015 Paediatric Emergency 1st Aid
Identify the responsibilities of a paediatric first aider.
First aid is the provision of initial care for an illness or injury. It is usually performed by non-expert, but trained personnel to a sick or injured person until definitive medical treatment can be accessed. Certain self-limiting illnesses or minor injuries may not require further medical care past the first aid intervention. It generally consists of a series of simple and in some cases, potentially life-saving techniques that an individual can be trained to perform with minimal equipment.
The responsibilities of a paediatric first aider is:
To preserve life- the overriding aim of all medical care including first aid is to save lives. •
To prevent deterioration- moving a patient away from any cause of harm and applying first aid techniques to prevent worsening of the condition such as applying pressure to stop a bleed becoming dangerous. •
To promote recovery- ask someone to call an ambulance or doctor as soon as possible, stay with a sick or injured child until help arrives and give appropriate first aid. •
Give care with confidence- it's important for everyone to be confident when giving care especially with young children as they get scared easily. •
Build up trust- Always explain simply to a child what is happening and what you intend to do. Do not talk over his or her head. You should not separate a child from his or her mother, father or other trusted person. •
Responsibilities- the essential aim is providing the appropriate first aid. •
Passing on information- by passing on information of the incident to a professional and the parent. •
Coping with children- Young children are extremely perceptive and will quickly detect any uncertainly on your part. Gain an injured or sick child’s confidence by talking first to someone he or she trust-a parent accepts you and believes you will help, this confidence will be conveyed to the child. •
Personal safety- It is important not to jeopardize your personal safety. Do not attempt heroic rescues in hazardous circumstances such as in a fire. •
Protection from infection- You may worry about picking up infections from casualties. Often simply measures such as washing your hands and wearing gloves will protect both you and the child from cross-infection. Use a mask or face shield for mouth to mouth ventilation if the child’s mouth or nose is bleeding and dispose of blood and waste safely after treating the casualty using clinical bags. •
Assessing the risks- The golden rule is “First do no harm” and while applying the principle of “calculated risk”. You should use the treatment that is most likely to be of benefit to a casualty but do not use a doubtful treatment just for the sake of doing something. •
Staying with the casualty- provide care to a child who has suddenly become ill or injured until either: -Medical help or ambulance arrives or
-The child’s parent or legal guardian arrives.
Describe how to minimize the risk of infection to self and others.
It is important that you know how to minimize the risks of infection to both yourself and to others. Bacteria and viruses can cause infection and easily spread in: •
The air on droplets of moisture-such as through coughing and sneezing so its best you don’t talk, sneeze or cough over a wound. •
Water that is contaminated.
Body fluids such as blood- where an apron if one is available. •
You should always wash your hands before and after treating a casualty.
How to Wash Your Hands
Turn on the sink and get your hands wet with warm water.
Use plenty of soap and rub hands together vigorously for at least 10 seconds.
Wash palms, backs of hands, wrists, fingers and under fingernails.
Rinse hands thoroughly with warm water.
Dry hands with a clean towel or paper towel.
Turn off the sink with the towel - this prevents reinfection of your hands.
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