Child safety and first aid training content record sample

The core of this record is to address the five types of injuries that frequently occur in children aged 0-12, including foreign objects stuck in the throat, burns, falls, animal scratches, and drowning. It takes into account three modules: standardized pre-hospital first aid operations, home/school pre-prevention plans, and correction of common misunderstandings. It also includes various The explanation of operational differences from the same authoritative organization is a reference template that can be directly used for parent-child activities in communities, early childhood education institutions, and enterprises. All content comes from the real records of 3 offline practical trainings carried out by the Community Health Service Center of District X of City X in conjunction with the preschool education system in the jurisdiction in 2024.

This training was held in mid-March. After the beginning of spring, the amount of children's outdoor activities increased. The number of diagnoses received by the hospital in the area for children with stuck throats, bruises and lacerations, and cat scratches and dog bites increased by 30% compared to winter. Half of the more than 120 people who came were parents and half were kindergarten teachers. Many of them came with the pitfalls they had stepped on before. Interestingly, at the beginning of the training, there was a quarrel over the operation of foreign objects stuck in the throat: A young father who has passed the AHA (American Heart Association) first aid certificate said that the guidelines clearly require that children should be encouraged to cough on their own first, and if they can make a sound, do not pat them with your hands, for fear that the foreign objects will be patted deeper. ； However, the emergency physician in our center holds the first aid lecturer qualification from the Red Cross Society of China. She said that in view of the current situation of insufficient first aid knowledge in most domestic families, it is recommended to quickly judge the awareness first: if the child can cry and talk, guide him to cough hard. If the child has already turned purple and can’t make a sound, don’t wait to start the operation immediately. Both statements make it clear to everyone. The core principle is not to delay the golden first aid time.

There were a lot of jokes while practicing with simulators of different ages. One father was so energetic that when he gave abdominal thrusts to a simulator over 1 year old, he pressed the simulator's "sternum" and made a clicking sound. The teacher quickly held down his hand and said: "The thickness of a child's sternum is only one-third that of an adult. If you exert such force, the foreign body will come out and the ribs will be broken. You have to exert force inward and upward, not hard." ”There was a mother next to her who was furious on the spot. She said that last year her eldest son got stuck in his throat after eating a blueberry. She was so panicked that she just picked it with her hands and pushed the blueberry deeper. The child finally coughed it up on the way to the hospital. Now she is scared to think about it.

In addition to emergencies such as throat congestion, which is a time-consuming emergency, burns and scalds are another type of problem that parents ask the most. A grandma held up the badger ointment on her hand and said that her family used this ointment to treat burns, and it stopped blistering after applying it. Her grandson was burned by hot water and it healed quickly after applying it. The disease control teacher at the scene did not directly deny it. He just said that there is currently no evidence in evidence-based medicine to support the effect of folk remedies such as badger oil, toothpaste, and soy sauce. On the contrary, they may easily cause wound infection and affect the doctor’s judgment of the injury. The general five-character principle of “rinse off the bubbles and cover them up” has been adopted after countless cases. Here is a proven example: Rinse the wound with running cold water for 15-20 minutes immediately, take off the clothes on the surface of the wound, soak it in cold water, cover it with clean gauze, and send it to the doctor. If you really want to rely on folk remedies, you have to wait until the cold water is rinsed and the doctor has judged the severity of the injury. Do not use the child's wound as a test field.

Oh, yes, in this training, we deliberately put the prevention content before the practical operation. After all, it is better to eliminate the risk in advance than to save it if something goes wrong. In the past, a public park in the jurisdiction had installed a 1.2-meter-high guardrail, which was supposed to meet the safety standards of kindergartens. However, a little boy stepped on the building blocks stacked by the window and climbed up, with half of his body leaning out of the window. Fortunately, the teacher noticed it early and nothing happened. Experts in child injury intervention specifically mentioned this case: Many institutions and parents think that everything will be fine if they install guardrails and anti-theft nets. In fact, small stools, storage boxes, and stacks of blocks by windows and balconies are the risk points that are most easily ignored. If the gaps in the anti-theft nets are larger than 5 cm, a child's head can be inserted in, but it is easy to cause suffocation. Some people disagreed with this view at the time. They said that they lived on the second floor and installed anti-theft nets to prevent thieves. It would be okay if the gap was larger. We did not force uniformity. We just listed the risk points and everyone weighed it for themselves.

Two uncontroversial hard requirements were also put forward at the scene: one is that as long as the skin is scratched and bitten by a cat or dog, regardless of whether the animal has been vaccinated against rabies, it must be vaccinated against rabies within 24 hours. The fatality rate of rabies is 100%, and there is no room for luck.； Another is not to rub your child too hard after he dropped his head. If he is drowsy, vomiting, or crying, don't observe him at home and go directly for a CT scan. Last year, a child in our district dropped his head and the parents thought it would be fine if there was no wound. As a result, intracranial hemorrhage was delayed and left sequelae.

After the training, we conducted a small survey and found that 82% of the participants had at least one wrong knowledge about first aid, such as stuffing fish bones into steamed buns, rubbing their heads after falling, and applying toothpaste for burns. A grandma moved all the pony bags next to the balcony to the storage room when she got home that day. She even made a video call to her grandson who was far away in her hometown, telling her not to stuff steamed buns with stuck things in the future, and to lower her head and cough hard. In fact, this type of training is never meant to teach you how to be a professional doctor. It's just that if something happens, don't step into a big trap because of ignorance. It's better than anything else.