressures. The surprised and worried
resident told the staff physician that she didn’t know anything
about this problem but would be there as soon as possible. The
staff physician replied, “Oh, don’t worry, he comes in every so
often and we just follow the laminated protocol his parents
bring.”In the emergency room, the resident obtained the history
that the child was in his normal state of health when his
parents told him that they were would be flying the following
day. He did not like to fly and became extremely upset and began
vomiting. His parents were not able to calm him down and had
given him some diazepam to