Managing Paediatric Illness and Injury
1. Describe the common types of fractures and how to manage them. Broken bone.
Based on the location and severity of the fracture, a broken bone usually must be set into position and supported until it is strong enough to bear weight. Your physician will recommend the most proven treatment approach, usually casting or surgery 2. Describe how to manage a dislocation
Relieve pain around the dislocation by applying a cold pack to the area; this will also reduce swelling that can add to discomfort injury. Keep joint immobile and do not try to push the bone back in place. Offer ibuprofens if in severe pain, monitor the patient until the professionals arrive. 3. Describe how to recognise and manage the following head injuries: A concussion: you get dizziness, nausea, loss of memory, mild headache, seeing "stars", double vision, numbness and lack of hand-eye coordination. B skull fracture: you will probably see an external wound or bruise on the head and there may be a depression visible on the scalp. Check behind the ears for swelling or bruising. There may be loss of clear fluid or watery blood through an eye or nostril, blood in the white of the eye, a black-eye, and the symmetry of the head or face may be disrupted. The responsiveness of the victim may deteriorate C cerebral compression: levels of response deteriorate; headaches tend to be intense; noisy, slowed, or irregular breathing; pupil sizes unequal; paralysis or weakness on one side of the body or face; drowsiness; temperature spike, fever, or flushed face; personality changes 4. Describe how to manage an infant and a child with foreign bodies in their eyes, ears and nose. If a child gets sand, dust, or paint in their eyes, then we can try removing it ourselves, firstly wear clean pair of disposable gloves, and gently pull the bottom eye lid down, and with a clean wet tissue try to clean the eye, and if that don’t work, then try to wash the eye out with water, position the child’s head over the sink or bowl with eye open and wash the eye out using plastic cup, try to pour the water for the side of the eye, if this still don’t work then go to the nearest walking centre. There are several things that can get stuck in ears and nose, common ones like batteries, beads, nuts. If a child does get anything small stuck in their nose or ear, unless it can easily be pulled out with a firm grip then go for it, if not don’t try because you may end up pushing it further back and making it difficult, in these kind of situations you need to call a first aider, or take the child to the nearest walking centre to get it removed.
5. Describe how to recognise and manage common eye injuries
Eye injuries can range from relatively trivial, such as irritating the eye with shampoo, to extremely serious, resulting in permanent loss of vision. Common causes of eye injuries include, something like a small particle of grit or a twig damages the transparent front part of the eye known as the cornea – this type of injury is known as a corneal abrasion. A foreign body such as a small piece of wood or metal gets stuck in the eye. A sudden blow to the eye, from a fist or a cricket ball for example, causes the middle section of the eye (the uvea) to become swollen – this type of injury is known as traumatic uveitis. Wash your eyes out for 20 minutes if you think they have been exposed to a chemical. Ideally, you should wash the eye with saline solution, but tap water will be fine if saline is unavailable. Use plenty of water. Water from a garden hose or water fountain is okay if you're outside. Then go immediately to your nearest A&E department. It's also important to go to A&E if you cut your eye and it starts bleeding or if you have something stuck in your eye. Never try to remove anything from your eye as you could damage it.
6. Describe how to recognise and manage chronic medical conditions including:a. Sickle cell anaemia....
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