Gastroesophageal Reflux Disease: Pediatric Primary Care Guide

Guidance for primary care clinicians diagnosing and managing children with gastroesophageal reflux disease Abstract This article reviews diagnostic and therapeutic approaches for infants, children, and adolescents with gastroesophageal reflux disease (GERD), defined as bothersome symptoms and complications related to gastroesophageal reflux (GER)1 when GER leads to troublesome symptoms that affect daily functioning and/or complications. GER …

Irritant and Allergic Contact Dermatitis: Pediatric Primary Care Guide

Abstract Dressings, adhesives, and topical medicaments used to cover wounds or stomas can irritate the skin or cause an allergic reaction, leading to contact dermatitis. This resource provides information on how to identify and manage irritant and allergic contact dermatitis types. Contact dermatitis is a common problem for children and youth with complex health conditions …

Fetal Alcohol Spectrum Disorders: Pediatric Primary Care Guide

Guidance for primary care clinicians diagnosing and managing children with fetal alcohol spectrum disorders Abstract Fetal alcohol spectrum disorders (FASDs) represent a continuum of preventable neurodevelopmental conditions resulting from prenatal alcohol exposure. FASDs are among the most common and underdiagnosed developmental disabilities, with lifelong implications for affected individuals and their families. These disorders encompass physical, …

In Death’s Tender Embrace

In twilight’s hush, a breathless sigh,A weary soul begins to fly.With gentle hands, Death draws near,A quiet guide, devoid of fear. Whispers soft, the shadows dance,Through fading dreams, a final chance.In tender grace, her heart lets go,As life’s last thread unspools, and flows

Management of Neonatal Hypoglycemia

This 2023 care process model, reaffirmed in September 2025, explains current practices for screening, testing, and treating hypoglycemia in newborns with gestational ages ≥35 0/7 in the University of Utah Hospital’s Well Baby and Intermediate Care Nurseries during the first 48 hours of life. Brief management recommendations for persistent hypoglycemia after 72 hours are also …

Letter From the Editor in Chief

Welcome to the next issue of Topical Reviews in Pediatrics (TRiP). I hope you enjoy the variety and depth of content. TRiP will continue to publish articles on a rolling basis, which will then be collated into two issues annually.

Suspected Neonatal Seizures Care Guideline

The Suspected Neonatal Seizures Care Guideline, reaffirmed July 2025, aids pediatric care teams at the University of Utah (UU) Hospital’s Well Baby and Intermediate Care Nurseries (WBN and ICN) in recognizing and appropriately intervening when newborns exhibit abnormal movements concerning for possible seizures.

Insomnia

Bleary-eyed in darkness