Important information

1. Where should we park when we visit your clinic?
   Parking is available:
   • Across the road at the SND outdoor parking lot (paid).
   • At YEME in Panorama City (paid).
   • In the Eurovea shopping center, a 5-minute walk away, where you can park for free for 3 hours.

2. Do we need to book an appointment before visiting the clinic?
   Yes, all patients must book an appointment before visiting the clinic. We do not accept walk-ins. For urgent matters, please call our reception, and we will do our best to accommodate you.

3. How can we book an appointment?
   You can book appointments:
   • Directly on our website via the patient’s membership page.
   • By calling our reception.

4. Can we choose a specific doctor when we purchase membership?
   Our doctors work as a team. While capitation is with one specific doctor, you may also meet other doctors to ensure continuous and excellent care.

5. Do you offer the option to pay annual membership in monthly installments?
   Yes, we offer monthly installment plans. However, membership requires a commitment to a full 12-month term.

6. Will you offer sibling discounts?
   Yes, sibling discounts are automatically applied during registration.

7. Is the evening clinic included in my membership?
   No, the evening clinic is not included in any membership packages. It is an additional service available to everyone—members receive a reduced rate, while non-members pay standard rates.

8. How are preventive examinations scheduled?
   All preventive examinations and consultations are scheduled in advance by our doctors or nurses.

9. Can I consult with a doctor via email or phone?
   Exclusive members can book telephone consultations or communicate directly with our doctors via email.

10. Do you work with insurance companies?
    Yes, we cooperate with all insurance companies in Slovakia (VSZP, DÔVERA, UNION). Members with insurance from these providers receive full medical care at no additional cost.

11. Do you provide services to self-payers?
    Yes, self-payers are welcome. Payment is required at the time of service, and receipts will be issued for insurance claims.

12. Is there a pharmacy nearby?
    Yes, the pharmacy we collaborate with is located in the inner block of Panorama City, just around the corner.

13. Can we bring a stroller?
    Yes, strollers are welcome, but they must be left at the main entrance to maintain a clean environment for crawling children in our play area.

14. Can both parents be present during visits?
    Both parents are always welcome.

15. What languages do your doctors speak?
    Our doctors are fluent in Slovak and English. Some of our doctors also speak French and Hungarian.

16. Do you provide electronic requisitions for specialists?
    Email your request, and we’ll take care of the rest.

17. Can you send encrypted lab results to specialists?
    Yes, we can send encrypted lab results.

18. Do you have a play area for children?
    Yes, our child-friendly clinic includes several Lego boxes, toys, and books for children of all ages.

19. Do you accept patients interested in alternative treatments?
    Yes, we welcome all patients and are open to discussing alternative treatments. However, our doctors will always recommend treatments based on their professional medical expertise.

20. Do you perform examinations on request?
    Yes, but all examinations must be scheduled in advance.

Occuflash

Paracetamol syrup

Ibuprofen syrup

Nasal aspirator

Libenar

Rehydration solution – Enhydrol/Biogaia/Humana

Probiofix/Biogaia/Biopron/Jamieson probiotics qv.

Sab simplex/Espumisan

Tweezers

Thermometer – digital or speedometer (not contactless)

Spiritus 60%

Betadine

Hypermagán

Gauss squares

Repík

Vomiting:

• If the child repeatedly vomits or feels nauseous:
  • Nothing by mouth for 1-2 hours—let the stomach rest.
  • Give fluids in small amounts every 5-10 minutes, 1-2 teaspoons/5ml using a syringe.
  • Use rehydration solution/lightly sweetened tea/non-carbonated mineral water.
  • After 1-2 hours, increase fluid intake if the child is not vomiting.
  • Offer small portions of salted cooked rice, mashed boiled potatoes, or a banana if the child stops vomiting.
  • Maintain a dietary regimen and continue replenishing fluids for 24-48 hours.

Diarrhea:

• If the child has recurrent watery stools:
  • Provide fluids and a bland diet.
  • Use rehydration solution, lightly sweetened black tea, or non-carbonated mineral water.
  • Offer salted rice, boiled potatoes, bananas, baby fruit purees, or crackers.
  • Consider probiotics.

Fever:

• Body temperature above 38°C:
  • Measure rectally (subtract 0.5°C) or under the armpit.
  • Administer paracetamol (10-15 mg/kg) every 4-6 hours.
  • Or administer ibuprofen (5-10 mg/kg) every 6-8 hours.
  • Increase fluid intake and ensure strict rest.
• Rapidly rising high fever above 39.5°C every 3-4 hours:
  • Alternate paracetamol and ibuprofen every 3-4 hours if needed.
  • Record the time, dosage, and type of medication administered.
  • Use lukewarm baths or wet cloths for cooling—ensure the water is warm, not cold.

Choking on a Foreign Object:

• Sudden wheezing, rattling, whistling, or blue discoloration during play or eating small objects:
  • Place the child face-down over your forearm, with their face in your palm.
  • Firmly strike between the shoulder blades five times.
  • For children older than 1.5-2 years, perform abdominal thrusts (Heimlich maneuver) in a bent-over position.
  • Watch the instructional video: St John Ambulance - The Chokeables: Save a Choking Baby.

