Head Injuries 2

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Suspected Internal Injury

The brain is cushioned by cerebrospinal fluid, but a severe blow to the head may knock the brain into the side of the skull or tear blood vessels. Any internal head injury — fractured skull, torn blood vessels, or damage to the brain itself — can be serious and possibly life threatening.

Different levels of injury require different levels of concern. It can be difficult to determine the level of injury, so it's always wise to discuss a head injury with your doctor. A clear indicator of a more serious injury is when a child loses consciousness or has signs of confusion.

What to Look for and What to Do

Call an ambulance if your child shows any of these symptoms:

  • unconsciousness
  • abnormal breathing
  • obvious serious wound or fracture
  • bleeding or clear fluid from the nose, ear, or mouth
  • disturbance of speech or vision
  • pupils of unequal size
  • weakness or paralysis
  • dizziness
  • neck pain or stiffness
  • seizure
  • vomiting more than two to three times
  • loss of bladder or bowel control

If your child is unconscious:

  • Do not try to move your child in case there is a neck or spine injury.
  • Call for help.
  • If you've been trained in CPR, follow the recommendations if they're appropriate.
  • Turn a child who is vomiting or having a seizure onto his or her side while trying to keep the head and neck straight. This will help prevent choking and provide protection in case of neck and spine injury.
  • If there's swelling, apply an ice pack or cold pack.

If your child is conscious:

  • Do your best to keep your child calm and still.
  • If there's bleeding, apply a sterile bandage.
  • Do not attempt to cleanse the wound, which may aggravate bleeding and/or cause serious complications if the skull is fractured.
  • Do not apply direct pressure to the wound if you suspect the skull is fractured.
  • Do not remove any object that's stuck in the wound.
Source kidshealth.org/parent/firstaid_safe/emergencies/head_injury.html#

Head Injuries

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Head injuries fall into two categories:

  1. external (usually scalp) injuries
  2. internal head injuries, which may involve the skull, the blood vessels within the skull, or the brain


Fortunately, most childhood falls or blows to the head result in injury to the scalp only, which is usually more frightening than threatening. An internal head injury could have more serious implications because the skull serves as the protective helmet for the delicate brain.

External (Scalp) Injury

The scalp is rich with blood vessels, so even a minor cut there can bleed profusely. The "goose egg" or swelling that may appear after a head blow is the result of the scalp's veins leaking fluid or blood into (and under) the scalp. It may take days or even weeks to disappear.

What to look for and what to do:
  • Call the doctor if your child is an infant; has lost consciousness, even momentarily; or if a child of any age has any of these symptoms:
    • won't stop crying
    • complains of head and neck pain
    • becomes difficult to console
    • isn't walking normally
  • If your child is not an infant, has not lost consciousness, and is alert and behaving normally after the fall or blow:
    • Apply an ice pack or instant cold pack to the injured area for 20 minutes. If you use ice, always wrap it in a washcloth or sock; ice applied directly to bare skin can cause frostbite.
    • Observe your child carefully for the next 24 hours. If you notice any of the signs of internal injury (see below), call your doctor immediately.
    • If the incident has occurred close to bedtime or naptime and your child falls asleep soon afterward, check in every few hours to look for twitching limbs or disturbances in color or breathing.
  • If color and breathing are normal, and you observe or sense no other abnormalities, let your child sleep (unless the doctor has advised otherwise). There's no need to keep a child awake after a head injury.
  • If color and/or breathing are abnormal, or if you aren't comfortable with your child's appearance (trust your instincts), rouse your child partially by sitting him or her up. Your child should fuss a bit and attempt to resettle. If he or she doesn't protest, try to awaken your child fully. If your child can't be awakened or shows any signs of internal injury (see below), call the doctor or an ambulance.
Source kidshealth.org/parent/firstaid_safe/emergencies/head_injury.html#

WHEN TO CONTACT A DOCTOR2

21:56 Posted In , , , , , , , , , , Edit This
Source hypnobirthing email Indonesia

Diarrhea

* No wet diapers for 8 hours, and signs of dehydration are already mentioned above.
* High fever.
* Bloody stool.
* Drowsiness extraordinary, limp, difficult to wake.
* If children experience chronic diarrhea.

EAR INFECTION

* Bring the kids to the doctor if you suspect otitis media. But please remember, your doctor will not automatically give antibiotics every time the child's ear looked red.
* Infants and young children at risk for frequent ear infections
* Otitis media did not always have to be treated with antibiotics
* For a long time (up to 3 months) after otitis media, there will be fluid in the middle ear cavity. This is a normal condition and does not require any treatment.

Vomiting
Vomiting is not accompanied by other symptoms and does not repeat, usually not something to worry about. Bring your child immediately to hospital if:

* Vomiting green.
* Stomach pain for 6 hours.
* The spots are pink / purple that does not disappear when pressed.

Call your doctor if the child shows the following symptoms:

* The baby vomited during the last 6 hours or a child for 12 hours
* If your baby shows symptoms of dehydration (large crown concave (baby), his eyes sunken, dry lips; urinate a little older and more colorful than usual; decreased skin elasticity.
* Do not want to drink.
* Drowsiness extraordinary and fussy.

