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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Seizures, diabetic emergencies and overdose or poisoning

How to help a child having a seizure (epilepsy) #FirstAid #PowerOfKindness

Video: 1m 19s · Creator: British Red Cross. YouTube Standard Licence.

This British Red Cross video gives concise first-aid guidance for a child having a seizure. The priorities are to keep the child safe and prevent injury during the seizure.

The demonstration shows remaining calm, protecting the child from harm and avoiding restraint. After the seizure stops, place the child on their side with the head tilted back to keep the airway clear.

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What To Do If Someone Is Having A Diabetic Emergency - First Aid Training - St John Ambulance

Video: 4m 47s · Creator: St John Ambulance. YouTube Standard Licence.

This St John Ambulance video describes how to recognise and respond to diabetic emergencies, when blood glucose becomes too high or too low. Both hyperglycaemia and hypoglycaemia can be serious and may need hospital treatment.

Hyperglycaemia is high blood sugar. Causes include missed or incorrect medication, eating large amounts of sugary or starchy food, or being unwell with an infection. Signs include warm dry skin, rapid pulse and breathing, fruity-smelling breath, extreme thirst, drowsiness, and reduced responsiveness. First-aid steps are to call 999 or 112 if hyperglycaemia is suspected, monitor the person’s response, and be prepared to treat them as unresponsive if they worsen.

Hypoglycaemia is low blood sugar. It can follow missed meals, exercise, an imbalance between insulin and glucose, binge drinking, or sometimes a seizure. Signs include weakness, faintness, hunger, confusion, irrational behaviour, cold clammy skin, rapid pulse, palpitations, trembling, or reduced responsiveness. If the person is alert, give glucose gel, glucose tablets, a sugary drink, sugar, sugar lumps, or sugary sweets such as jelly babies and have them sit down while they recover.

If they improve quickly, give a snack or drink, allow rest, and check blood glucose if a testing kit is available. If they do not improve quickly, cannot swallow safely, or are unsafe to manage on site, call 999. Do not give anything by mouth if the person may choke, and keep checking their response while waiting for help.

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Emergencies in a children's home do not always begin with collapse. A young person may start fitting, a child with diabetes may become confused and shaky, or someone may become drowsy after taking an unknown substance. Staff need to keep the person safe, avoid unsafe myths and know when to get urgent medical help.

Seizure first aid basics

  • Protect the person from injury.
  • Do not restrain them.
  • Do not put anything in the mouth.
  • Time the seizure.
  • Call 999 for first seizures, prolonged seizures, repeated seizures, breathing difficulty afterwards or concerning injury.

Low blood sugar and diabetic emergencies

  • Consider low blood sugar if someone with diabetes becomes sweaty, shaky, confused, odd or suddenly drowsy.
  • Give fast sugar only if they are awake enough to swallow safely.
  • Do not give food or drink by mouth to someone who is very drowsy, fitting or unresponsive.
  • Call 999 if the person is not improving, cannot swallow safely or loses consciousness.
  • Continue to monitor for further deterioration even after early improvement.

Suspected overdose or poisoning

  • Call 999 for collapse, severe drowsiness, seizures, breathing problems, chest pain or serious confusion after a substance or medicine may have been taken.
  • Keep packets, bottles or blister strips for handover if you can do so safely.
  • Do not force vomiting.
  • Do not give food or drink to a drowsy or semi-conscious person.
  • Use NHS 111 or official poisoning advice only when the person is stable enough and local procedure supports that route.

Scenario

A young person with diabetes becomes sweaty, shaky and unusually snappy in the games room. They start slurring their words and struggle to answer simple questions. Another staff member says they may just be angry.

What is the safer response?

 

With seizures, low blood sugar and poisoning risk, simple safe actions are more useful than guessing or trying to manage alone.

Ask Dr. Aiden


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