Tag Archives: Accident Record Blank

Red Poinsettias. Safe for Kids?

Red Poinsettias in Pots on Display in a Plant Nursery

Poinsettia plants are less toxic than once believed.

In most cases, poinsettia exposure causes only discomfort, including:

  • A mild, itchy rash. Skin contact with the sap of a poinsettia plant can cause a rash, If this happens, wash the affected area with soap and water. Apply a cool compress to ease itching.
  • A mild stomachache, vomiting or diarrhea. This can happen after eating part of a poinsettia plant. Severe signs and symptoms are unlikely, If you find a child eating a poinsettia plant, clear and rinse his or her mouth.
  • Eye irritation. If the sap of a poinsettia plant comes in contact with the eyes, they can become red and irritated. If this happens, flush the eyes with water.
  • Allergic reaction. Some people are more sensitive to poinsettia plants than are others. Reactions to poinsettia plants are more common among people who have latex allergies, since latex and poinsettia plants share several proteins. In case of a severe reaction, seek prompt medical attention.
Taken from Answers from Jay L. Hoecker, M.D. at the Mayo Clinic

How to assess a paediatric patient’s mental status after a fall

How to assess a paediatric patient’s mental status

I think head injuries is one of the most common questions I get asked when teaching so here is some advice to help.

Copied from the EMS1.com website

HeadWound_300

Spend time with infants and toddlers to learn and understand ‘normal’ responses

With a sickening thud, my two-year-old’s head slammed into the concrete. Despite three stern parental warnings she leaped off the front step, landed on the ice, went airborne, and cratered into the sidewalk. I feared the worst — open head wound and traumatic brain injury — when I began my assessment.

Assessing mental status in infants and toddlers is more complex than adults because they generally can’t tell the date, time, precise location, or preceding events. Kids under two might not even be able to report their name when healthy. My wife asked my daughter, “Where are you?” She literally interpreted her question and answered, “Right here.”

These are tips for gauging the mental status of infants and children:

  1. Ask available parents and/or caregivers.

As they know the child, they can tell you if the child’s mental status is normal or abnormal.

  1. Know age-related norms.

Infants are generally pretty comfortable being around and handled by strangers. Toddlers are more likely to exhibit stranger anxiety. An older toddler should know basic things like their own name, age, where they live, and/or their parent’s names.

  1. Recall of recent activities and favourite things.

Toddlers can recall recent events like what they had for lunch or an activity they were just playing. Check longer term memory by asking a toddler about their favourite toy, game, or memory.

  1. Ask the child to perform a simple task.

Try things like touch your nose, cover your ears, close your eyes, or make a big mouth.

  1. Know normal.

Spending time around kids is the best way to learn what is normal. Take advantage of injury prevention programs or community education events to interact with infants, toddlers, and their parents. Ask questions to see what toddlers are normally able to answer on their own.

My daughter survived her fall with only a painful reminder to listen to her daddy. Although she had a wound that required a few stitches she had no altered mental status and no loss of consciousness. She was lucky and I was relieved.

Greg Friese

EMS1

When to and when not to refer a head injury to the Emergency Department (ED) / Accident & Emergency (A&E). There is no real answer to this one except if in doubt refer and let the ED triage staff decide. Below is a letter from the Royal College of Paediatrics and child health where it is recommended that under twos be seen in the ED.

Headinjuriesunder2s

Advice from the NHS is:

Minor head injuries are common in people of all ages and should not result in any permanent damage.

The symptoms of a minor head injury are usually mild and short lived. Symptoms may include:

  • a mild headache
  • nausea (feeling sick)
  • mild dizziness
  • mild blurred visionIf your symptoms significantly worsen or you develop any new symptoms after being discharged, you should return to A&E straight away or call 999 and ask for an ambulance.

There are a number of self-care techniques you can use to relieve mild concussion symptoms. If more serious symptoms start to develop, seek immediate medical treatment.

Some self-care techniques for mild symptoms of concussion are outlined below.

Treating concussion 

  • If you or your child experience these mild symptoms after a knock, bump or blow to the head, you won’t usually require any specific treatment. However, you should go to your local accident and emergency (A&E) department for a check-up.
  • apply a cold compress to the injury to reduce swelling – a bag of frozen vegetables wrapped in a towel could be used, but never place ice directly on the skin as it’s too cold; apply the compress every two to four hours and leave it in place for 20 to 30 minutes
  • If you or your child experience minor symptoms after a knock, bump or blow to the head, you won’t usually require any specific treatment.

You should visit your nearest accident and emergency (A&E) department if you or someone in your care has a head injury and develops the following signs and symptoms:

  • loss of consciousness, however brief
  • memory loss, such as not being able to remember what happened before or after the injury
  • persistent headaches since the injury
  • changes in behaviour, such as irritability, being easily distracted or having no interest in the outside world – this is a particularly common sign in children under five
  • confusion
  • drowsiness that occurs when you would normally be awake
  • loss of balance or problems walking
  • difficulties with understanding what people say
  • difficulty speaking, such as slurred speech
  • problems with reading or writing
  • vomiting since the injury
  • problems with vision, such as double vision
  • loss of power in part of the body, such as weakness in an arm or leg
  • clear fluid leaving the nose or ears (this could be cerebrospinal fluid, which surrounds the brain)
  • sudden deafness in one or both ears
  • any wound to the head or face

Which First Aid Course do I need?

Telephone receiver

A number of students and managers have contacted me recently with regard to the changes coming up in October regarding the Childcare sector.

