It is very important that you take a course in first-aid and cardiopulmonary resuscitation (CPR). This lesson does not replace that course. This lesson only provides a brief introduction to keeping children safe when they are injured.

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孩子是天生的探险家。你有没有想过，“那孩子一点都不怕！”？你可能是对的：孩子们并不总是意识到情况中的危险。他们挑战自己发育中的身体和心智。在学龄期项目中，我们必须做好应对一系列伤害的准备。有些受伤只需要清洗和包扎。其他伤害需要立即就医。你必须能分辨出两者的区别。你必须准备好在任何情况下做出反应。考虑这些例子：

Your program space is designed to minimize risks 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 are small and only require minor first-aid. For example, when Dante skins his knee, the staff member will likely respond by cleaning the wound, applying a bandage, and completing an incident report. Dante is able to continue playing.

其他伤害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.

Some injuries are life threatening and require immediate medical attention. For example, Luke’s accident with a moving vehicle, ingestion of unknown pills, and Millie’s choking could all result in serious injury or death. As a school-age staff member, you must be able to recognize these situations and respond appropriately.

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

• Perform, or find someone who is trained to perform, first-aid or CPR. Training on first-aid and CPR is offered by your employer and community agencies, such as the Red Cross.
• Call emergency medical services (EMS) or its equivalent 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. Outside of the United States, talk to your supervisor, trainer, or coach about how to obtain emergency medical services.

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You must know what to look for when you are deciding how to respond to an injury.

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

If a child has any of the following symptoms, call EMS right away:

• You believe the child’s life is at risk or there is a risk of permanent injury.
• 孩子呼吸困难、哮喘加重或不能说话。
• The child’s skin or lips look blue, purple, or gray.
• 胳膊和腿的孩子有节奏的抽动着d a loss of consciousness (seizure).
• The child is unconscious.
• 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.
• The child has a cut or burn that is large, deep, or won’t stop bleeding.
• 孩子是吐血。
• The child has a severely stiff neck, headache and fever.
• The child is significantly dehydrated: sunken eyes, lethargic, not making tears, not urinating.
• Multiple children are affected by injury or serious illness at the same time.
• When in doubt, call EMS.

Follow yourprogram’spolicies if a child has any of the following symptoms or get medical attention within one hour:

• Fever in any age child who looks more than mildly ill
• A quickly spreading purple or red rash
• A large volume of blood in the stool
• A cut that may require stitches
• Any medical condition specifically outlined in a child’s care plan requiring parental notification

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