Pediatric First Aid for Caregivers and Teachers, Second Edition
Total Page:16
File Type:pdf, Size:1020Kb
Load more
Recommended publications
-
ABCDE Approach
The ABCDE and SAMPLE History Approach Basic Emergency Care Course Objectives • List the hazards that must be considered when approaching an ill or injured person • List the elements to approaching an ill or injured person safely • List the components of the systematic ABCDE approach to emergency patients • Assess an airway • Explain when to use airway devices • Explain when advanced airway management is needed • Assess breathing • Explain when to assist breathing • Assess fluid status (circulation) • Provide appropriate fluid resuscitation • Describe the critical ABCDE actions • List the elements of a SAMPLE history • Perform a relevant SAMPLE history. Essential skills • Assessing ABCDE • Needle-decompression for tension • Cervical spine immobilization pneumothorax • • Full spine immobilization Three-sided dressing for chest wound • • Head-tilt and chin-life/jaw thrust Intravenous (IV) line placement • • Airway suctioning IV fluid resuscitation • • Management of choking Direct pressure/ deep wound packing for haemorrhage control • Recovery position • Tourniquet for haemorrhage control • Nasopharyngeal (NPA) and oropharyngeal • airway (OPA) placement Pelvic binding • • Bag-valve-mask ventilation Wound management • • Skin pinch test Fracture immobilization • • AVPU (alert, voice, pain, unresponsive) Snake bite management assessment • Glucose administration Why the ABCDE approach? • Approach every patient in a systematic way • Recognize life-threatening conditions early • DO most critical interventions first - fix problems before moving on -
The Key to Increasing Breastfeeding Duration: Empowering the Healthcare Team
The Key to Increasing Breastfeeding Duration: Empowering the Healthcare Team By Kathryn A. Spiegel A Master’s Paper submitted to the faculty of the University of North Carolina at Chapel Hill In partial fulfillment of the requirements for the degree of Master of Public Health in the Public Health Leadership Program. Chapel Hill 2009 ___________________________ Advisor signature/printed name ________________________________ Second Reader Signature/printed name ________________________________ Date The Key to Increasing Breastfeeding Duration 2 Abstract Experts and scientists agree that human milk is the best nutrition for human babies, but are healthcare professionals (HCPs) seizing the opportunity to promote, protect, and support breastfeeding? Not only are HCPs influential to the breastfeeding dyad, they hold a responsibility to perform evidence-based interventions to lengthen the duration of breastfeeding due to the extensive health benefits for mother and baby. This paper examines current HCPs‘ education, practices, attitudes, and extraneous factors to surface any potential contributing factors that shed light on necessary actions. Recommendations to empower HCPs to provide consistent, evidence-based care for the breastfeeding dyad include: standardized curriculum in medical/nursing school, continued education for maternity and non-maternity settings, emphasis on skin-to-skin, enforcement of evidence-based policies, implementation of ‗Baby-Friendly USA‘ interventions, and development of peer support networks. Requisite resources such as lactation consultants as well as appropriate medication and breastfeeding clinical management references aid HCPs in providing best practices to increase breastfeeding duration. The Key to Increasing Breastfeeding Duration 3 The key to increasing breastfeeding duration: Empowering the healthcare team During the colonial era, mothers breastfed through their infants‘ second summer. -
The Empire Plan SEPTEMBER 2018 REPORTING ON
The Empire Plan SEPTEMBER 2018 REPORTING ON PRENATAL CARE Every baby deserves a healthy beginning and you can take steps before your baby is even born to help ensure a great start for your infant. That’s why The Empire Plan offers mother and baby the coverage you need. When your primary coverage is The Empire Plan, the Empire Plan Future Moms Program provides you with special services. For Empire Plan enrollees and for their enrolled dependents, COBRA enrollees with their Empire Plan benefits and Young Adult Option enrollees TABLE OF CONTENTS Five Important Steps ........................................ 2 Feeding Your Baby ...........................................11 Take Action to Be Healthy; Breastfeeding and Your Early Pregnancy ................................................. 4 Empire Plan Benefits .......................................12 Prenatal Testing ................................................. 5 Choosing Your Baby’s Doctor; New Parents ......................................................13 Future Moms Program ......................................7 Extended Care: Medical Case High Risk Pregnancy Program; Management; Questions & Answers ...........14 Exercise During Pregnancy ............................ 8 Postpartum Depression .................................. 17 Your Healthy Diet During Pregnancy; Medications and Pregnancy ........................... 9 Health Care Spending Account ....................19 Skincare Products to Avoid; Resources ..........................................................20 Childbirth Education -
Why Babies Should Never Sleep Alone: a Review of the Co-Sleeping Controversy in Relation to SIDS, Bedsharing and Breast Feeding
