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    目标:
    • Recognize minor injuries, serious injuries, and life-threatening injuries.
    • Identify signs and symptoms that indicate that EMS (emergency medical services) should be contacted.
    • 评估如何应对受伤。

    Learn

    Learn

    It is very important that you take courses in first aid and cardiopulmonary resuscitation (CPR). Such courses are required to open and maintain your family child care program. This lesson does not replace these courses. This lesson only provides a brief introduction to keeping children safe when they are injured

    Know

    孩子是天生的探险家。你有没有想过,“那孩子没有恐惧!”? 你可能是对的:小孩子并不总是认识到危险的情况。他们挑战自己发育中的身心。在家庭儿童保育计划中,我们必须准备好应对一系列伤害。有些损伤只需要清洗和包扎。其他伤害需要立即就医。你必须能够分辨两者之间的区别,并准备好应对任何情况。考虑以下示例:亚慱彩票APP

    1. As Simone climbs the ladder on the slide, she twists her ankle and falls backward onto the ground. Her left foot is turned at an awkward angle.
    2. 但丁和克莱尔在经过他们游戏区的铺好的小路上互相追逐。但丁绊倒了,擦破了膝盖。
    3. Madison and Tristan are riding trikes down a path that goes down a slight hill. Madison stops his trike at the bottom of the hill. Tristan can’t stop in time and runs into Madison. Both trikes fall over on top of the children. Madison hits his mouth on the bar of his trike and loses a tooth.
    4. Luke drops his favorite piece of artwork on the way to his dad’s car. It flutters into the street and he toddles out to catch it. A vehicle cannot stop in time and strikes him.
    5. 路易斯给你带来一把他在地板上找到的“糖果”。你看,它们实际上是从成人钱包里掉出来的药片。路易斯吞下了一些药片,但你无法确定有多少。
    6. Millie is giggling with her friends during lunch. Suddenly her face turns red, her eyes get wide, and she stops making any sounds. It appears she is choking.

    你的程序应该旨在降低风险when accidents occur. For example, properly inspected playground equipment and cushioned fall zones make it unlikely Simone would be seriously injured in a fall from the slide. The safety rules you teach make it less likely children will collide with one another at high speeds. Even in the best situations, though, accidents happen. You must be prepared to act on injuries big and small.

    Some injuries only require minor first aid. For example, when Dante skins his knee, his caregiver will likely respond by cleaning the wound, applying a bandage, and completing an incident report. Dante is able to continue playing.

    Other injuries are serious, but not life threatening. For example, Madison and Simone may need medical treatment for their injuries, but they are not likely to face permanent disability or death.

    有些伤势危及生命,需要立即就医。例如,卢克与一辆行驶中的车辆发生事故,路易斯吞下不明药物,米莉窒息,都可能导致重伤或死亡。作为一个家庭儿童护理提供者,你必须能够认识到这些情况,并作出适当的反应。亚慱彩票APP

    You must know what resources are available to help an injured child. Depending on the severity of the injury, you can:

    • Perform first aid or CPR. Training on first aid and CPR is offered by community agencies, such as the Red Cross. All FCC providers are required to be trained in first aid and CPR, including all back up providers or substitutes.
    • 打电话给紧急医疗服务(EMS)或其枚alent in international locations. EMS refers to any emergency responders in your area. These may be firefighters, ambulance companies, or the police. EMS services are reached when you dial 911 in the United States.

    For family child care providers, as discussed in Lesson Six on Emergencies, you will also need to consider ahead of time how you will contact your backup provider or family child care coordinator/director, and how quickly he or she can get to your home, in the event you need to ride to the hospital with a severely injured child.