I have studied the First Aid training requirements and the advice for each sector is below:

Registered Childminder  – Paediatric First Aid – 12 hours In line with the Early Years Foundation Stage Statutory Framework ( EYFS) the Level 3 Paediatric First Aid (PFA) Course covers all topics required by Ofsted.

Nursery or Pre – School  – Paediatric First Aid – 12 hours In line with the Early Years Foundation Stage Statutory Framework ( EYFS) the Level 3 Paediatric First Aid (PFA) 12 Hour course covers all topics required by Ofsted.

Foundation Stage Teachers  – Paediatric First Aid – 12 hours The EYFS requires that at least one person in a school holds a twelve hour certificate in PFA. The EYFS guidance applies to those who deal with 4, 5 and rising 6 year olds.

School Staff Teaching & Support  – Emergency First Aid at Work for Schools Level 2 (EFAWS) – 6 hours In line with the guidance from The Department of Children, Schools and Families, this course is child orientated and suitable for all school staff who support First Aiders.

After School clubs  – Emergency First Aid at Work for Schools Level 2 (EFAWS) – 6 hours

Or

Level 3 Paediatric First Aid (PFA) 12 Hour course.

Ofsted will expect the course to be relevant to the age of the children. If under 5’s are present you need the Paediatric First Aid – 12 hours

Nanny, Au Pair, Babysitter  – Emergency Paediatric First Aid (EPFA) – 6 hours  There is no set minimum that this course should take. Our 6Hr Emergency Paediatric First Aid (EPFA) course meets the needs of the Voluntary part of the Ofsted Childcare Register, which many Nannies are now opting to join.

The general guidance, as I understand it, is if under 5’s are involved then even if the 12 hour course is not a requirement we still recommend it. The guidance from Ofsted regularly highlights the need for the training to be relevant to the age of the child / children being cared for.

First Aid Box Contents Update 15

3d small people - secret

1. There is no mandatory list of items to be included in a first-aid container. The decision on what to provide will be influenced by the findings of the first-aid needs assessment. As a guide, where work activities involve low hazards, a minimum stock of first-aid items might be:

  • a leaflet giving general guidance on first aid (for example, HSE’s leaflet Basic advice on first aid at work);
  • 20 individually wrapped sterile plasters (assorted sizes), appropriate to the type of work (hypoallergenic plasters can be provided if necessary);
  • two sterile eye pads;
  • two individually wrapped triangular bandages, preferably sterile;
  • six safety pins;
  • two large sterile individually wrapped unmedicated wound dressings;
  • six medium-sized sterile individually wrapped unmedicated wound dressings;
  • at least three pairs of disposable gloves (see HSE’s leaflet Latex and you6).

Attached is a Pdf list for the suggested workplace and travel kits.

First Aid Box Contents 15

Myth Buster: DEFIBRILLATION ON A WET OR METAL SURFACE

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“Can I shock someone if they are wet or on a metal surface”?

It is safe to defibrillate a patient on either a wet or metal surface as long as the appropriate safety precautions are taken. Specifically, care should be taken to ensure that no one is touching the patient when the shock button is pressed.

The attached document will answer your question.

DefibMyth15

EFAW Book update

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Slight change to your recent book if you attended a Emergency First Aid at Work(EFAW) course with me in the last 12 months

AED Data Collection

The Resuscitation Council (UK) no longer supplies or collects the AED event form that has been in use. Out-of-hospital cardiac arrest remains an important priority for the Resuscitation Council (UK) and it has established a national out-of-hospital database with the British Heart Foundation and Association of Ambulance Medical Directors, in partnership with the University of Warwick. This audit also captures the events where a public access AED has been used before the arrival of the ambulance crew via a reusable and easily accessible new online event form. To that end, there is a requirement to reflect this information within the suite of Highfield First Aid books.

The required changes are below.

Page 9

The book states the following:

‘In cases where a defibrillator has been used, regardless of whether shocks were given or not, then the Event Report Form (ERF) requires completing in full and the white copy to be sent to the Resuscitation Council (UK) as soon as possible. The address of which can be found at the bottom of the form.’

This paragraph requires removing and the following inserted:

‘In cases where a public access AED has been used, dependent on local authority policies, there may be a requirement to report the event using a prescribed audit reporting chain’

 

Thank you

 

PK

Slight update to your FAW book.

Screen Shot 2015-01-23 at 09.47.14

 

Slight change to your recent book if you attended a  First Aid at Work (FAW) course with me in the last 12 months

AED Data Collection

The Resuscitation Council (UK) no longer supplies or collects the AED event form that has been in use. Out-of-hospital cardiac arrest remains an important priority for the Resuscitation Council (UK) and it has established a national out-of-hospital database with the British Heart Foundation and Association of Ambulance Medical Directors, in partnership with the University of Warwick. This audit also captures the events where a public access AED has been used before the arrival of the ambulance crew via a reusable and easily accessible new online event form. To that end, there is a requirement to reflect this information within the suite of Highfield First Aid books.

The required changes are below.

Page 7

The book states the following:

‘In cases where a defibrillator has been used, regardless of whether shocks were given or not, then the Event Report Form (ERF) requires completing in full and the white copy to be sent to the Resuscitation Council (UK) as soon as possible. The address of which can be found at the bottom of the form.’

This paragraph requires removing and the following inserted:

‘In cases where a public access AED has been used, dependent on local authority policies, there may be a requirement to report the event using a prescribed audit reporting chain’

 

Thank you

 

PK