MomForce Network

 

Ambulance

 

by: Andrew Randazzo.

Andrew is the Director of Prime Medical Training and a Nationally Registered Paramedic. Aside from teaching, Andrew’s faith and church play a big role in his life, and he also enjoys backpacking, scuba diving, competing in triathlons, and international travel

10 Things You Probably Didn’t Know About Pediatric Emergencies

 

  1. Seizure

Seizures among kids are not uncommon. Usually it’s brought on by a fever. However, contrary to popular belief, it’s not the fever that causes the seizure. It’s how quickly the temperature spikes that will induce a seizure. Likewise, if you submerge your child in cold water to cool them off, the rapid cooling can also send them into a seizure.

 

  1. Bleeding

Cuts and scrapes are very common during childhood. About 90% of bleeding incidents can be stopped by applying direct pressure for 5 minutes or less.

 

If the bleeding is more severe, you may need to use bandaging and dressing. However, you never want to remove what you’ve already put on either to put on fresh dressing or to check the bleeding because it can pull the clot that was forming and start the bleeding process again.

 

  1. Diabetes

If you suspect a child is in a diabetic emergency, you may wonder if it’s ok to give the child something sweet or not. The reality is, a normal blood sugar is between 60-100. It does not have to drop far before a child starts exhibiting diabetic signs. However, people in general have a much higher tolerance when our blood sugar is high.

 

Giving a child a candy bar or coke will not be harmful if their blood sugar is high, but it can be life saving if their blood sugar is low.

 

  1. Allergic Reaction

In the event of a severe allergic reaction, an EpiPen can be a life saving tool. They are becoming more common place and are often stocked in schools and childcare centers.

 

If a child begins to show swelling around the face and/or have difficulty breathing, that is a strong indication for the use of an EpiPen. Though EpiPens are prescribed, they can be used on anyone whether they have a prescription or not.

 

Minutes matter and the directions can be found clearly printed on the EpiPen.

 

  1. Asthma

Not everyone who has an Asthma attack will have an inhaler with them. Some simple tips to help make the breathing easier include: 1) put the child in a cooler environment, 2) have the child sit down, lean forward and place their hands on their knees; and 3) try to calm the patient down by having them breathe in through their nose and out through their mouth.

 

These steps alone can alleviate a majority of asthma attacks.

 

  1. Hyperthermia

It’s not uncommon for young people to play outside all day long and not be aware of how their body feels until it’s too late. Dehydration and heat exhaustion go hand-in-hand. When treating a child who is overheated, it’s important that the cooling process is slow and gradual.

 

Key steps include: 1) removing them from the heat, 2) removing their shirt and sponging their skin with a cold, wet rag; and 3) only allowing them to drink small sips of water at a time.

 

  1. Concussion

We all know this term, but few know what a concussion actually means. A concussion is when the brain is knocked around and hits the inside walls of the skull. This banging causes bruising of the brain which can then make the brain not function normally.

 

Caution should be used if a significant amount of force was involved in the injury or they experience a loss of consciousness, slurred speech, blurred vision or headache. If any of these are the case, the child should stop all activity immediately and be placed in a dark room for 24 hours. The child can sleep but cannot have a phone or any other screen that will strain the eyes.

 

After 24 hours, if the symptoms have cleared, the child can resume regular activities. If symptoms are still present but are getting better, then another 24hr in a dark room are needed. If symptoms are the same or have gotten worse, you need to see a doctor.

 

  1. Broken bone

Sometimes it’s difficult to distinguish between a broken bone or a sprain. In either case, elevation, wrapping and ice are a gold standard.

 

However, if it is an obvious broken bone, one of the best all-around splints is a pillow. Pillows offer cushioning for comfort, but also offer the rigidity necessary to immobilize the broken bone. Wrapping a pillow around the area and then securing it is a great approach and something commonly used in the emergency field.

 

  1. Poisoning

You would be surprised what is poisonous and what is not. If a child swallowed a foreign substance, the best approach is to call the Tennessee Poison Control first and then follow their recommendations. The number for Poison Control is (800) 222-1222.

 

If a child spilled a chemical on themselves, always remember to brush off any excess first before rinsing. This prevents the water from diluting and spreading the poison over a greater surface area.

 

  1. Burns

Children get burned all the time. Most burns are very painful but not life-threatening. The best you can do usually is treat the pain. So, try cooling it off with a wet rag or Aloe Vera with Lidocane. Do not place ice on the burn as it can make it worse.

 

If the burn is very severe and you notice black or white charing, the child might not complain of any pain because the nerve endings were burned. In this situation, the only thing you should put on the burn are dry, sterile dressing because the risk of infection is very high.

 

Severe burns and any burns to the feet, hands or face require immediate medical attention

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