PAEDIATRIC RESPIRATORY REVIEWS (2005) 6, 134–152 REVIEW Why babies should never sleep alone: A review of the co-sleeping controversy in relation to SIDS, bedsharing and breast feeding James J. McKenna* and Thomas McDade University of Notre Dame, Notre Dame, Indiana, IN 46556, USA KEYWORDS Summary There has been much controversy over whether infants should co-sleep or co-sleeping; bedshare with an adult caregiver and over whether such practises increase the risk of bedsharing; SIDS or fatal accident. However, despite opposition from medical authorities or the SIDS; police, many western parents are increasingly adopting night-time infant caregiving breast feeding; patterns that include some co-sleeping, especially by those mothers who choose to mother–infant breast feed. This review will show that the relationships between infant sleep patterns, relationship infant sleeping arrangements and development both in the short and long term, whether having positive or negative outcomes, is anything but simple and the traditional habit of labelling one sleeping arrangement as being superior to another without an awareness of family, social and ethnic context is not only wrong but possibly harmful. We will show that there are many good reasons to insist that the definitions of different types of co-sleeping and bedsharing be recognised and distinguished. We will examine the conceptual issues related to the biological functions of mother–infant co-sleeping, bedsharing and what relationship each has to SIDS. At very least, we hope that the studies and data described in this paper, which show that co-sleeping at least in the form of roomsharing especially with an actively breast feeding mother saves lives, is a powerful reason why the simplistic, scientifically inaccurate and misleading statement ‘never sleep with your baby’ needs to be rescinded, wherever and whenever it is published. -
Infant Sleep Patterns Whānau Around Best Practice Infant Care
Horiana Jones, Carol Cornsweet Barber, Linda Waimarie Nikora, et al. Māori child rearing and infant sleep practices Horiana Jones1, Carol Cornsweet Barber1, Linda Waimarie Nikora1 and Wendy Middlemiss2 1University of Waikato, New Zealand and 2University of North Texas, United States of America Sleep is important to a healthy lifestyle for parents and children, and having effective ways of putting a child to sleep contributes significantly to mental and physical wellbeing. Cultural groups around the world have developed a variety of approaches to this task, for example, rocking, co-sleeping, bed-sharing, breastfeeding to sleep, and encouraging infants to self soothe through various methods of infant sleep training. In New Zealand the continuation of traditional Māori approaches to infant sleep, e.g. co-sleeping, bed-sharing, responsivity to infant cues have been over-shadowed by its negative association with sudden infant death syndrome (SIDS) and dependence on parent interaction when initiating infant sleep. In this study, we were interested in the approaches Māori parents used to put their pēpi (child, 2 months-2 years of age) to sleep and the various factors that have influenced these approaches. Data were collected through online surveys (n =58) and face-to-face interviews (n =10) with Māori parents. Survey results indicated that being held and breast or bottle fed to sleep were the most practiced techniques by Māori parents. Parent assisted approaches, e.g., rocking, feeding, lying with baby until they go to sleep, were the most practiced. Many parents planned for their babies to sleep separately but very few actually persisted with self-soothing approaches due to a number of factors, such as discomfort with listening to their babies cry, culture, whānau (extended families) influences safety, and convenience. -
Standard First Aid/AED Review ECC Guidelines 2010
Standard First Aid/AED Review ECC Guidelines 2010 State of Connecticut Department of Mental Health and Addiction Services Division of Safety Services, Safety Education and Training Unit August 2014 Update 16 Environmental Emergencies HEAT Level / Signals Care Provided Heat Cramps Symptoms include: painful muscle spasms, Cool victim, give water to drink, gently usually in the legs and abdomen massage muscle and stretch to relieve spasm. Heat Exhaustion Symptoms include: cool moist skin, sweat- Cool victim, circulate air around victim, give ing headache, dizzy, nausea, weakness, water if conscious, monitor, if victim does not and exhaustion. improve, call 911. Heat Stroke Symptoms include: Red—dry skin, trouble Call 911, **cool victim, circulate air, loosen breathing, rapid breathing or pulse, confu- clothing, monitor breathing & pulse. If sion or change in level of consciousness. conscious, provide small amount of cool Can be life threatening if not treated. water to drink. IF AVAILABLE PROVIDE CARBOHYDRATE-ELECTROLYTE DRINK. ** *Rapidly cool by immersing the victim in cold water or bags of ice/ ice water- doused towels. COLD Level / Signals Care Provided Hypothermia Symptoms include: shivering, slow breath- Move the victim to a warm place, monitor ing, slow pulse, glassy stare, confusion, in breathing—pulse and for signs of shock, re- late stages—no shivering and loss move wet clothing, wrap in warm clothes or of consciousness. blankets, provide care as needed. Frostbite Remove wet clothing and jewelry: Symptoms include: numbness, pins and Minor conditions—SKIN TO SKIN CONTACT: needles (especially in feet, face or hands), I.E. HOLD AFFECTED AREA BETWEEN This SFA/AED booklet is intended exclusively for use by DMHAS employees waxy appearance to skin, and severe YOUR HANDS. -
