Head injuries in children
There is no other sound that makes your back covered with small ants, like the roar with which your baby's head hits a hard floor.Bruising and bleeding from the scalp top the list call the doctor about the injury.It is important to distinguish between the skull injury from a brain injury.Skull functions as a protective helmet for the delicate brain and skull over there is very rich in blood vessels of the scalp.
The vast majority of injuries lead only to damage the scalp from which derives a lot of injury or blood which formed large tumors (bruises) due to rupture of blood vessels under the skin.Do not be put off by how quickly grow these huge lumps.They also pass quickly, if you put ice and pressure.These lumps and bleeding is usually limited to the scalp and rarely indicate that the brain affected downstream.
main concern after any header - this is a brain injury that can be expressed in two forms: bleeding and concussion. When broken small blood vessels between the skull and the brain or with
Treat serious injuries to the head crushed.Outside, they may seem trifling, but, for example, the nail can pass through the scalp and skull and cause a dangerous brain inflammation.Just let us know your doctor.
If the child is unconscious, but breathing and the skin has a pink color (blue lips), place it on a flat surface and call "ambulance."If you have reason to suspect a neck injury, do not move the child away, providing its transportation experienced professionals.If the child is not breathing, carry out cardio-pulmonary resuscitation, or if the child has seizures, take care not to block the patient's airway.
Sometimes, if a child is very sensitive and often rolls his tantrums, anger after the fall makes the child hold his breath for a long time, which can be mistaken for seizures.This naturally causes panic, and parents are a child in the hospital.Even if it turns out that there was no need, it is better to be safe.Note the words: "When in doubt, take the child and sit at the door of the admissions."
Period If your child has a clear mind, he walks, speaks, plays and behaves exactly the same as before the fall, issue him a dose of parental empathy, apply to cuts or bumps on twenty minutes of ice pack and firstyou call the doctor, watch.The observation period is necessary because the doctor is more important to know how a child behaves after the injury, but not what happened.If the damaged brain, symptoms may appear immediately or they may grow slowly over the next twenty-four hours.After a period of observation, depending on the child's condition, you can call or not to call a doctor.In addition to any list of emergency situations, when an urgent need to call the doctor, there are solos and all internal voice, so valued by mothers, which is called the parent alarm.We must trust that the monitoring system is not less than any ingenious electronics.If this inner voice tells you that it is not all right, call your doctor and tell him about the status of your child, ask for advice and, among other things, tell the doctor why you are so concerned about.Here's what to look for in the next twenty-four hours.
For young children, normally after an injury to go to sleep, making the usual instruction "look, do not return to a consciousness of his" terrible source of parental anxiety.If the head injury occurred closer to the night or to the usual time of day sleeping and the baby was already tired, even before the injury, you may in vain to wrestle with whether sleepiness caused injury or simply it's time for a natural immersion of the child to sleep.And it may be quite impossible to observe the advice: "Do not let your child fall asleep."Let the child sleep, but you wake up every two hours and examine the child.
If after head injury your child has any of the following symptoms, call your doctor or Bring the child to the hospital.
• disorientation, with the awakening of the problem;
• unusual breathing during sleep;
• strabismus, unequal pupils;
• uncontrollable vomiting;
• all increasing pallor;
• of the ear canal oozing blood or watery fluid;
• child loses his balance when sitting, crawling or walking.
• change in color from pink to pale or even dangerous, to blue;
• changes in respiration: periods of very shallow breathing, apnea episodes lasting ten to twenty seconds, followed by an uneven, irregular breathing, or during periods when the child begins to intermittently miss the air (do not forget that in infants breathing and normally uneven);
• twitching on one side of the body, covering the entire limb.
If the color of the skin of the child and his breathing is normal (no change compared to conventional characteristics) and your parental intuition tells you that everything is fine, there is no need to wake the child, if you do not do it the doctor recommends.Deep sleep in which the child is immersed after trauma, almost always accompanied by superficial, irregular breathing, you most likely have never seen.
If you are in uncertainty or an external view of a child causing your anxiety, try to wake him up partially.Place the child or place, and then put back.In a normal child after a little tricky and pomechetsya in bed again to get comfortable and sleep.If a child behaves differently, try to awaken him fully seated or putting his feet, opened his eyes and called by name.If the child is awake, looking at you, starts to cry or smile, and pulled you to let him go and do not worry, you can safely go to sleep again.If a child does not protest, can not wake up sufficiently to cry if he pale, his breathing irregular and abundant saliva flowing, or there are any signs of brain injury, seek immediate medical attention.
Day signs of brain damage seen easier.Watch a child's play.Does he do everything exactly the same way as before the fall: sitting upright, it goes well, move his arms and legs normally?Or he loses his balance, staggers, drags one leg or worse oriented?If the child still does not go, if you do not notice any change in how he sits, or creeps, or how he manipulates toys, holding them in their hands?
