EMERGENCY CARE AND PREVENTION OF SEVERE ACCIDENTAL INJURY LEADING TO CARDIOPULMONARY FAILURE IN CHILDREN

Lou X-F

Zhejiang University Affiliated Childrens Hospital, China

 

Objective: Explore and summarize the causes and characteristics of severe accidental injury leading to cardiopulmonary failure in children over the past five years. Methods: Analysis and statistics of 63 cases that need cardiopulmonary resuscitation and ventilator support after severe accidental injury in 1996-2000. The proposals for appropriate measures of emergency care and prevention.

Results: Drowning was identified as a main cause. There were 27 cases (42.86%) of drowning, 12 cases (19.05%) of foreign body aspiration and 7 cases (11.11%) of Rodenticide poisoning. The remaining were 17 cases including organophosphorus poisoning, scalding, burns, trauma etc.

Conclusion: Drowning was most frequently found in preschool children. With the time of asphyxia less than five minutes or with properly first aid given the prognosis will be favorable. Otherwise the prognosis is poor. Therefore, It is essential and urgent to spread the knowledge of cardiopulmonary resuscitation among people. A variety of foreign bodies were found. Children less than three years old are liable to foreign body aspiration. Young children shouldnt suck jelly. It is also important to form good eating habits and popularize the methods to remove foreign bodies. After a long period irritated coughing the possibility of foreign body aspiration should be considered. Children with sudden convulsion or coma poisoning should be taken account in. Corresponding check should be done as early as possible. Poisonous substances must be stored properly.

 

 
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