Emergency First Aid, CPR and Medical Emergencies in Children's Homes

Awareness-level first response for residential child care staff in the first critical minutes of an emergency

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Falls, head injury, bleeding, burns and scalds

First Aid for Falls

Video: 2m 23s · Creator: Australia Wide First Aid. YouTube Standard Licence.

This Australia Wide First Aid video gives a concise overview of falls and immediate first aid. It notes that falls are common in children and older adults and can occur from standing, sitting, climbing or tripping over obstacles.

Common causes listed include slippery floors, trip hazards, poor lighting, vertigo, vision problems and other medical or environmental factors. The video also suggests prevention measures such as keeping walkways clear, improving lighting, installing grab bars and encouraging balance or strength exercises for older adults.

For first aid, the video advises checking for hazards before approaching, assessing responsiveness and looking for injuries. If the person is alert, check wounds and use a cold compress for swelling. If they are unconscious, not breathing or seriously injured, call emergency services, begin CPR if needed, avoid moving them when head, neck or spinal injury is suspected, control bleeding and reassure them until help arrives.

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Head Injury First Aid After Falling Down Stairs | Brain Contusion Signs & What To Do

Video: 1m 4s · Creator: First Aid Eng. YouTube Standard Licence.

This First Aid Eng video uses a stair-fall scenario and 3D visuals to explain first aid for a possible head injury or brain contusion. The rescuer checks the scene for danger, then assesses consciousness and visible signs such as confusion and swelling.

Warning signs that should prompt an emergency call include confusion, loss of balance, unequal pupils and vomiting. The video demonstrates stabilising the head and neck to keep the spine aligned, placing a cold compress lightly on the head without applying pressure, and keeping the injured person still and warm while monitoring their breathing.

The closing advice is to avoid common mistakes: do not sit the person up, shake them, let them walk or press on the injured area. Stay calm, keep the person stable and wait for medical help.

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Children's homes are active settings and falls do occur. Most injuries are minor, but some need urgent care. Staff should consider what happened, which body part was hit, whether there was a head impact, how much bleeding there is, and whether pain, confusion or drowsiness are worsening.

Red flags after a fall or head injury

  • Loss of consciousness or collapse.
  • Worsening headache, repeated vomiting or increasing drowsiness.
  • Confusion, seizure, unusual behaviour or concern about neck or spine injury.
  • Severe pain, obvious deformity or inability to use a limb.
  • Any rapid deterioration after the injury.

Bleeding that needs urgent action

  • Apply firm direct pressure with a clean dressing or cloth.
  • Call 999 for severe bleeding, uncontrolled bleeding or signs of shock.
  • Keep the person still and reassured.
  • Do not remove the first dressing if blood soaks through it: add more on top.
  • Hand over clear information about the injury and blood loss.

Burns and scalds

  • Cool the burn with cool running water for at least 20 minutes.
  • Remove nearby clothing or jewellery if it is not stuck.
  • Cover loosely with cling film or another clean non-fluffy covering after cooling.
  • Do not put creams, oils or butter on the burn.
  • Seek urgent help for large, deep, electrical or chemical burns, or burns affecting the face, genitals or airway.

Scenario

A child falls on the stairs and hits their head on the way down. They are awake but appear dazed, say they feel sick and grow quieter over the next few minutes while another child cries nearby.

What should guide the response?

 

After a fall or burn, the safest question is not "can they still talk?" but "are they getting worse or showing danger signs?"

Ask Dr. Aiden


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