Eating poison by mistake is not recommended to "induce vomiting" to detoxify, and eating foreign bodies by mistake should be discharged immediately.
In the process of baby's growth, the curious and active nature will often cause them unexpected harm, which is the most worrying and worrying thing for parents. Instead of panicking when an accident happens, it is better to plan ahead and learn from experts the common emergency measures for accidental injuries of children, such as taking poison by mistake, choking with foreign objects, drowning, convulsions, convulsions and so on. Recently, Li Peiqing, director of the emergency department of Guangzhou Women and Children Medical Center, and Ma Wencheng, deputy director, were invited to visit Guangzhou Daily Health's "Micro-class of Famous Doctors Lecture Hall". Let's listen together.
Q: Will children induce vomiting if they eat poison by mistake?
A: Not all solvents are suitable.
Acute poisoning is one of the common accidents in children. The sources of poisons are common industrial organic solvents (such as tinea water), daily chemical products (such as shampoo and pigment), drugs and poisonous insect drugs (such as tetramine and cockroach medicine). Li Peiqing said that sudden vomiting, coma, convulsions and rolling eyes are common symptoms after acute poisoning in children.
She pointed out that after poisoning, parents should first make clear the cause of the child's poisoning (which can be judged by the smell and solvent container) and isolate it from the source of poisoning; Secondly, wash the child's skin, eyes or mouth with clean tap water for about 20 minutes; Again, call 120 or send to the nearest hospital for medical treatment; Finally, when visiting a doctor, parents are advised to explain the child's premonitions, activity areas, accidental poisoning and first aid measures to the attending doctor. If conditions permit, it is recommended to provide the source of poison to the doctor for rescue.
Li Peiqing stressed that "vomiting" is not recommended for detoxification, because some solvents are not suitable for vomiting, and in addition, foreign bodies may suck back into the respiratory tract when vomiting, leading to respiratory obstruction.
Q: What should I do if I eat foreign objects by mistake?
Answer: Airway obstruction requires first aid.
Airway obstruction caused by ingestion of foreign bodies by infants occurs from time to time. Nuts, jelly and toy parts are the main foreign bodies in infants with airway obstruction. Li Peiqing said that the common manifestations of children are severe cough and dyspnea. At this time, parents use first aid to discharge foreign bodies.
How to operate specifically?
articles for children
1. Parents first asked their children whether they were choked by foreign objects. After confirming that the child is blocked by foreign objects, parents immediately pat the child's back five times to help him discharge foreign objects. If the foreign body is not discharged, Huckleberry's first aid method will be implemented immediately.
2. First, open the child's legs, and the parents' legs are arched and supported behind the child; Secondly, put your hands around the child's waist, make a fist with your left hand and aim your thumb at the child's abdomen, and place it at the height of two horizontal fingers above the navel; Once again, the right hand becomes a fist-holding hand.
3. When the hands are pressed upward and inward quickly, an impact airflow will be formed, which will flush out the food blocks blocking the trachea and throat.
4. Repeat the above method until the foreign matter is discharged.
articles for babies
1. When the baby has airway obstruction, the rescuer puts the baby's body on the forearm of his left hand, gently holds the baby's chin with the palm of his left hand, keeps his head low and his feet high, slaps the baby's back with the palm of his right hand five times, and then stops.
2. Change the other hand, let the baby lie on the right arm, head low and feet high, hit the baby's chest with the index finger and middle finger, and stop after 5 times.
3. Repeat the above actions until the foreign body in the baby's throat and airway is discharged.
Q: What should I do if I drown?
Answer: No respiratory pulse, cardiopulmonary resuscitation immediately.
Drowning is one of the risk factors of accidental injury in children. Li Peiqing pointed out that in case of drowning, parents should first confirm whether the child is conscious after rescuing the child ashore. Children clap their shoulders to call their names, and babies clap their feet to call them. If the child does not respond, you can put your face close to the child's nose to determine whether you are breathing. If you are not breathing, call 120. After the phone call, the parents put the index finger and middle finger on the Adam's apple of the child, slide to the left or right concave position of the child's neck and apply pressure to feel whether the child has a pulse. If there is no pulse within 5~ 10 seconds, parents should immediately carry out cardiopulmonary resuscitation.
Cardiopulmonary resuscitation in children
1. Let the child lie flat. The palm root of the rescuer's hand is placed in the center of the child's chest (the connecting line between the two nipples and the sternum), and the other palm root is placed on the first hand. Be careful not to touch the child's chest wall with your fingers.
2. The rescuer leans forward with his wrists, elbows and shoulders straight. The rescuer presses at the speed of 100~ 120 times per minute with the help of upper body weight and shoulder muscle strength, and the pressing depth is about 5 cm. After each press, the child's chest should completely rebound.
3. After pressing for 30 times, the rescuer lifts the child's jaw to open his airway, pinches his nose with his thumb and forefinger, and exhales him twice (each time 1 second).
4. Repeat the above steps for 5 cycles, and then judge whether the child has a pulse and breathing. If the pulse recovers, turn the child's head to one side and wait for the arrival of 120.
Infant cardiopulmonary resuscitation
1. Put the child in the supine position, put the rescuer's index finger and middle finger together in the center of the child's chest (the connecting line between the two nipples and the sternum), and press it at a speed of 100~ 120 times per minute, with a pressing depth of about 4 cm.
2. After pressing for 30 times, the rescuer lifts the child's jaw to open his airway, pinches his nose with his thumb and forefinger, and gives him 1 breath (each time 1 second).
3. Repeat the above steps for 5 cycles, and then judge whether the child has a pulse and breathing. If the pulse recovers, turn the child's head to one side and wait for the arrival of 120.
Q: Should I go to the hospital after being bitten by a bug?
A: If you are allergic, you must see a doctor.
In outdoor activities, insect bite is a hidden danger of accidental injury to children. How should parents respond? Li Peiqing takes the most common bee insect bite as an example. Parents know what kind of bee insect bites their children, pull out the stinger left in the wound, rinse it with acidic solution (such as vinegar) or alkaline solution (such as ammonia water) to neutralize it, and finally let the children take antipyretic and analgesic drugs such as ibuprofen.
So should I go to the hospital immediately after being bitten by a bug? Li Peiqing said that not all insect bites need to go to the hospital, but if there are local lesions, cardiac arrest, respiratory distress and skin allergies after insect bites, they need to be sent to the nearest hospital for treatment.