Emergency Medical Responder March Pre Work
EMERGENCY MEDICAL RESPONDER MARCH PRE WORK Name___________________________________ MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question. 1) When moving or lifting a patient, you should: 1) A) use good body mechanics. B) provide emotional support. C) determine the patient's chief complaint. D) ask bystanders to help. Use this scenario to answer the following question(s). You respond to a 67-year-old female who has fallen at home. On arrival the patient is conscious and alert, with no respiratory or cardiac compromise. She states she tripped and fell and now has pain in her left hip. She thinks she might have heard a "pop" as she hit the floor. She has her neighbor at her side and says it is all right for you to leave, and that the neighbor can get her up and to her favorite chair. She's afraid she can't afford the ambulance and the hospital, and she is sure she is just feeling her age. You know that the ambulance is on its way and should arrive soon. 2) Following the call, one of the neighbors stops you and asks what happened. You know you cannot 2) speak with him concerning the patient's condition because it would breech: A) patient consideration. B) the standard of care. C) confidentiality. D) customer service. Use this example to answer the following question(s). You receive a call to a patient with the complaint of shortness of breath, fever, and coughing. 3) As with the patient in the example, Emergency Medical Responders know that the most common 3) diseases of concern to them include all of the following EXCEPT: A) meningitis. -
Heartsaver First Aid Written Test Answer Key Correct Answer
Heartsaver First Aid Written Test Answer Key SECTION ON FIRST AID BASICS Section and Correct Question Page Answer Reference gloves 1. Fill in the blank with the correct word or words. Protection Personal protective equipment includes ________ to protect From Blood- your hands from blood and other body fluids. Borne Diseases on pages 7–8 True 2. True or false (Circle the correct answer) Protection After you give first aid, you should wash your hands to help From Blood- prevent illness. Borne Diseases on pages 7–8 biohazard 3. Fill in the blank with the correct word or words. Protection After you give first aid, you should put your used gloves in a From Blood- _____ bag if one is available. Borne Diseases on pages 7–8 True 4. True or false (Circle the correct answer) Steps to Find After you check the scene to be sure it is safe, you should the Problem first look for problems that may be life-threatening. on page 15 END OF SECTION ON FIRST AID BASICS © 2006 American Heart Association 1 First Aid Basics SECTION ON MEDICAL EMERGENCIES Section and Correct Question Page Answer Reference True 1 True or false (Circle the correct answer) How to Help a If an adult is eating and suddenly coughs and cannot Choking breathe, talk, or make any sounds, you should ask the Person Over 1 adult if she is choking. If she nods, tell her you are Year of Age going to help and give abdominal thrusts. on page 26 True 2. True or false (Circle the correct answer) How to Help a When giving abdominal thrusts to an adult who is Choking choking, you should put the thumb side of your fist Person Over 1 slightly above her navel (belly button) and well below Year of Age the breastbone. -
Childbirth Education
International Journal of Childbirth Education Open Focus The official publication of the International Childbirth Education Association VOLUME 31 NUMBER 3 JULY 2016 2016 October 13 ‐15 Core Conference October 11 & 12 Preconference workshops Renaissance Denver Stapleton Hotel 3801 Quebec Street | Denver, CO 80207 Free airport shuttle Reaching the Highest Peaks in Evidence‐Based Practice Join us for the 2016 Conference! Sessions this year will include information on: Learning Lab Skills Sessions Waterbirth Science and Safety Preconference Workshops: Somatic Trauma Resolution . Professional Childbirth Self – Care for the birth professional Educator Workshop Perinatal Mood and Anxiety Disorders . Birth Doula Workshop ICEA Member reception hosted by the President . Postpartum Doula Workshop . Early Lactation Care Workshop We are excited to feature these Internationally acclaimed childbirth activists and speakers: NEW THIS YEAR! “Tools For Success” Workshop: Part 1 Creating & Developing an Effective Curriculum Part 2 PowerPoint‐ Creativity, Productivity and Professionalism Barbara Harper RN CD CCE Jennie Joseph LM CPM Rep. Kelly Townsend Doula & member of AZ House of Representatives FREE Certificate For the first time ever Attendees who attend all Concurrent Session Speakers Include: general sessions with Jennie Nicette Jukelevics | Birdie Gunyon Meyer | Jeanne Green Joseph will receive a certificate Donna Walls | Connie Livingston | Tamela Hatcher | Lisa Wilson as a Maternal Child Health Jennifer Shryock | Colleen Weeks | Jana McCarthy -
Medical Standard Operating Guidelines (Released May 2016)