    看到了吗

    当你决定如何应对受伤时,你必须知道要寻找什么。

    If a child has any of the following symptoms, call emergency medical services (EMS) right away:

    • 你认为孩子有生命危险或有永久伤害的危险。
    • The child has difficulty breathing, is having an asthma exacerbation, or is unable to speak.
    • The child’s skin or lips look blue, purple, or gray.
    • The child has rhythmic jerking of arms and legs and a loss of consciousness (seizure).
    • 这孩子失去知觉了。
    • The child is less and less responsive.
    • The child has any of the following after a head injury: decrease in level of alertness, confusion, headache, vomiting, irritability, or difficulty walking.
    • The child has increasing or severe pain anywhere.
    • 孩子的伤口或烧伤很大,很深,或者无法止血。
    • 这孩子在吐血。
    • The child has a severely stiff neck, headache, and fever.
    • The child is significantly dehydrated: sunken eyes, lethargic, not making tears, not urinating.
    • 多个儿童同时受到伤害或严重疾病的影响。

    When in doubt, call EMS. After you have called EMS, remember to contact the child’s legal guardian.

    如果儿童出现以下任何症状,请在一小时内就医:

    • 任何一个年龄段的孩子都会发烧,看上去病得很轻
    • Fever in a child less than 2 months (8 weeks) of age
    • A quickly spreading purple or red rash
    • 大便中大量的血
    • A cut that may require stitches
    • Any medical condition specifically outlined in a child’s care plan requiring parental notification

    Dealing with Injuries

    Be prepared and know how to differentiate between severe and minor injuries as you care for children in your family child care home.

    Do

    Prevent injuries:Follow procedures outlined in other lessons in this course. Make sure dangerous and toxic items are out of children's reach.

    Be prepared:Have a well-stocked first-aid kit. Make sure your first-aid and CPR training are always current.

    Respond quickly:Use what you learned in your first-aid courses.

    • Stay calm.
    • Survey the scene.环顾四周,找出问题所在。决定靠近是否安全。告诉孩子你是来帮忙的。提出问题,从头到脚检查孩子是否受伤。
    • Take action.判断伤害是否危及生命:孩子有意识吗?孩子在呼吸吗?如果孩子没有呼吸,根据需要进行心肺复苏术。利用你在急救和心肺复苏训练中学到的知识来正确地完成程序。如果伤势没有生命危险,从头到脚检查孩子。看看有没有受伤。问孩子问题,继续检查呼吸和心率。进行任何必要的基本急救。除非孩子有生命危险,否则不要移动孩子。
    • Make the calls.Decide whether you need to call EMS. Call the child's family.
    • 骑过去。准备好和孩子一起坐救护车。知道你需要带什么文件和联系方式。如第六课中所讨论的,把这些准备好放在容易抓取的地方。
    • Document:Report the injury using the forms required by your state and program. Make sure the family also signs the incident report.

    When it comes to responding to injuries, make sure you always do the following:

    • 在您的儿童保育计划中备有充足的急救箱。
    • 备有充足的急救箱,可以带到户外游乐场所或实地考察。
    • Know how to stop bleeding.
    • Know what to do if a child is not breathing.
    • 知道如何和何时拨打911。
    • Know where your accident or injury report forms are located and the procedure for completing one.

    探索

    探索

    重要的是要考虑在紧张的情况下你会做什么。回顾应对伤害活动. Complete the answers and share with your coach, trainer, or family child care administrator. Then compare your answers to the suggested responses.

    Apply

    Apply

    确保你做好了受伤和其他紧急情况的准备。使用急救箱清单用它来确保你的急救箱储备充足。

    演示

    演示
    Assessment:

    第一季度

    Which of the following is a life-threatening situation?

    第2季度

    以下哪项不需要拨打911(或当地急救服务)?

    第三季度

    以下哪项陈述是正确的?

    参考资料和资源:

    American Academy of Pediatrics, American Public Health Association, National Resource Center for Health and Safety in Child Care and Early Education. 2011.Caring for Our Children: National health and safety performance standards; Guidelines for early care and education programs. 3rd edition.Elk Grove Village, IL: American Academy of Pediatrics; Washington, DC: American Public Health Association. Also available athttp://nrckids.org/CFOC

    American Red Cross.http://www.redcross.org/

    全国幼儿教育协会。(2007).NAEYC Early Childhood Program Standards and Accreditation Criteria: The mark of quality in early childhood programs.Washington, DC: National Association for the Education of Young Children.