Tag Archives: prevent injury to kids

My Child had a fall; what should I do?

Protect Your loved ones: Child injuries can be prevented

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Young children are always on the go, running around, jumping, climbing, and exploring things. That is why they are bound to fall a few times. But situation can be a bit panicking sometime for parents. Most of these falls will cause minor injuries only like bruising cut etc, but some can be serious and we should know what to do for first aid and when to contact child doctor and emergency services.

What need to be done?

If any of the below things happen, need to call ambulance and plan to shift child to nearby hospital

  • Child unconscious
  • Having difficulty in breathing
  • Having Seizure
  • Suspected serious injury to head, neck, back
  • If not breathing at all start CPR

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If by your assessment you feel child is fine i.e. actively moving, breathing, conscious and no major bleed; then

  • Make your child comfortable (either taking child in lap or putting child to bed with you close by)
  • Cold sponging can be done on any obvious bump or minor bruises
  • Can give Ibuprofen or paracetamol (in age appropriate dose as told by your pediatrician in past)
  • Do not leave child unattended for next few hours
  • Let the baby rest, as after initial period child might sleep for next few hours.
  • Watch closely for any danger sign (explained in next section)

Danger signs to look for

  • Repeated vomiting
  • Bleeding from Ear, Nose or Throat
  • Child is sleepy most of the time or loses consciousness at any time
  • Very irritable all the time and difficult to comfort the baby even after giving painkiller
  • Child is complaining of severe pain in any part of body especially head, neck
  • Not able to see properly or difficulty in focusing on objects
  • Not able to walk properly
  • Any other thing or symptom which you feel is not right (it is always better to consult child doctor in case of doubt)

 How-to-Help-Your-Child-Learn-to-Fall

Prevention is better

  • Never leave children unattended while they are playing (whether indoor or outdoor)
  • Childproof all the gates, doors, side railing on stairs, so as to avoid child accidentally opening them and putting themselves in danger
  • Child-Proofing
  • Always put straps/ seat belts for kids while they are using high chair, car seats, strollers etc
  • Wear all the protective gears in outdoor activities like skating, biking etc
  • Do not keep sharp objects in open and try to avoid furniture and decorative stuffs with sharp edges.
  • Supervision is must whenever your child is in balcony, roof or any place that is high up
  • Fall from bed is very common at night. So try to have cot with railing which is properly fixed
  • If you are sharing your bed with kids (common practice in India), make sure baby in sleeping in between both the parents. Best is try to have some sort of protection on all the four sides of child, as your baby can turn 360degree during sleep and fall from any side. (You can have low floor beds).

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Discuss with your child specialist during routine visit what all you can do to prevent injuries in children.

 

Regards

Dr Rahul Varma

“Safe kids, Healthy kids”

First aid in burn Injury

 

 

In simple words Burn means an injury to the skin from something hot. Most common type of burn injury is SCALD (which is caused due to hot liquids). Burn injury can range from mild to life threatening injury; some can be treated at home, while others may need emergency medical care.

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What to do when burn happens?

  • Take child to safer place: Make sure the Area is Safe and there is no possibility of further injury
  • Remove cloths: if burn injury is over cloths remove them immediately (except if it is badly stuck to the burn).

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First Aid to be given:

  • Running water for 20 minutes: Put the injured area under running water for 20 minutes. Water should be cool not cold. Even if you attend to injury after sometime, still it will be better to use running water (most useful in 1st 3 hours of injury).
  • Cool the burn area (but not the child). Cooling the burn wound will help in better recovery, but if wound is very large , do not cool for long as it may cause hypothermia in young children.
  • It is best to cover burn with lightly applied gauze bandage or with loose, light clean wet cloth. We should also raise the burned area.
  • Do not apply any powder or oil or ointment over burn area; things like butter or atta can make burn injury worse.
  • If you have Ibuprofen; give one dose to your child (if child is awake and alert).
  • Do not break blisters that might have formed.

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When to consult doctor immediately:

  • IF burn involves face, genital area or child is suspected to have airway involved, it is best to consult doctor as soon as possible.
  • IF large area of body is involved in burn injury.
  • If burn is very deep and muscles or bone or tendon can be seen.
  • Whenever in doubt and especially is child is very small
  • Burn injury occurs due to electric shock or chemical injury.
  • Burn looks infected (There is swelling, pus, redness of the skin near the wound).

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Think Prevention!

  • Keep a vigil around , if there is hot water or tea or hot milk around
  • Keep children away from heaters, iron/steam press, burning candles etcBefore giving your child bath check the temperature of water in the tub or bucket.
  • Keep fire extinguisher in high risk areas
  • Do not allow children to play around when something is cooking in kitchen.
  • In winters be careful with kids near bonfire.

Feel free to contact MAYA CLINIC or your child specialist for any other query related to this topic or any other health issue regarding kids.

 

Regards

Dr Rahul Varma

“Healthy Kids, Happy Family”

Injury prevention and Safety in children

Injury Prevention in Children

Every day around 1000 children die worldwide. Most of these deaths can be prevented by taking simple injury prevention measures. Huge number of children becomes seriously injured for life. In developing countries like ours where we lose so many children to infectious diseases; it adds to the mortality burden of country. More than 90% of these injuries are unintentional.

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Common Causes:

RTA ( road traffic accidents), fall from height, burns, poisoning, drowning are the main causes of death in children due to injuries.

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Road traffic accidents (RTA)

It is the leading cause worldwide. various methods which can help in preventing these deaths are Proper use of seat belts and child restrainer devices , wearing helmets, driving and walking in designated lanes, driving within speed limits and to avoid drunken driving.

Fall:

Fall from beds are very common and most baby survive with only bruises and scratches. But still more than 100 children die daily due to fall from height. Many of these deaths can be avoided by using well fitted window panels, child proofing doors and windows and play areas.

Burn:

Burn injuries from hot water or flames are commonly seen in young children. Preventive measures which can help are smoke alarms, temperature regulators, using fire crackers under supervision of adults.

Poisoning:

Another common cause of death in young children is poisoning. Daily numerous calls are received by poison cell. Accidental poisoning can be prevented by child proofing cabinets, keeping toilet cleaner out of reach of children, keeping kerosene oil safely and all the medicines away from children.

Drowning

Drowning is another cause of death in coastal areas. But many small children can drown head down in buckets or bathtub.So to prevent these deaths, we need to store water only in closed container and keep tub empty.

Poverty

Children living in poor economical conditions are more likely to be living in unsafe environment. They might be living close to road with high traffic, poor and unstable construction, illegal electricity connection etc.

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Prevention

Child deaths have decreased significantly over last decade (in western countries) due to following measures:

  • Enforcing laws for child safety like having child proof cabinet for storage of medicines and floor cleaners etc.
  • Structural modification in public places like proper railing for child safety in stairs, well fitted windows, fencing around pools, life guards etc.
  • Public awareness campaigns
  • Better emergency care
  • Proper storage of flammable objects
  • Parental guidance
  • Better disaster management

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In India major issue is with enforcing laws rather than making them. Authorities should be more vigilant and we should also know our social responsibility.

Right to safety

All children have the right to a safe environment and deserve protection from injury. With proper awareness, environmental modifications and good emergency care, it can be achieved.

Regards

Dr Rahul Varma