CENTURY AMBULANCE SERVICE, INC. Medical Standard Operating Guidelines (Released May 2016) Authorization These guidelines and treatment guidelines were developed and reviewed under the authorization of the below-signed Medical Director in accordance with Florida Statute 401 and Chapter 64J-1 of the Florida Administrative Code. Changes to these guidelines can only be made with the authorization of the Medical Director and Century Ambulance Service, Inc. Signature on File David Murray, M.D. Medical Director These Medical Standard Operating Guidelines (MSOG) as reviewed and signed above by Century Ambulance Service, Inc.’s Medical Director supersede all previous memos, Emergency Medical Services Standard Operating Guidelines, Medical Standard Operating Guidelines, and Drug Listings. Century Ambulance Service, Inc. Medical Standard Operating Guidelines 1 Table of Contents (200.00) Authorization...................................................................................................................................... 1 Table of Contents (200.00) ................................................................................................................ 2 Introduction (200.02) ......................................................................................................................... 8 Reporting and Treating Patient Abuse / Neglect (205.00) ................................................................. 9 Clinical Quality Assurance Program Purpose and Overview (205.02)........................................... -
Infant Cry Language Analysis and Recognition
778 IEEE/CAA JOURNAL OF AUTOMATICA SINICA, VOL. 6, NO. 3, MAY 2019 Infant Cry Language Analysis and Recognition: An Experimental Approach Lichuan Liu, Senior Member, IEEE, Wei Li, Senior Member, IEEE, Xianwen Wu, Member, IEEE and Benjamin X. Zhou Abstract—Recently, lots of research has been directed towards head restraints [3]. Previously, in [4], [5], we proposed a natural language processing. However, the baby’s cry, which preliminary approach which can recognize cry signals of a serves as the primary means of communication for infants, has specific infant. However, only limited normal cry signals such not yet been extensively explored, because it is not a language that can be easily understood. Since cry signals carry information as hunger, a wet diaper and attention have been studied, and about a babies’ wellbeing and can be understood by experienced the algorithms work only for specific infants in the study parents and experts to an extent, recognition and analysis of an in a controlled lab environment. Nevertheless, an abnormal infant’s cry is not only possible, but also has profound medical cry can be associated with severe or chronic illness, so the and societal applications. In this paper, we obtain and analyze au- detection and recognition of abnormal cry signals are of great dio features of infant cry signals in time and frequency domains. Based on the related features, we can classify given cry signals importance. Compared with normal cry signals, abnormal cry to specific cry meanings for cry language recognition. Features signals are more intense, requiring further evaluation [6]. An extracted from audio feature space include linear predictive abnormal cry is often related to medical problems, such as: coding (LPC), linear predictive cepstral coefficients (LPCC), infection, abnormal central nervous system, pneumonia, sepsis, Bark frequency cepstral coefficients (BFCC), and Mel frequency laryngitis, pain, hypothyroidism, trauma to the hypopharynx, cepstral coefficients (MFCC). -
R01 Page 1 of 1 Effective November 2018Effective October 2019
San Mateo County Emergency Medical Services Airway Obstruction/Choking For any upper airway emergency including choking, foreign body, swelling, stridor, croup, and obstructed tracheostomy History Signs and Symptoms Differential • Sudden onset of shortness of breath/coughing • Sudden onset of coughing, wheezing or gagging • Foreign body aspiration • Recent history of eating or food present • Stridor • Food bolus aspiration • History of stroke or swallowing problems • Inability to talk • Epiglottitis • Past medical history • Universal sign for choking • Syncope • Sudden loss of speech • Panic • Hypoxia • Syncope • Pointing to throat • Asthma/COPD • Syncope • CHF exacerbation • Cyanosis • Anaphylaxis • Massive pulmonary embolus If SpO ≥ 92% Concern for airway 2 No Routine obstruction? Medical Care Yes Assess severity Mild Severe (Partial obstruction or (significant obstruction or effective cough) ineffective cough) Encourage coughing If standing, deliver abdominal thrusts or If supine, begin chest compressions SpO2 monitoring E E Supplemental oxygen to Continue until obstruction clears or patient maintain SpO2 ≥ 92% arrests Monitor airway Magill forceps with video laryngoscopy P Magill forceps with direct laryngoscopy Monitor and reassess Cardiac monitor Monitor for worsening signs and symptoms Cardiac Arrest Notify receiving facility. Consider Base Hospital for medical direction Pearls • Bag valve mask can force the food obstruction deeper • If unable to bag valve mask, consider a foreign body obstruction, particularly after proper airway maneuvers have been performed • For obese and pregnant victims, put your hands at the base of their breastbones, right where the lowest ribs join together • If foreign body is below cords and chest compressions fail to dislodge obstruction, consider intubation and forcing foreign body into right main stem bronchus.