Thoughts after reading the open class on children’s safety and first aid

The core meaning of the vast majority of ordinary parents learning children's first aid has never been to "become a temporary doctor", but to open up a complete chain of "prevention and control of omissions beforehand - correct handling during the incident - and cooperation with medical treatment afterward". Half-baked chemical first aid may harm the baby, but professionally guided and standardized first aid knowledge can indeed save the child's life before the 120 emergency department arrives.

To be honest, I was originally called by the community grid staff to gather the number of people. I thought it would be fine on Saturday afternoon anyway, so I could take my baby there to get some small gifts. I didn’t expect that the lecturer was Nurse Li, who has worked in the emergency department of the Children’s Hospital for 8 years. He didn’t even read a single sentence from the PPT and instead showed three blurred pictures of last year. Diagrams of case studies: One is an endoscopic photo of a 2-year-old baby who swallowed a button battery and burned it through the esophagus, one is a CT photo of an old man who secretly fed the baby peanut cards into the airway, causing hypoxic brain damage, and another is a pre-operative report of a parent who repeatedly rubbed a baby who dropped his head, causing subdural hemorrhage. I got goosebumps immediately - I just bought a puzzle with small buttons for my baby last week. A few days ago, she fell off the sofa and hit the back of her head, and I rubbed it for a long time.

The class started arguing before even a few words were said. The father in the jacket raised his hand and said, "I think it's useless to learn this. There are parents on the Internet who broke their children's ribs by pressing the Heimlich. My hands are not accurate. If something really happens, why don't I just wait for 120?" The man next to him in a floral skirt just finished speaking. The mother immediately retorted, saying that her son had stuck in his airway after eating longan in the community last year. 120 said the baby would be here in 12 minutes at the earliest, and the baby's face was purple. Fortunately, the pediatrician walking next to him took out the longan core with two Heimlich pats. If 120 had waited, it might have disappeared.

Nurse Li did not directly persuade her, but said that these two types of arguments are the most fierce on the Internet right now. On one side is the theory of "first aid is omnipotent". People dare to operate on the baby after watching a 10-second short video. On the other side is the theory of "first aid is useless". People dare not do anything for fear of taking responsibility. In fact, both sides are reasonable: if the baby falls on the head but is conscious, not vomiting or comatose, then don't move it casually, call 120 and wait.； But if there is a foreign object stuck in the airway, the baby is out of breath and has a purple face, or is drowning and not breathing, the golden rescue time is only 4 minutes, and the average arrival time of 120 is more than 10 minutes. If you don't move, you will just watch something happen. The core is not "dare to get started", but "know when to get started and how to get started".

Later in the practical session, I went up to hug the 1:1 baby simulator. As soon as I put my hand under the belly button and prepared to exert force, Nurse Li patted the back of my hand: "Press down in this position and squeeze out all the baby's urine first. You can't touch the diaphragm at all. How can you push out the things in the airway?" ” It took me three adjustments to find the right position for the two fingers above my navel, and I pushed it up twice with the tiger's mouth. The simulator made a "click" sound to indicate that the foreign object was discharged, and my palms were sweating. Those short videos of "Learning Heimlich in 10 seconds" that I had seen before did not even mention the differences in techniques for different ages. Children under 1 year old cannot use abdominal thrusts at all, and have to pat their backs and pressurize their chests. If you really follow the short videos, you may not know what will happen.

There was a grandma who was attending the class who was raising her grandson. When she heard that children under 3 years old should not be fed whole peanuts, jelly, or fruits with stones, she immediately took out her mobile phone and called her wife. Her voice was loud enough that half of the classroom could hear: "You are not allowed to secretly feed peanuts to my little baby anymore! Did you hear that? The nurse at the hospital said it was so stuck that something big would happen! ” I heard that it was funny, so I turned around and opened the shopping app, and returned all the jelly buns that I had stocked up on. The first thing I did when I got home was to pull out the drawstrings of the two sweatshirts with hood strings for my baby. I had seen the case of suffocation on the hood strings when they were caught on the slide, and I always thought it was a small probability event, until Nurse Li said that they had received two similar cases of children last year.

Before, I always thought that child safety was just a matter of installing a fence and putting a protective cover on the socket. After listening to the class, I learned that more than half of the accidents for children occurred outdoors: running and falling while holding a lollipop stick in their hand, and it was directly stabbed into the throat.； The landscape pool in the community seems to be only knee-high. A child fell in and fell face down. An adult drowned after lowering his head and scrolling on his mobile phone for 2 minutes. ； Even when I was riding the escalator in a shopping mall, my baby's feet in soft-soled shoes got stuck in the gaps. These were all details that I didn't even pay attention to before.

It doesn’t mean that after taking these two hours of class, you will become half a first aid expert. Nurse Li emphasized it three times: Even if your baby seems to be completely fine after the operation, you must go to the hospital for a comprehensive examination. If a foreign object is stuck, check for scratches in the esophagus. If you fall on the head, check for delayed bleeding. Operations such as Heimlich and cardiopulmonary resuscitation are only to buy time for professional medical treatment and absolutely cannot replace the hospital's treatment.

I always thought that "accidents are other people's business." Until last month, my best friend's baby swallowed three magnetic beads and had to undergo a gastroscopy under general anesthesia to take them out. I also asked her why she didn't pay close attention. I didn't understand until after the class. Children are faster than you think. You can turn around to the door to get a courier, and he can stuff his mouth with gadgets that he found out from nowhere. You don’t learn these things so that you can use them one day, but precisely so that you never need to use them - plug all the loopholes you can prevent, so that if something happens, you will have a sure hand and won’t panic.