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First Aid in Schools. Alcohol/Drug OD. Approach in a calm, professional, sympathetic manner; gain confidence Try to find out type and amount of drug Universal precautions If vomiting, place in recovery position and protect airway Monitor breathing Call 9-1-1 Call parents.
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Alcohol/Drug OD • Approach in a calm, professional, sympathetic manner; gain confidence • Try to find out type and amount of drug • Universal precautions • If vomiting, place in recovery position and protect airway • Monitor breathing • Call 9-1-1 • Call parents
Allergic Reactions • Sneezing, coughing, wheezing, watery eyes, swelling of face mouth and throat, difficulty breathing, weak and rapid pulse, tight chest, severe itching, cramps, nausea, vomiting, diarrhea, dizziness • Call 9-1-1 • Give CPR • If the child has an Epi-Pen assist with it • Treat for shock by reassuring
Animal or Human Bites • Universal precautions • Control bleeding • Wash with soap and water and cover with dressing • Inform parents and notify animal control if applicable • Get medical help if any animal bite breaks the skin • Could be an “assault” if human bite
Asthma • Comfortable position, sitting upright leaning slightly forward • Encourage controlled slower breathing • Reassure and comfort; don’t leave alone • Nothing to drink • Assist with bronchodilator if they have one prescribed to them • Call parents • If child cannot speak or breathing is terribly distressed, call 9-1-1
Bleeding • If severe, call 9-1-1 • Apply direct pressure with clean cloth or pressure bandage • If soaked, place new OVER existing • If still not stopping, apply direct pressure and elevate area above the heart • If foreign object in wound, do not remove, apply pressure around it
Burns and Scalds • Remove rings, bracelets, footwear before swelling • Immerse briefly in cold water; if not possible, apply cool cloth soaked in cool water • If severe, get medical help
Dental Emergencies • Toothache – rinse mouth with warm saltwater, apply cold compress • Cut or bitten tongue, lip, cheek – apply ice and direct pressure with clean gauze • Broken tooth – place cold compress; if pieces can be found, save them • Knocked out tooth – handle by crown, try to place back in socket and have child hold in place with clean gauze; if necessary put tooth in cold milk or saline or wrapped in plastic with child’s saliva • Broken braces – cover with gauze and get to dentist
Diabetic Emergencies • If unconscious, call 9-1-1 and begin CPR • Have child take sugar, sugary drink or prescribed medicine if child is alert, knows what is wrong and is conscious and able to follow commands • If child is confused, give something sweet to drink and get medical help
Eye Injuries • If object can be removed by flushing with water, do so for 15 min or more • If object cannot be removed, cover with gauze and get to ER; cover both eyes • Don’t apply direct pressure to the eyeball, even if bleeding; you can apply to eyelids or surrounding areas
Fainting • If feeling faint, lie on back, raise feet, fresh air, loosen clothing at neck, chest, and waist • If actually faints, put into recovery position on side with top knee and bottom arm extended to keep from rolling onto stomach • If not breathing begin CPR and call 9-1-1 • If no pulse, begin CPR and call 9-1-1
Fractures, Sprains, and Strains • Don’t move if you suspect spinal injury • Don’t allow child to move injured area • Goal is to immobilize fracture site as well as joint above and below site • Apply SAM Splint if you are trained how to do so • Apply cold pack 10 min on and 10 off • Get to ER
Head Injuries and Concussions • Don’t move • Call 9-1-1 • Don’t leave alone • If unconscious, begin CPR • Note duration of unconsciousness • Monitor for seizures
Heat Injuries • Take to cool area • If conscious, offer lightly salted water or sports drink • Loosen clothing and remove excessive clothing • If not sweating or if incoherent, call 9-1-1
Insect Bites and Stings • Scrape with fingernail or edge of credit card/DL • Ice pack • If an allergic reaction, call 9-1-1, assist with Epi-pen if they have one; begin CPR if unconscious
Nosebleeds • Child should sit up, lean forward, have child pinch nose for 10 minutes and not blow nose for a few hours • Cold pack on nose bridge can help • If does not stop, call 9-1-1
Seizures • Protect child from injury by removing objects that are hard or sharp • Don’t try to restrict movements • Loosen clothing • Onlookers leave • Do not put anything into mouth • Place child on side in recovery position • Call 9-1-1 if secondary seizure or no history of seizures or becomes unconscious • Note duration and number of seizures