Accident is the last word any parent wants to see. Since the birth of the baby, parents have devoted too much love and attention to the baby. Everyone hopes that their baby can grow up healthily and safely. But family is a safe place, but it’s not a risk-free factor. Children’s electric shock is a common accidental injury in our daily life. The number of children died of electric shock accounts for 10.6% of the total number of children’s accidental death. What about children’s electric shock?
Emergency treatment of children’s electric shock
I. power off
The first step of first aid is to get the patient out of the power supply. The best way is to disconnect the power switch immediately and cut off the power supply. But for the patients who are shocked by contacting some electric equipment, the rescuers can only contact them after the power supply is cut off and the patients can be removed from the relevant equipment with dry wooden insulation, because this equipment may still have the huge capacitor nature of residual power. If the power switch is too far away from the site or the power switch cannot be found in a hurry, the patient shall be separated from the wire or electrical appliance by using dry wood, bamboo pole, shoulder pole, rubber device, plastic products and other non-conductive articles, or the live wire shall be cut with a knife and axe with a long wooden handle. The separated electrical appliances are still live and cannot be contacted. The rescuer shall not directly push or pull, touch or touch the patient with metal appliance to ensure his own safety.
2. Immediately carry out cardiopulmonary resuscitation
Check the patient’s cardiopulmonary status immediately after the patient leaves the power supply. Patients are often comatose, respiratory arrest or irregular, cardiac arrest or weakening. For those who have stopped breathing, the rescuer shall immediately carry out continuous artificial respiration. If the patient does not breathe, but the heartbeat is still regular, the prognosis is mostly good. After the patient begins to have some recovery phenomenon, the artificial respiration must continue to extend until the normal automatic respiration is restored. Most of the patients who seem to have died are due to respiratory paralysis and persistent artificial respiration, and some of them will be saved. It is suggested that artificial respiration should be continued for at least 4 hours, or even 6-8 hours. The best way of artificial respiration is mouth to mouth, 14-16 times per minute. If it is available, if it is delivered to the emergency room, it can be intubated quickly to maintain breathing with air bag or respirator.
If the patient has had cardiac arrest but still has breathing, he should immediately carry out extrathoracic cardiac compression, about 80 times per minute. If the carotid or femoral artery is touched with slight pulsation again and the lip color changes from pale to red, it is effective. If the external chest compression is invalid, open the chest immediately and press the heart directly. It is difficult to determine whether there is ventricular fibrillation at the site of injury. Sometimes the heart sounds cannot be heard and the pulse cannot be palpated, but the heart may still be beating weakly. If heart sounds are not heard but weak pulsations can still be seen in the carotid artery, ventricular fibrillation may have occurred. In this case, chest compression is necessary. In the emergency room, defibrillation was used to relieve VF. It should be noted that pupil dilation and fixation are not reliable indicators of brain loss, which usually does not mean brain death. If the patient’s heart rate and respiration stop, both artificial respiration and cardiac compression should be carried out at the same time, with the proportion of 1:4-1:5.
If conditions permit, central stimulants such as lobeline, caffeine and clonamine can be used in artificial respiration and cardiac compression. If the heartbeat stops, epinephrine can be injected intravenously at the same time of cardiac compression. When ECG confirmed ventricular fibrillation, we can use epinephrine and other drugs for asynchronous direct current defibrillation. If only the heart beat is weak and no ventricular fibrillation is found, adrenaline and isoproterenol should not be used, because they can increase the stress function of the heart muscle and more easily cause ventricular fibrillation.
At the same time of resuscitation, we can try to simply understand the history of the disease, such as power supply current, voltage, current inlet, contact time, whether there has been arc or electric spark, landing condition, whether there is falling from height and the first-aid measures taken on site. General examination includes abdominal visceral injury and fracture, especially humerus, clavicle and vertebrae. X-ray examination should be performed for suspected fracture site and chest. When the patient is injured, he may have a short coma. Other nervous system symptoms may include vertigo, nervousness, tetany and spinal cord injury. If there is tetany, he shall be treated with anti tetany. Electrocardiographic examination should be performed, especially for patients whose current inlet is in the left arm. If ECG changes, continuous ECG monitoring should be performed. Arterial blood gas, LDH, Cpk and amylase were measured. Check whether there is myoglobin and hemoglobin in urine retention or catheterization.
In short, the child was shocked, parents don’t panic, emergency rescue is the key! Parents should let their children learn more about electric shock prevention at home so as to ensure their baby’s safety at home. We need to understand the growth and development of the baby, understand what accidents will happen to the baby at this stage, in order to take targeted preventive measures to prevent accidents!