2021059_TML_Manual_ENT_KidsTeens_21_online

you keep up to the individual steps you will make
every-thing right.
Lifesaving emergency measures
n Secure the scene of accident, the child and yourself
in order to prevent any further damage
n Get the victim out of the danger zone
n Stop life threatening bleeding and treat the shock
(shock position)
n In case of respiratory arrest apply rescue breaths to
the child
n In case of a heart attack give cardiopulmonary
resuscitation
Emergency call
When you call emergency services you should provide
the following information to the control centre:
n What happened?
n Where did it happen?
n Which injury respectively illness can be recognised?
n How many injured or ill persons are there?
n How old is the child?
Do not hang up immediately when you have given
this information. Wait for possible questions from the
control centre.
Swallowing
Should a child choke from swallowing do not pat its
back. Hold its arms high, in order to stretch the upper
body. The gorge will open automatically and the swallowed
up items becomes free. Should a bigger piece get
stuck in the throat, try to carefully take it out with your
fingers. Immediately inform a doctor. Suffocation risk!
Recognise respiratory dysfunctions
Respiratory dysfunctions at infants can be recognised
by an irregular respiratory rate or unusual breathing
sounds. Also retracting the chest and a blue coloured
skin, in particular the lips are clear signals for shortness
of breath. The reason for this shortness can have many
reasons.
Swallow: A foreign object in the respiratory tract
Reason: Child choked on something, a drop, small fruit
or nuts or other small parts.
Symptoms:
n Coughing, retching, vomiting
n No airflow despite strong breathing activity
n Disturbed consciousness
First aid in case of choked foreign objects
Tapping technique
n bring the child’s upper part of the body in a low
position
(i.e. lie the child over your knee)
12
n tap several times with the hand between the shoulders
n regularly check the vital functions
n emergency call if required
(tapping technique for infant and child, also see
www.kindernotfalltraining.de)
If the tapping technique is not sufficient, apply the
secret handgrip:
n Bring the infant in head down position, look for
pressure point
(lower third of the breastbone) and press 2 cm
deep, 5x, 2 seconds
n Child: bend the upper part of the body to the front,
and hold from behind with both arms, put the fist of
one hand in the upper part of the body and grasp
with the other hand, now suddenly press 5x upside
backward
(if necessary change between 5x tapping method
and 5 x secret handgrip)
n Important: The hand grip can hurt the child and
shall only be applied in acute danger of suffocation
and if there is no residual breathing anymore. Then
have the child examined by a doctor immediately.
Infection in the oral cavity
Reason: Infections might lead to swelling of the mucous
membranes in the oral cavity and thus to shortness of
breathing. Typical is the Krupp syndrome (swelling of
the mucous membrane in the larynx and the upper trachea
area, often diagnosed at children under 3) and the
infection of the epiglottis. Infants can be vaccinated
against this infection.
Symptoms:
n Shortness of breathing
n Whistling breathing noises
n Pale to bluish colour of the skin
n Rapid pulse
n in particular for the Krupp syndrome: hoarseness,
barking cough, temperature, cold
n in particular for the infection of the epiglottis: very
sudden appearance, influence on speech, high temperature,
problems with swallowing, salivation
First aid measures for infections in the oral cavity:
n position the upper part of the body in an upright
position
n provide cool, humid air (i.e. from the fridge or
bathroom with running shower)
n keep the child’s warmth
n possibly cortisone suppository (prescribed by the
doctor)
n in case of high temperature and swollen neck
emergency call
Asthma attack
Reason: An asthma attack can be caused by allergies,
typically by pollen or animal hair. But also infections or
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