Just as some children after injury head fall to sleep, the other children opens vomiting, mostly from disorders caused by a fall and pain.Do not worry.But uncontrollable vomiting for six or twenty-four hours is a worrying sign.Immediately call your doctor.Caution for the sake do not let the child to recover from injury, nothing but an empty water for three to four hours.Breastfeeding has a therapeutic effect.
eyes reflect what is happening inside, especially inside the brain.The back side of the eye is so closely connected to the brain, which when viewed from the child after a head injury the doctor looks at the back of the eye for signs of brain swelling.The child's eyes to evaluate more complicated than other changes, but when you need to call the doctor if there is a squint or their eyes roll back the child, if one pupil larger than the other, if a child stumbles and falls or runs into objects, which indicates the visual impairment.If the child is older, add to the list of anxiety symptoms complaints that in the eyes of double vision, or the sight of one big blur.
How about X-ray of the skull?
Except severe head injuries or obvious fractures, skull x-ray is seldom required;there also need to be taken to the hospital for an X-ray fun playing child.First, observe;then call your doctor;and only then followed by advice on whether or not to make the child an X-ray.Axial computed tomography, is a series of X-ray cross sections of the brain, almost completely replaced conventional X-ray.In most cases, if the child needs an X-ray, it is better to do axial tomography.This technological breakthrough makes the damage more information, such as the presence in the brain bleeding or swelling.
Children with injuries related to cold objects, applied to the sore spot, not too friendly.Cold relieves pain, reduces bleeding and hematoma.But not only bare ice on bare skin, please.This may result in frostbite tissues.You can buy instant ice packs, which do not flow, and keep them in a locker with drugs, or you can make your own: Put ice cubes in a sock or a handkerchief.If you use a plastic bag, wrap it in a thin cloth or wet towel.From crushed ice in a sock gets the package, which can be easily into any shape.You can keep a reserve of ice cubes in the game of terry cloth.At home in the freezer, we always keep the "rabbit Bo-Bo", which has become a reliable friend of bumps and bruises, as well as the best healer of the soul, in those cases where the injured only a fragile sensitive children's nature.From cutting packages with frozen vegetables also get a great cold compresses and cold candy or a piece of frozen juice helps swollen lips.If a child suffers an attached ice start to slowly increase the pressure;You can keep up to twenty minutes.If you give your child a two-year hold his hand a bag of ice, he will treat more favorably procedure.
small note.In the life of the child, taking into account the multiple impacts of small heads of a hard floor, brain injury - a rare phenomenon.
Seizures, or convulsions, also called seizures are caused by abnormal electrical discharges in the brain, and is shaken, not only children but also their parents.The degree of severity varies from one muscle twitching to shake the whole body, which is called a large seizure and can also be accompanied by a fall on the floor and rolling on the floor, rolling of the eyes, the appearance of foam at the mouth, tongue biting, and temporary loss of consciousness.
Your primary task in convulsions is to prevent the overlapping of the respiratory tract secretions, or language, that would deprive the brain of oxygen.Most seizures in infancy is associated with a high fever.Attacks such seizures short, stop by themselves and rarely bring the baby harm but the parents after they are twitching for a long time.
If you witness a seizure, do the following:
• For safety, place the baby on the floor, face down or on its side so that the tongue tumbled forward and the fluid leaking from the throat by gravity.
• Do not put in the mouth of the child any food or beverages during the seizures or immediately thereafter;also should not interfere with the child's twitching.
• If the child lips were blue and he was breathing normally, there is no reason for concern.
• Although it is unlikely, if the child's lips turn blue, and he was not breathing, give artificial respiration mouth to mouth, pre-clearing the airways.
• To hopping child does not hit the furniture, clearing space around.
After convulsions children usually fall into a deep sleep.In addition, a small child normally after the first few minutes seizures might second attack, especially if high temperatures are caused convulsions.To prevent this, if after seizures the child off, set it with acetaminophen suppository (if you give the medicine through the mouth, it can cause vomiting).Remove the child's clothes and cool baby body by sponging.
Generally, it makes sense immediately after the seizure to call a doctor or take the child to the emergency room.Alternatively, depending on the circumstances, you can start monitoring, as described above, an article devoted to head injuries.The observation period may make sense if the child is to convulsions felt great, and then the temperature rose sharply, and then had a short bout of seizures, and now the child is doing well.Keep under control the temperature, and you can safely wait a few hours, rather than to call your doctor, or rush to the hospital at three in the morning.But any convulsions, not related to the temperature or occurred in a child with a sick kind of deserve a medical emergency.It makes sense to use all means to reduce the temperature (to give antipyretic and cool the body), before heading to the hospital, because all the rising temperature can cause several more attacks on the road.
Leave a nine-month baby, make movements with lightning speed around mugs of hot coffee, and you have everything for severe burns.The degree of severity of a burn determines how painful it is and how it distorts the fabric.First-degree burn (e.g., sunburn) causes redness of the skin without too much pain, and requires only a cold water, a soothing ointment and time.Second-degree burns cause blistering, swelling and tearing away the top layer of skin and is accompanied by severe pain.When third-degree burns damaged deeper layers of skin and are the most visible signs.