

Referrals to PEHSU
It is increasingly common for mothers or fathers concerned about environmental risk factors and their relationship with the health or illness of family members to come to primary care or hospital consultations. Sometimes these are complex clinical situations in which the assessment and communication of environmental risks require the approach of units specialized in environmental pediatrics.
Currently, the Pediatric Environmental Health Specialty Unit (PEHSU) located at the Olot and Garrotxa Regional Hospital receives consultations from the Girona Health Region, but also from other health regions and even from other Autonomous Communities. Many of the consultations can be attended to in a non-face-to-face manner directly with the professional. At PEHSU we want to provide the necessary structural support so that any Primary Care consultation or other hospital centers in the Girona Health Region can resolve doubts or make assessments about environmental risks to children and adolescents. For this reason, we make available the ASYNCRONOUS ENVIRONMENTAL HEALTH consultation.
SERVICES
EXPOSURES ASSESSMENT
Clinical evaluation of children with suspected environmental exposures of risk or environmentally related pathologies.
PRENATAL EXPOSURE TO TOXINS
Care for pregnant women at high environmental risk due to exposure to illegal drugs, alcohol and other environmental toxins that may affect the health of the fetus
DIAGNOSIS AND TREATMENT
Need for specialized diagnostic and therapeutic interventions in
environmental toxicology.
RISK CHARACTERIZATION AND COMMUNICATION
Difficulties in characterizing an environmental risk or need for help
accurate and understandable risk communication.
CLUSTERS
Study of possible spatiotemporal clustering of pediatric diseases
(clusters).
ADVICE
Advice on environmental factors that affect health maternal and child health.
CLINICAL SUPPORT
Clinical support consultations during pregnancy, breastfeeding, childhood and
adolescence in special situations where exposure to risk is suspected
environmental toxins that may affect fetal, child and adolescent health.
SUSPECTED UNKNOWN EFFECTS
Suspicion of the existence of a previously unknown environmental pathology
moment.
SUPPORT FOR SMOKING CESSATION IN PEDIATRICS
Support for smoking cessation in pediatrics (parents, partners)
pregnant).
How to refer
Information for healthcare professionals
From eCAP, create a Clinical Order (OC), a First Remote Visit Without Patient , and choose the destination service Pediatrics: Pediatric Environmental Health (code 30340).
In cases where it is considered that this is a preferential consultation or you have doubts about whether it has been carried out correctly, it is advisable to contact by email ( pehsu@hospiolot.cat ) after making the ASYNCHRONOUS referral. If the healthcare professionals deem it appropriate or the family wishes, an in-person visit can be arranged.
For more information for administrative staff you can download the procedure .


