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Preventing common accidents

At the age of 1 to 3 years, children can have accidents in the house such as foreign bodies in the airway, electric shock, burns, asphyxiation, wrong chemicals, trauma, etc.
Here are some common accidents that parents should pay attention to avoid:

Airway foreign body: children eat watermelon with melon seeds, or bite melon seeds, pumpkin seeds, sunflower seeds, rag seeds, even jam candies…especially when children eat while laughing or crying, they are prone to foreign bodies in the airways. The best prevention is not to give these foods to young children or to remove the seeds when eating.

How to give first aid to a child with a foreign body in the airway
If the victim is still rosy, can cry, scream, speak, and not have difficulty breathing: should be placed in a sitting position to breathe, keep the child still and take him to the hospital for examination and removal of the foreign body.
If the victim is pale, has trouble breathing, does not cry, or cries weakly. Quickly call an ambulance and perform the procedure

Children under 2 years old: chest press back patting method
Place baby on stomach, head low on left arm, hold baby’s head and neck firmly with left hand
Use the heel of your right hand to slap 5 times vigorously pat the child’s back between the shoulder blades
Then turn the child over to the right hand, if breathing is still difficult, pale, use 2 left fingers to press firmly in the lower breastbone area 5 times
If the object has not come out, turn the young person over and continue patting the back. Alternate back blows and chest compressions until the object falls out of the airway or the baby is able to cry

Figure 1: Back patting and chest compression technique

Older children: Heimlich’s trick

Children still awake:
Stand behind the child, wrap your arms around the child’s waist
Squeeze your hand into a fist and place it in the epigastrium, just below the tip of the sternum, above the navel
Press 5 times firmly in the direction from front to back and from bottom to top, strong and fast
May repeat 6-10 abdominal thrusts until the object falls out of the airway or the baby cries


Figure 2: Standing Heimlich maneuver while the victim is awake

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BILLIONcheap coma:
Have the child lie on his or her back and kneel down with both legs next to the victim’s thighs
Place the heel of one hand on the epigastrium, under the tip of the sternum, under the tip of the sternum, then place the second hand on top of the first hand.
Press 5 times firmly, forcefully and quickly into the abdomen in the direction from bottom to top
May repeat 6-10 abdominal compressions until the foreign body falls out of the airway
Have the child lie on his or her back and kneel down with both legs next to the victim’s thighs
Place the heel of one hand on the epigastrium, under the tip of the sternum, under the tip of the sternum, then place the second hand on top of the first hand.
Press 5 times firmly, forcefully and quickly into the abdomen in the direction from bottom to top
May repeat 6-10 abdominal compressions until the foreign body falls out of the airway
Illustrating images

Figure 3: The Heimlich maneuver while the patient is in a coma

Attention:
If the victim is not breathing, give 2 slow first breaths and alternate breaths during the Heimlich maneuver or chest compressions until the patient is breathing again or crying.
After getting the foreign object, or the victim can cry, still have to take the victim to a medical facility for examination

Things to avoid
Do not intervene if the victim is still able to cough, breathe or scream
Don’t try to pull out the foreign object and move it if you can’t see it as there is a greater chance of the foreign body falling deeper.

Shockwave: Due to the decorative chandeliers on the potted plants, electric incense, halo lights, flashing at the altars, attracting children to curious and touching, so they are electrocuted. Prevent by limiting flashing lights or keeping them out of the reach of children. Electrical outlets are covered with safety plastic buttons.

Burn: On New Year’s Day, families often use tablecloths, on which to put a pot of hot tea or a thermos of boiling water to light tea, or leave hot or hot food on the table, children peel or pull the tablecloth and drop it. , causing burns to children or parents ironing on New Year’s Eve forgetting to leave the iron where children can touch it, causing burns. Prevention by limiting the use of tablecloths or fixing them firmly so that children can’t pull them over, ironing out, keeping the iron out of reach of children, it is best to have a babysitter to prevent children from falling. break”.

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Water asphyxia: Some families have a small indoor ornamental pond near the foot of the stairs, children can go there and fall into the lake or splash in the bathroom, fall into a bucket or toilet, causing suffocation. Prevent by not designing an indoor aquarium when the family has young children, the toilet bucket is covered or does not contain water.
Drink wrong, eat wrong: children can crawl, walk around the house and put anything in their mouth, such as a bottle of lemon tea containing malodorous oil – often reserved for Tet holiday to light an oil lamp – or alcohol incense (methanol) – some families making incense to sell on New Year’s Day – or Chinese ash water (KOH solution) – making useful cakes or poisonous baits, food mixed with rat poison, insects, or sedatives, epilepsy (phenobarbital, haloperidol, …), lead to poisoning that can affect the child’s life. Prevent by not storing chemicals in beverage bottles or keeping chemicals out of reach and “sight” of children.

Injury: ornamental plants with thorns, or fake apricot flowers attached to dry branches with sharp wire, etc., which can easily injure children, or small pots placed in high places where children can reach, knocking them over. cause injury or cotton bottles, objects placed on the table with a tablecloth even though the child cannot reach it, pull the tablecloth and drop the objects on the table, causing injury to the child. Prevent to keep pots out of reach of children, avoid decorating ornamental plants, furniture by using wire, sharp objects.

The most common prevention is always having a babysitter, watching over the children and designing and decorating the house, a safe indoor environment for children, minimizing the risks that can be harmful to children that parents feel and are aware of.
Wishing all parents and children happy, healthy, prosperous and enjoy a safe Tet.

Doctor of CKII Nguyen Minh Tien
City Children’s Hospital

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