Case Scenario Part 2:
Critical Issues

– Increased mobility increases the risk of injury

– Interactions with other children and a desire to “keep up” often lead to an increased risk of injury

– More time spent outside of immediate parental care or supervision

– Treatment considerations

 

• Inform the hemophilia treatment center (HTC) about the recent head trauma to determine if clinical evaluation is required
• Home-based management—parental administration of blood factor
• Dose adjustment as the child gains weight with age
• Management of acute bleeding episodes
• First responders to an injury may be childcare providers and not parents
• Education of childcare providers and preschool personnel