EMERGENCY CARE AND PREVENTION OF
SEVERE ACCIDENTAL INJURY LEADING TO CARDIOPULMONARY FAILURE IN CHILDREN
Lou X-F
Zhejiang University Affiliated Children’s 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 shouldn’t 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.