First aid

Published: 2020-07-24 21:00:05
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The responsibilities of a pediatric first eider: make sure that every situation in which you act is sure: for you, the victim and for the people around (very important if you work with children as they are very curious and tend to approach the patient) provide care to a child who has suddenly become ill or injured or ill until: medical help or ambulance arrives; the child’s parent arrive revert the condition of the child becoming worse provide reassurance to the injured or ill child and other children around the area pass on information about the event to the parents or to the professional help Is also the first eider responsibility to try to prevent and minimize the risk of infection for the casualty, for the children around and for the first eider itself. For this reason I always have to: wash my hands before and after the contact with any body fluids, such as blood wear gloves whenever you can possibly cover any wound or cut on your body with bandages or plaster to avoid mom in contact with the bodily fluids of causality if it is possible to try to wash the wounds of causality put all dirty materials into a plastic bag and dispose of correctly In case of CPRM (cardiac pulmonary resuscitation) use a protective barrier such as resumes-aid”, or simply try to cover the mouth with something of plastic with a hole for the mouth. First aid kit.
To help in the first aid you will have a first aid kit, present in all the rooms of the nursery, they should content: 1 Leaflet giving general instructions on how to perform first aid 1 Pair of disposable gloves, in case it is necessary to come into contact with odd fluids 1 breathing barrier for performing rescue breathing and CPRM 20 adhesive bandages (plasters), individually wrapped, sterile in assorted sizes. (blue plasters fro kitchen injuries); to cover a wound that is not too deep and prevent it from infected 6 safety pins, to hold a wound dressing 2 Large wound dressings, xx CM, with bandages attached individually wrapped and sterile; to coverer a deep wound 6 medium wound dressing, xx CM, individually wrapped and sterile 4 Triangular bandages, to cover a head injury or as a broken limb support 2 Sterile eye pads 1 finger bandage and applicator
Cold compress to be used over an injury to release the hematite and relieve pain Thermometer, to be used to measure temperature Scissors, to cut the bandages too long Gallon, be administered with the consent of the parents in order to bring down a fever in children Accident forms. After helping the child and be sure he’s okay you have to fill out an accident form: Need to write the child’s name, the time and accident position; how the accident occurred; what actions or treatments have been taken; who helped the victim; and if you can avoid a similar incident in the future. In the end who has witnessed the accident and helped the victim must sign.
The form must also be signed by the child’s parents. Training cannot fill out accident forms. In case of an accident, after we took care of the child, we must fill out a form describing the incident happened and how you reacted or treated the child. When parents come to pick up their child they should be informed of the incident and they have to sign the form up; this will then be stored in the nursery. In case of illness, parents must notify the teacher and signing a form, especially if the child needs to aka special medicines like antibiotics. In this forms we must specify the time of administration, the dosage and the person who has carried out.
If it’s an accident at home, or out of the Jurisdiction of the nursery, parents must sign a form in which they explain what happened and how they cared for the child, and scoring on the human silhouette on the paper where the wound is. In any case, the forms will be stored from the nursery to be kept for three years and then destroyed after this period. In the event of an accident which may be serious, but when the child is not at sis of life you have to call the parents, explain to them what happened and filler can they come and take the child to him to the hospital. But if the child has life threatening you need to call an ambulance immediately, perform first aid if necessary and then call the parents. A staff person needs to go in the ambulance with the child in the hospital and wait for the arrival of their parents. The same applies to a disease. F you suspect a contagious disease or which may worsen considerably over time, you have to call their parents in order to bring the child to he hospital or at home (severe flue; temperature, chickenpox, stomach bug etc). But if you suspect a disease that can be fatal, and / or extremely contagious, you need to call an ambulance and take the child to the hospital, meeting those parents (meningitis). Infant or child? Know the distinction between infant and child is very important for those who practice the first aid kit, especially if you need to make the CPRM (Cardiac Pulmonary Resuscitation) during which it is necessary to perform chest compressions.
A baby is defined infant is from O months to 12 months; a child or Junior instead is included in he age group ranging from 1 year to 8. If we are dealing with an infant during CPRM we must only use 2 fingers (index and middle), located two fingers below the imaginary line Joining the nipples, as their bone structure is more fragile. If we have to rescue a baby, however, we can only use one hand, placed Just above the Juncture of the ribs. Despite this basic rule we must always take into consideration the weight and mass of the the child that we rescue. In fact, if the child is very thin and delicate, or if it shows diseases of the body that make the bones brittle, it may suffice to use two engineers instead off hand.
CPRM To perform CPRM on an infant or a child must first of all check the responsiveness of the a child and the respiratory tract; to make the first we must try to make noise around the child (if infant) or ask him questions about his condition, patting the shoulders (if child); if there is no response you should check the airway and to do that we must lift the chin of casualty (with caution in case of spinal injuries) so that the tongue is pushed backwards and does not obstruct the airways. After we have to approached our ear to her lips to feel the breath on the skin with eyes trying to see if he chest rises and lowers to breathe. If there is no response then you need to call for help, without ever leaving the casualty. We can proceed immediately after the CPRM.