Emergency CONDITIONS: Identify

o Drowsiness extraordinary (drowsiness). Somewhat decreased awareness, decreased eye contact. Various stimuli (including the sound stimulus) caused no response from the child's party
o lethargy or decreased activity. Children lay limp, feet and hands are rarely driven. Children are also not interested to engage in an activity.
o Disturbance of breath. Children breathing fast or moaning while breathing, or every time you inhale, your chest muscles drawn into.
o Do not want to drink or eat (poor feeding). Drank much less than usual. Babies do not want to suck or meneteknya very rare and weak hisapannya. Non-breastfed babies drink only half of the needs within 24 hours. Babies also refused to eat altogether.
o Vomiting spraying. Vomiting is nothing to do with eating or drinking, there is no relation to the cough. Strong vomiting occur suddenly. Think about the possibility of increased pressure in the cavity of the head as is common in meningitis.
o The production of urine decreases or severe dehydration. Children urinate less than 4 times in 24 hours (diaper remains dry for 6 to 8 hours).
o The baby choked on (a baby can not breathe, face becomes red and blue).
o Diarrhea continually over the last 12 hours. Great vomiting.
o Other conditions which also need to be brought to the health care unit is green berwana vomiting, recurrent seizures or long, high fever (especially fever in bayiberusia less than 6 months), hernias, and constantly fussing inconsolably

WHEN TO CONTACT A DOCTOR2

21:56 Posted In , , , , , , , , , , Edit This
Source hypnobirthing email Indonesia

EAR INFECTION

* Bring the kids to the doctor if you suspect otitis media. But please remember, your doctor will not automatically give antibiotics every time the child's ear looked red.
* Infants and young children at risk for frequent ear infections
* Otitis media did not always have to be treated with antibiotics
* For a long time (up to 3 months) after otitis media, there will be fluid in the middle ear cavity. This is a normal condition and does not require any treatment.

Vomiting

Vomiting is not accompanied by other symptoms and does not repeat, usually not something to worry about. Bring your child immediately to hospital if:

* Vomiting green.
* Stomach pain for 6 hours.
* The spots are pink / purple that does not disappear when pressed.

Call your doctor if the child shows the following symptoms:

* The baby vomited during the last 6 hours or a child for 12 hours
* If your baby shows symptoms of dehydration (large crown concave (baby), his eyes sunken, dry lips; urinate a little older and more colorful than usual; decreased skin elasticity.
* Do not want to drink.
* Drowsiness extraordinary and fussy.

Emergency CONDITIONS: Identify

o Drowsiness extraordinary (drowsiness). Somewhat decreased awareness, decreased eye contact. Various stimuli (including the sound stimulus) caused no response from the child's party
o lethargy or decreased activity. Children lay limp, feet and hands are rarely driven. Children are also not interested to engage in an activity.
o Disturbance of breath. Children breathing fast or moaning while breathing, or every time you inhale, your chest muscles drawn into.
o Do not want to drink or eat (poor feeding). Drank much less than usual. Babies do not want to suck or meneteknya very rare and weak hisapannya. Non-breastfed babies drink only half of the needs within 24 hours. Babies also refused to eat altogether.
o Vomiting spraying. Vomiting is nothing to do with eating or drinking, there is no relation to the cough. Strong vomiting occur suddenly. Think about the possibility of increased pressure in the cavity of the head as is common in meningitis.
o The production of urine decreases or severe dehydration. Children urinate less than 4 times in 24 hours (diaper remains dry for 6 to 8 hours).
o The baby choked on (a baby can not breathe, face becomes red and blue).
o Diarrhea continually over the last 12 hours. Great vomiting.
o Other conditions which also need to be brought to the health care unit is green berwana vomiting, recurrent seizures or long, high fever (especially fever in bayiberusia less than 6 months), hernias, and constantly fussing inconsolably

WHEN TO CONTACT A DOCTOR

21:47 Posted In , , , , , , , , , , Edit This
Source hypnobirthing email Indonesia

FEVER

In general, fever is not harmful, however, there are several situations in which parents must be vigilant. In infants, for example, the younger the age, parents should be more alert. Look under the general rule is;
in older infants (aged 6 months or more), we just call the doctor if the temperature approached 40 ° C. In younger infants, it is recommended to contact the doctor if the temperature 38 ° C or more.

" onmouseover="this.style.backgroundColor='#ebeff9'" onmouseout="this.style.backgroundColor='#fff'">* If the baby is old <>
* If baby aged 3 - 6 months with a body temperature ³ 38.5 ° C
6 bulan, dengan suhu tubuh ³ 40°C" onmouseover="this.style.backgroundColor='#ebeff9'" onmouseout="this.style.backgroundColor='#fff'">* Infants and children aged> 6 months, with body temperature ³ 40 ° C

In addition to high body temperature, doctors also need to be contacted on the following conditions:

* If the child's condition deteriorated
* Fever has lasted 72 hours
* Hard to drink or not drink or are dehydrated
* Fussy or constant crying, can not be appeased
* Sleep continuously, weak and difficult to wake (lethargic)
* Seizures or stiff neck neck
* Great headaches that persist
* Shortness of breath
* Vomiting, diarrhea constantly

Cold

* A fever of more than 72 hours
* Cough more than one week; or cough violently with vomiting.
* Fussy and lethargy
* Shortness of breath or appear kebiruian around the lips and mouth
* Rarely urination (see dehydration) or do not want to drink
* Sputum was blood
* "Mucus" thick green more than 2 weeks

COUGH

* Having difficulty breathing or breathing with a vengeance (respiratory muscles mobilized an additional part that looks the muscles between the ribs are interested in, the muscles on the scapula is also interested in, nostril breathing);
* Blue in the lips, tongue or face;
* High fever, especially if there is no cough cold, while in infants younger than 3 months, doctors have to keep calling (without regard to high fever);
* Infants £ 3-month-old who coughed for several hours;
* If the whooping sound when breathing after coughing;
* If there is coughing blood (except when the child had suffered a nosebleed, the blood in his cough is usually nothing to worry about);



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