How to prevent children drowning?What should I do once drowning?Remember this ICU expert reminder

Author:Zhejiang Daily Time:2022.07.05

Zhejiang News Client reporter Zheng Wen correspondent Zhu Yaoling

Tuyuan Vision China

Every summer, children's drowning accidents are high. On July 5th, the reporter learned from Zhejiang University's Academy that since June of this year, the picu (children's intensive care unit) has been treated with nearly 10 drowning children, most of which are 3 to 4 years old. Essence

How to prevent children drowning? What should I do once drowning? Chen Zhenjie, deputy chief physician of the PICU of Zhejiang University, reminded that parents must educate and take care of their children and stay away from the dangerous waters. Once drowning is found, rescue measures such as cardiopulmonary resuscitation should be taken as soon as possible.

Drowning for more than 5 minutes will cause permanent damage to the brain

In many rural areas, there are a large number of natural waters such as rivers and lakes and ponds. Some parents have poor care of their children, resulting in rural areas to become a severe disaster -stricken area for children.

The 5 -year -old girl Niu Niu accidentally fell into the water at the door of the house. When she was rescued, she fell into a coma without breathing and autonomous heartbeat. Due to the long time in the water, the hypoxia for too long, and the poor quality of the pond, the lungs of the girl are severe infection, and high fever and convulsions, brain injury, cerebral edema, and multiple shocks are very critical. The next day, Niuniu was urgently transferred from the local hospital to PICU of Zhejiang University Hospital.

With the full treatment of medical staff, Niuniu's lung infection was finally controlled, and the high fever gradually retreated, but the brain left irreversible permanent injuries.

"This child was rescued only after drowning for ten minutes. It is already a miracle to save a life now." Chen Zhenjie said that completely drowning and hypoxia for more than 5 minutes will cause irreversible permanent damage to the brain. Leave sequelae.

Children's drowning is often not easy to detect

Drowning at the door, why can't the people around him hear the sound of help?

"The scene of the falling water in many people is: I have been struggling desperately, patting the water surface with both hands, pushing up the layers of water, and shouting loudly loudly ... In fact, this is more of the plot in the film and television drama, with reality, with reality There is still a big difference. "Chen Zhenjie said that in fact, children drowning almost" silent ".

What is a real child drowning? First of all, the time for children to float in the water after drowning is only 20 to 30 seconds. Once during this time, if it is not discovered in time, the child will suffocate and hypoxic and coma, and slowly sink into the water. Secondly, in this short 30 seconds, the drowning child's mouth will not surface in the water and then surface, there is almost no time to breathe in the middle, and it is even impossible to speak loudly.

Therefore, sometimes parents are on the side, but they can't pay attention to the danger of their children in drowning.

How to discover children drowning as soon as possible

"When parents and children go out to play with water, they must always pay attention to their children's dynamics." Chen Zhenjie reminded that when the child has these situations, it is likely to drowning:

1. The head is not in the water, and the mouth is panting in the horizontal plane.

2. The body is vertical, but the legs are not moved.

3. The hair cover the forehead or eyes.

4. Children try to swim in a certain direction, but they cannot move forward.

5. Children have been trying to turn their bodies to the front.

6. The child's legs are moving in the water, like a staircase invisible in climbing.

7. Excessive breathing or breathing.

8. The eyes are sluggish, empty, cannot be focused or closed.

The doctor emphasized that if the child who was active in the water became very quiet, parents must go to see if the child had an accident in time.

keep in mind! Cardiopulmonary resuscitation as soon as possible

What should parents do if the child is really unfortunately drowning?

"After the child is drowning, don't rush to" inverted water control "! Especially when the child is lost consciousness and the heartbeat breathing is all the time, the cardiopulmonary resuscitation should be performed immediately. Do not allow the" water control "to occupy the precious rescue time. Deputy Chief Physician Chen Zhenjie reminded, "The core problem of the drowning person is hypoxia, and scientific cardiopulmonary resuscitation is the key to saving the life of drowning children."

After discovering that the child is drowning, first of all, parents should quickly bring their children away from the dangerous waters when they ensure their safety. At the same time, please call 120 for help.

Secondly, let the child lie on the ground flat, bias their heads to one side, call and beat the children loudly, use their ears to close the child's mouth, and observe whether he has consciousness, breathing and pulse.

If the child is conscious and the heartbeats breathe normally, they should accompany them, waiting for emergency personnel to come, take warmth measures and send it to the hospital for further treatment; if the child has no consciousness and no heartbeat and breathing, the child should be recovered with the child.

Try to reduce the interruption of pressing as much as possible, maintain continuity, and closely observe whether the drowning children will return to the autonomous heart rate, that is, 60 times/minute of large arteries. If only heartbeat does not breathe, continue the cardiopulmonary resuscitation, and can only be suspended only when the breathing, pulse and consciousness are restored. Then take the warmth measures immediately and continue to observe to avoid stopping heartbeat and breathing again until 120 arrived.

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