Bright Start for South Dakota Children

First Aid
space
Picture of a dad looking at his daughter's hand. First Aid Kit
Those of us that already have children will understand the need of having a well stocked first aid kit handy. For children, scrapes, bruises and bumps are commonplace. When choosing a first aid kit for your home, make sure that you pick one that will be large enough to contain any extra supplies that might not be included in a store bought kit. If you choose to make your own first aid kit, you should choose a container that will be durable and easy to open. Fishing tackle boxes and art supply boxes make ideal first aid kits. Make sure your kit contains a good first aid manual
and
 that you have read through it thoroughly and check you kit often to replace missing and outdated items. Some of the items you should have in your kit are:
 

bullet first-aid manual
bullet sterile gauze
bullet adhesive tape
bullet adhesive bandages in several sizes
bullet elastic bandage
bullet antiseptic wipes
bullet soap
bullet antibiotic cream
bullet antiseptic solution (like hydrogen peroxide)
bullet hydrocortisone cream
bullet acetaminophen and aspirin (aspirin is not recommended for children under age 12)
bullet extra prescription medications (if going on vacation)
bullet tweezers
bullet sharp scissors
bullet safety pins

bullet

disposable instant cold packs

bullet

calamine lotion

bullet

syrup of ipecac

bullet

thermometer

bullet

plastic gloves

bullet

flashlight and extra batteries

bullet

mouthpiece for administering CPR

bullet

your list of emergency phone numbers

bullet

blanket (stored nearby)

CPR
Every parent should know how and when to administer CPR. When performed correctly, CPR can save a child's life by restoring his breathing and circulation until advanced life support can be provided.

What is CPR?
The letters in CPR stand for cardiopulmonary resuscitation, a combination of rescue breathing (mouth-to-mouth resuscitation) and chest compressions. If a child is not breathing or circulating blood adequately, CPR can restore circulation of oxygen-rich blood to the brain. Without oxygen, permanent brain damage or death can occur in less than eight minutes.

Reading about CPR and learning when it is needed will give you a basic understanding of the procedure, but it is strongly recommended that you learn how to perform CPR by taking a course. If CPR is needed, use of correct technique will give your child the best chance of recovery.

When to Call a Doctor
Although some symptoms of illness differ depending on a child's age, some are the same for all children. For any child, infant to adolescent, call your child's doctor if you observe any of the following signs or symptoms
 

Signs and Symptoms - Infant to Adolescent

bullet

high fever (The level of fever that is considered significant depends on the age of the child, the illness, and whether the child has other symptoms with the fever.)

bullet

chills that make the child shake all over

bullet

loss of consciousness

bullet

extreme sleepiness or unexplained lethargy

bullet

unusual excitement or hysterical crying

bullet

sudden weakness or paralysis of any part of the body

bullet

seizures (convulsions) or uncontrollable shaking of an arm or leg

bullet

severe headache

bullet

pain, heaviness, or stuffiness around the nose, eyes, or forehead

bullet

nasal fluid that is discolored, bad-smelling, or bloody

bullet

sudden hearing loss

bullet

earache

bullet

fluid discharge from the ear

bullet

sudden decrease in vision

bullet

eyes that are red, swollen, and watery, with or without blurred vision

bullet

eyes that are extremely sensitive to light, especially if your child also has a fever, headache, or stiff neck

bullet

a yellow color in the whites of the eyes or in the skin, especially with pain in the abdomen and/or dark or tea-colored urine

bullet

stiffness or pain in the neck, especially with fever or headache

bullet

severe sore throat, especially with trouble swallowing or speaking

bullet

uncontrolled drooling because of painful swallowing

bullet

difficulty breathing, especially with pale or bluish color of the lips or nails

bullet

unusually rapid breathing

bullet

severe or persistent cough, especially if it brings up bloody or discolored mucus

bullet

vomiting for 12 hours or more

bullet

vomiting of blood

bullet

intense or unusual abdominal pain

bullet

swollen or abnormally large abdomen

bullet

diarrhea that is streaked with blood or mucus

bullet

pain in the middle of the back, especially with fever or with discomfort while urinating

bullet

painful or unusually frequent urination

bullet

urine that is discolored, bloody, cloudy, or has an unusual smell

bullet

discharge from the penis

bullet

vaginal discharge that is thick and white, brown or discolored, or smells bad

bullet

pain, redness, or swelling of a joint that can't be explained by exercise or injury

bullet

a cut or scrape that oozes pus or becomes hot, red, tender, or swollen

bullet

a sudden rash, or sudden crop of blotches or blisters, especially over a large area of the body
 

Special Signs and Symptoms - Birth to 1 Month

bullet

fever (rectal temperature of 100.4 degrees F should prompt a call to the doctor)

bullet

baby suddenly becomes "floppy" and loses muscle tone all over

bullet

one or both eyes are pink, bloodshot, have a sticky white discharge, or eyelashes that stick together

bullet

diarrhea in newborns - more than six to eight watery stools per day (breastfed newborns often have more loose stools than formula-fed babies; check with your child's doctor for guidance)

bullet

redness or tenderness around the navel area

bullet

white patches in the mouth

bullet

nose blocked by mucus so baby can't breathe while feeding

bullet

forceful vomiting

bullet

vomiting that lasts for 12 hours or more

bullet

vomiting with fever and/or diarrhea

bullet

baby stops feeding normally

bullet

crying for an abnormally long time
 

Special Signs and Symptoms - 1 Month to 1 Year

bullet

fever (rectal temperature 100.4 degrees F in infants younger than 3 months, 101 degrees F in infants ages 3 to 6 months, and 104 degrees F in a child 6 months or older)

bullet

baby refuses to eat and misses several feedings

bullet

baby is unusually cranky and irritable or unusually sleepy