Again raise the chin to open the casualty’s airway, give 5 rescue breaths; close the airway and place two fingers in the center of the chest of the infant (sternum, two fingers below the nipple line) of the victim. Perform 30 compressions followed by 2 rescue breaths (again by opening the airways). Repeat these steps for 4 times, then re-check the airway and continue CPRM if necessary, until help arrives. With a child (1-8 years) the actions are the same, Just that you are using a hand instead of only 2 fingers. Mild or sever airway obstruction? You define a mild airway obstruction when the child is still able to send air into the lungs, crying and talking.
The baby’s body tries to get rid of the obstruction coughing. Severe obstruction is recognized if the child can not breathe, cry or make sounds. The subject will try to touch his throat as they do not breathe. This situation requires the intervention of an ambulance. In both cases it may be necessary to act In the case of infant must make the baby lay on your arm face down, with his legs on either side of your elbow in and with your thumb and index finger positioned on the cheeks of the baby support the head and keep your mouth open. With flat fingers, give a firm push between the shoulder blades of the infant. Repeat 5 times and if that fails go to the chest thrusts.
Dodo this you have to turn the baby making it lay the other arm face up, supporting his head with your hand, but in doing so that it is below the chest. With two fingers, under the Juncture of the ribs, give 5 thrusts that end to go upward. After these if the obstruction is still present repeat the two steps until help arrives, or until the end of danger. In the case of a child between 1 and 8 year I need to lay the casualty on your knees on his stomach, with the palm of the hand between the shoulder blades give 5 thrusts, checking after each thrust if the obstruction has been removed. Otherwise proceed with the abdominal thrusts. To do so; standing or kneeling behind the baby, wrap her life with your arms.
Make a fist with one hand and place it above the navel with the thumb pointing towards the victim. Wrap your fist with your other hand and give a push swift and firm up the abdomen of the child (as if we wanted to raise the child). Repeat 5 times. Seizure. A seizure is due to fever or epilepsy. It can be mild and involve a few moments of staring into the space; more serious attack may include convulsions, shown by: shaking or Jerking movements; rolling eyes; drooling; loss of consciousness; loss of bladder or bowel control(in older child) In the second situation we need to: Make sure they are in a safe area, moving toys and furniture out of the way Put the child on their side
Slide your hand or folded towel under the head Loosen tight clothing Do not put anything in its mouth Make a note of what is happening Call an ambulance if a child has not had seizure before, or if it is unconscious Wounds In a nursery there may be two types of injuries: minor or serious Among minor we find: abrasions, top layer of skin removed but little blood loss lacerations, a cut to the skin with a gap between the edges punctures, can be deep or shallow and may contain the item that caused the puncture Between serious include: wide or deep incisions, cause by sharp instruments amputation, the cutting or tearing off of a body part pavilions, where a piece of skin has been torn loose, common when a ring on a finger has caught and dragged All these wounds may have a different degree of bleeding (minor or severe). The severity of the bleeding is determined by 3 factors: the size of the cut depth the size of blood vessels that are cut If we cut a capillary, a little blood vessel, the wound will stop bleeding quite easily in a short time with a gentle pressure. If a wound involves: an artery, a vein, a body part full of blood vessels (the head), or the inside of the body, creating internal bleeding; hen you will have a serious bleeding, difficult to stop, which can lead a child to the shock due to the loss of too much blood.
In case, for example, of abrasion we need to clean the wound with cool fresh water, using a cotton ball; if the wound continues to bleed, we can cover it with a plaster or sterile gauze if the abrasion is extensive. During the whole situation we have to try to calm the child, putting him at ease. Another wound which we have recently in the nursery are splinters. Unfortunately, we can not intervene directly on these as we should use the non-sterile material with the risk of an infection. What we can do is to calm the child and explain to him that he will have to wait to get home to take it off, but we can only give to the wound a quick wash under running water and cover the splinter with a plaster so it does not move. Shocks. A shock can be caused by a lot of event, allergies reaction, blood loss, a bad incident (broken leg), etc.
The sign of shock are: weakness and giddiness weak pulse feeling sick rapid, shallow breathing sweating and cold clammy skin pale, grey skin, especially around the lips In a letter stage, due to the lack of oxygen in the brain, of shock we can also have: gutlessness; a lot of yawning and gulping for air; unconsciousness. How to deal with a shock. First of all we need to understand the cause of the shock and, if possible, try to stop it. For example, if we have a blood loss we need to stop the bleeding or slowing it down. Then we lay the children down, so if he passes out he will not fall down hurting himself, and keep his head low and his legs up to improve blood supply to the brain. We need to broaden his clothes if too tight, but still keep the body warm with a blanket.

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