Croup:

• Barking cough at night:
  • Wrap the child in a blanket and expose them to cool, moist air (open a window in autumn/winter, use a freezer in summer).
  • Give antihistamines and anti-inflammatory medication (ibuprofen or corticosteroid).
  • Elevate the sleeping position and create a humid environment (e.g., using a wet towel).
  • If symptoms persist (whistling, barking cough, pulling in under the neck), contact emergency services.

Burns:

• Cool the affected area and provide pain relief.
• Assess the extent:
  • If the area exceeds the size of five child palmprints or blisters form, seek emergency care.
  • For small, red areas: Apply Betadine, hyaluronic acid, and lightly cover with a sterile dressing.

Poisoning:

• If the child ingests or drinks something harmful/unknown:
  • Do not induce vomiting or give anything orally.
  • Call 02 547 741 66 or 0911 166 066 or visit ntic.sk.

Seizures:

• If the child has convulsions, is unresponsive, or has rolled-up eyes:
  • Use a pillow or blanket around the child to prevent injuries.
  • Do not interfere during the seizure.
  • After the seizure ends, place the child in a recovery position on their side.
  • Call emergency services (RLP).

Falls:

• From what height? Onto what surface? Age of the child?
  • Falls from over 1 meter onto hard surfaces (concrete/tile) = high risk!
  • Falls from less than half a meter onto soft surfaces (grass/sand/carpet) = low risk.
  • Seek help for sudden severe vomiting, persistent headaches, loss of consciousness, or unequal pupils.

Abdominal Pain:

• Sudden pain that wakes the child or requires a pain-relieving position:
  • Monitor carefully.
  • If the child can sleep peacefully and move freely with later passage of stool or gas, the risk is low.

Skin Rashes:

• Blanching when pressed = low risk.
• Not blanching when pressed = seek immediate hospital care.

Ear Pain:

• Sudden pain with fever lasting over 24 hours = contact a pediatrician.
• Without fever, after swimming or exposure to wind = treat at home or consider alternative remedies.

Headache:

• Sudden, severe, accompanied by fever, chills, and neck stiffness = seek emergency care (OUP/RLP).
• With thick nasal discharge and slight fever = home treatment.

For more detailed explanations and practical tips on handling various health conditions, visit www.pediatridetom.sk. Articles are written by experts to be easy to understand and based on professional experience.

BEBBO Mobile App:

• Free on the App Store and Google Play.
• Developed by Pediatri deťom and UNICEF.
• For parents or caregivers of children aged 0-6 years:
  • Track child development and monitor growth.
  • Log preventive checkups and vaccinations.
  • Access a library of advice and information.
  • Includes games for children and tips for parents.

Call 155 (Emergency Number):

• Unresponsive, cannot be awakened
• Sudden change in consciousness
• Sudden worsening of breathing
• Seizures
• Required resuscitation or assisted breathing
• Poisoning with altered consciousness/unknown amount
• Drowning
• Burns/scalds
• Sudden severe allergic reaction

Urgent Examination:

• Seizures
• Wakes up from pain
• Retracts the pit under the neck and/or intercostal spaces while breathing (labored breathing)
• Pale or bluish skin, swelling, petechiae

Immediate Examination at the General Practitioner:

• Newborns
• Labored breathing
• Apathy
• Petechiae, swelling
• Post-seizure state (if not previously examined urgently)
• Acute severe pain
• Animal bite (especially from an unknown animal)

Newborn (as soon as possible or the same day):

• Refuses milk, does not suckle
• Elevated temperature
• Urinates infrequently
• Persistent vomiting
• Does not wake up for feeding
• Noticeably yellow
• Irritable/cries more than usual
• Shortness of breath, cough, congestion

Infant 1-3 Months (within 24 hours):

• Repeated temperature over 38°C (bring urine sample)
• Loss of appetite/fatigue
• Insufficient intake due to congestion
• Dry, barking cough
• Labored breathing
• Irritability

Infant 4-12 Months (within 24 hours):

• Temperature over 38°C for more than 24 hours (bring urine sample)
• Laryngeal cough/labored breathing
• Persistent cough day and night or no improvement with symptomatic treatment
• Continuous vomiting/diarrhea, stops urinating

Toddler and Preschooler (12 Months - 6 Years) (within 24 hours):

• Fever lasting more than 24 hours despite antipyretics every 4-6 hours (bring urine sample)
• Pain while urinating
• Laryngeal cough
• Persistent, severe cough
• Does not drink, stops urinating
• Does not eat, shows no improvement, is lethargic, sleepy even without fever

School-Aged Child and Student (6-18 Years) (within 24 hours):

• Fever lasting more than 48 hours despite antipyretics every 4-6 hours (bring urine sample)
• Pain while urinating
• Laryngeal cough
• Does not drink, stops urinating
• Does not eat, is lethargic, apathetic, sleepy even without fever