Child safety and first aid training content record sample

[Core Information] This is a record of the public welfare first aid training conducted by a community health service center in a certain neighborhood on April 27, 2024 for parents of children aged 3-12 years old and practitioners of childcare institutions in the jurisdiction. The entire process was delivered by an attending physician who has worked in pediatric emergency medicine for 12 years, covering The treatment plans for four types of high-injury injuries to children, including foreign objects stuck in the throat, burns and scalds, falls, and drowning, simultaneously present the practical differences of different first aid schools. There is no mandatory uniform operation standard. All contents are designed based on real child injury cases that occurred in the jurisdiction within six months, and practicality is given priority.

The lecturer didn't read the PPT at the beginning, and first talked about an emergency case from last week: a 3-year-old boy choked and coughed while eating jelly at home, and his grandma patted his back hard for 5 minutes. The boy's lips turned purple before he was brought over. When the foreign object was removed, it was found that the jelly was stuck deeper into the lower trachea. It took a lot of effort to take it out. If it was 10 minutes later, it might not be possible to save it. Along with the treatment of foreign bodies stuck in the throat, this case specifically mentioned the current differences in the industry: the now commonly used Heimlich maneuver, for babies under 1 year old, alternates 5 back pats + 5 chest compressions, and for babies over 1 year old, abdominal shocks. However, the CPR guidelines updated by the American Heart Association in 2023 clearly mentioned that if the child has lost response and is not breathing, there is no need to find the foreign body first, and there is no need to force the Heimlich maneuver. Chest compressions are started directly. There is a high probability that the foreign body will be brought out during the compression process. ； However, some senior pediatric first aid experts in China still suggest that people with first aid experience can do a blind search first, pull out any foreign objects that can be seen in the mouth and then press them. Both views are listed in the training. The personal advice of the lecturer is that ordinary people who have not received professional training should not dig blindly, either do Heimlich or directly press, and don't waste time.

Before finishing the next knowledge point, a teacher who runs a nursery raised his hand and asked a question. He said that last time a child fell and bruised his face while running. She was given iodophor. The parents asked whether iodophor pigment can be used? The lecturer laughed on the spot and said that they and their colleagues quarreled about this issue several times a week. One group believed that iodophor was less irritating than alcohol and was the first choice for disinfecting the skin and mucous membranes. As long as the facial abrasion was not scarred, it would not leave any marks after being applied to it. The other group believed that it is better to be careful on the face and rinse it with saline. Just apply a thin layer of erythromycin eye ointment to completely avoid the risk of pigmentation. The only consensus is that red lotion and violet lotion have been banned for a long time. They contain mercury and will cover the wound. Last week, a grandmother applied violet lotion to her grandson, and no pus was found under the scab on the wound. When the dressing was changed, the pain made the baby cry.

During the intermission, a parent who lived by the lake came over and asked. I had read on the Internet that you couldn’t control the water by hanging upside down when you were drowning, but when you were a kid, you always saved old people like this. Is it okay? When he said this, the lecturer obviously paused and said that this is more controversial. The view of evidence-based medicine is that as long as the child still has breathing and heartbeat, it is enough to lie on the side and remove the sediment and water from the mouth. Hanging upside down to control the water will pour out the stomach contents and choke them into the lungs, aggravating the injury. ； However, many pre-hospital first responders who have been working for 20 to 30 years said that if the child has been submerged for a long time and has a lot of water in the lungs, it is not completely useless to control it for a few seconds. The advice given in the training is to give priority to evidence-based methods and do not hang upside down. If you are really panicked, you can hold the child sideways and pat the back to drain the water from the mouth. Don't mess with it.

During the conversation, another father answered and said that his baby was scalded by hot water last month. He took him to the hospital after bathing for 5 minutes. The doctor said that the bathing time was not enough. How long should he bathe? The lecturer said that the unified requirement is 15 to 20 minutes of clean water at room temperature. Do not use ice water, and do not apply toothpaste, soy sauce, badger oil or other messy things. Last year, the back of a child's hand was burned by boiling water. The mother listened to the old man's advice and applied doenjang. When she came, the entire back of her hand was infected, leaving shallow scars. The parents regretted it. ； There are also positive examples. Last week, a mother bathed her daughter for a full 22 minutes after she had been permed. When it came out, it was only red, not even blisters. After three days, it was completely healed.

There was no theory in the subsequent practical session. Everyone took turns practicing Heimlich and chest compressions with the manikin. One mother of a second child pressed too lightly at first, and the manikin had no reaction at all. The lecturer held her hand and pressed it twice before she found the feeling. While wiping her sweat, she said that she was so scared that her legs were weak when her boss had a stuck throat, so she knew how to pat her back blindly. Now she at least knows where to apply force. At the end, everyone received a pocket-sized first aid card, with the standard instructions for calling 120 printed on it, as well as the core points of each scene. You can take it out and read it if you forget.

[Editor’s Note] The above content is an on-site record of community workers who participated in the training that day. There is no additional processing. All disputed content is presented truthfully. Ordinary people should first dial 120 in case of emergency. Following the guidance of the dispatcher is the safest choice.