Thursday, April 6, 2017

Section 3: CPR and Choking Emergencies

•           Create two scenarios: one in which a child is choking and another in which a child needs CPR. In each of your scenarios, include who is involved and where it is occurring (for example, a 5-year-old in a preschool setting has stopped breathing and is apparently choking on a piece of food). Then outline the proper emergency procedures for dealing with each situation (see pages 170-171 in your text).

It was in the month of February the children were celebrating a Valentine’s day party. The teacher passed out candy bags to all of children. One of the toddlers age 3 started choking on a piece of hard candy that was in her bag.

Children seem to always test their limits and are very curios. They can choke on food, fall on play equipment and drown in water when not supervise.
First thing to do when a child is choking is to assess the situation. If a child is not able to speak cry laugh this may mean that there is something blocking their anyways.  If the child is coughing or gasping for air this may mean that it is partially blocked. Since coughing is the most effective way of getting an object to dislodge continue to allow the child to cough. If coughing does not dislodge the object call 911. Then begin Get behind the child and wrap your arms around his mid section grabbing your fist with one hand and with thumbs up, just above the boy’s navel.  Thrust upward and inward into his abdomen. Continue the thrusts until the boy begins to cough and the object that had been lodged comes out.  If the child becomes unresponsive you need to start CPR. back blows and "Give 5 quick abdominal thrusts by placing the thumb side of your fist against the middle of the victim's abdomen, just above the navel” (American Red Cross ,2017). Grab your fist with the other hand. Repeat each step until the object is forced out and the child can cough or breathe.


While playing at new day kids church A child age four got her neck caught in the chain of a swing. The swing chain begin twisted around the little girl’s neck making it impossible for the little girl to get off the swing. The chain begins to chock the little girl she fell on the floor and become unconscious.

Make sure the scene is safe and clear. Tap the child and ask them are they ok? If it is an infant, you can flick the bottom of their feet to see if they respond. Lift the child’s chin up slightly to get a good airway.  Check for breathing. Listen carefully, for no more than 10 seconds, for sounds of breathing (American Red Cross, 2017). If the child is not breathing call 911 then start to administer Begin chest compressions by placing the heel of a hand, interlocked with the other hand, “on the lower half of the breastbone between the nipples” and completes thirty compressions followed by two rescue breaths. (Robertson, 2016, p 173). Give cycles of 30 chest compressions and two breaths during two minutes and repeat until the ambulance arrives or your child starts breathing again.

Do no more than 2 breathes by tilting the child’s head back and lifting their chin. Make sure you pinch their nose and put your mouth completely over their mouth and nose. Start hard and fast compression on their chest. Doing at least 100 compressions per minute.  Keep going. Continue this until you see signs of life, like breathing, or until the emergency team as came.


Next, You have shared many ideas to prevent emergencies but didn’t answer this.  “Good planning and preparation will help the emergency situation go more smoothly and help teachers to remain calm.” (Robertson, 2016, p 171).

•           summarize why planning is often the best way to respond to or prevent an emergency situation and the kinds of training (e.g., CPR or first aid training) you believe are needed in order to prevent or positively resolve such emergencies.


•           To prevent choking hazard while children are playing with toys teacher should have "Knowledge of age-appropriate toys this will help teachers select toys that are safe for the care environment. (Roberts ,2016).
•           Have the staff take a training for CPR and basic training.
•           Avoid small toys and keep them out of the reach for infant and toddlers.
•           Keep balloons away from under 7 can pose a risk for children.
•           Do not allow infant or toddlers to play with coins.
•           Teachers should be using such tools as the choking hazard checklist and the toy safety checklist, to eliminate those toys that may present risk (Robert, 2016).


•           Finally, describe any other steps adults must take to ensure they are prepared to handle these kinds of crises, including such information as first aid supplies, family emergency contact information, and so on.


Steps to take to handle a crisis:

•           First aid kits should be in easy accessible for all staff. Include
 (thermometer, rubbing alcohol, saline, insect bite ointment and bandages
•           Emergency medical telephone should be posted on the phones (family doctors, pediatrician and local hospitals).
•           All staff personnel should know procedures for first aid.
•           Post American red cross poison control on walls 800-222-1222
•           Two to three closet neighbors / parents in case all staff is unavailable for volunteer help or transportation.




Reference:
Robertson, C. 2016 Safety, Nutrition and Health in Early Education, 6th Edition.
American Red Cross 2017. http://www.redcross.org/.
American Heart Association: CPR and Emergency Cardiovascular Care

http://www.heart.org/HEARTORG/CPRAndECC/CPR_UCM_001118_SubHomePage.jsp

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