Children's Safety and First Aid Open Class

It’s useful, but you don’t need to read professional textbooks that are as thick as a dictionary, and you don’t need to spend thousands to enroll in the so-called “international certification classes.” As long as you understand the core logic of “prioritizing risk before first aid operations”, 80% of children’s accidental injuries will not occur at all. In the remaining 20% of critical moments, as long as you can stabilize and do the three key actions correctly, you can increase the child's survival probability by 70% - this is the truth that I have accumulated after spending 7 years in the pediatric emergency room and running hundreds of community open classes.

I gave a lecture in an old town community last month. When we were done with it, Grandma Zhang pulled me to chat and told me that last year, my grandson got a small fish bone stuck in the braised fish. The family fed him half a bottle of vinegar and stuffed two big mouthfuls of rice as mentioned on the Internet. As a result, the child was in pain and cried all night. The next day, he went to the hospital for a X-ray.

Speaking of this, I have to mention that there are a lot of opinions about children's first aid on the Internet. Just the treatment of foreign body obstruction in the airway has divided into two factions: some say that children under 1 year old must not use abdominal thrusts and can only pat the back, while others say that patting on the back will drive the foreign body deeper. In fact, there is no need to argue about right and wrong - Red Cross Society of China 2 The 023 version of the first aid guide clearly states that babies under 1 year old should use an alternating method of 5 back slaps + 5 chest impacts. The American Heart Association's guidelines believe that both methods are effective as long as the operating position and intensity meet the standards. When you really encounter something, just use whatever you can think of, which is better than standing on the side crying.

But to be honest, every time I give a lecture, I have to talk about prevention for half an hour. Many parents think that I am verbose and say that I am here to learn how to save their children. Why are you telling me how to install a window limiter? Don’t believe it. Last year, our department admitted a 5-year-old child who fell from a building. There was a limiter installed at home. It was a plastic one that cost 9 yuan and 9 free shipping. The child climbed up the window and shook it twice before it broke. He fell from the third floor and fractured his pelvis. He was hospitalized for two months. There are also those who put anti-collision strips on the table and let the children run around the house with confidence. The anti-collision strips can only buffer the force of the bumps on the corners of the table. If you run too fast and fall to the ground, you will still get a fracture. These "pseudo-protections" are scarier than no protection, because they will make you relax your vigilance.

If something happens to you, don't panic. I've seen too many parents run to the hospital as soon as they see their child has fallen or got stuck. Instead, they make a small problem bigger. You should remember the three most important things first: first, call someone. One person should call 120 to clearly explain the address and the child's situation, while the other person should stay by the side to deal with it. Don't hold the baby and make phone calls by yourself. It is easy to drop the child and not be able to explain the address clearly. ； Second, check the reaction first. If the child can cry, talk, and breathe evenly, don't shake him, especially if he has dropped his head or back. If there is cervical spine injury, there are many cases where he will become paraplegic as soon as you hold him. ； Third, if something is stuck and the child is still coughing and talking, don't slap him on the back and let him cough by himself. If his face turns purple and he can't make a sound, use the Heimlich maneuver. Don't do it in one go. Instead, it will push the easily accessible foreign object deeper.

There are also many parents who ask me how to deal with their children’s fever. On the Internet, some people take antipyretics when the temperature is above 38.5, and some people say they can take antipyretics to enhance their immunity. In fact, there is really no need to stick to the temperature. Among the pediatricians I have contacted, some believe that as long as the child is in good spirits, it can be treated even if the temperature is 39 degrees. For cooling and observation, some people advocate that medication can be given at 38 degrees Celsius to avoid febrile convulsions. The core judgment criterion is always the child's condition: if the child can run, play and eat, there is no need to rush to give medicine even if the fever reaches 38.8 degrees Celsius. If the temperature is 38.8 degrees Celsius or 38.8 degrees Celsius, there is no need to rush to the hospital. Oh, by the way, don’t believe in the trick of covering up sweat to reduce fever. Last year, our department admitted a 1-year-old baby with a fever of 39 degrees. The parents wrapped him in three quilts to cover up the sweat. When he was delivered, he already suffered from heat stroke. It took him three days to rescue him before he was out of danger. This is really a hard lesson.

Oh, by the way, last time a parent asked me if I wanted to spend more than 3,000 to get a first aid certificate. She said that the certificate is internationally accepted. I directly advised her not to spend this wasted money. If you just protect your own children and the children of relatives around you, follow free open classes at community hospitals and local Red Cross societies, practice the Heimlich and CPR gestures twice, and read through the thin booklet distributed for free, it will be enough. When we ordinary people learn this, we are not meant to be professional first aiders, but we want to not do any harm to the children during the golden ten minutes when 120 arrives, and we can do whatever we can to help the children, right?