Life Threatening Conditions (Injured Child)

Question 1

is death caused by suffocation from submersion in liquid when the inhaled water fills the lungs and therefore blocks the exchange of oxygen in the alveoli.

Answer 1

Drowning

Question 2

is used to describe the child with a submersion injury who requires emergency treatment and who survives the first 24 hours after injury

Answer 2

Near drowning

Question 3

DROWNING
SIGNS and SYMPTOMS

Answer 3

◦ persistent coughing
◦ difficulty breathing
◦ tiredness
◦ decreased activity
◦ mental confusion
◦ blue color on skin and lips
◦ loss of consciousness
◦ loss of bowel or bladder control

Question 4

DROWNING and NEAR DROWNING
Occurrence:
infant

Answer 4

bathtubs

Question 5

DROWNING and NEAR DROWNING
Occurrence:
1-4 years old

Answer 5

artificial pools

Question 6

DROWNING and NEAR DROWNING
Occurrence:
older children

Answer 6

fresh bodies of water

Question 7

should be started once the child is pulled from the water after near drowning.

Answer 7

Mouth-to-mouth resuscitation

Question 8

Complication (Drowning)

Answer 8

acidosis, risk for respiratory infection, neurologic damage.

Question 9

EMERGENCY MANAGEMENT (Drowning)

Answer 9

• Intubation for severe cases
• Nasogastric tube (NGT)
• Albuterol
• Warm blanket

Question 10

is use to decompress the stomach, prevent vomiting

Answer 10

Nasogastric tube (NGT)

Question 11

to prevent bronchospasm

Answer 11

Albuterol

Question 12

PREVENTION OF DROWNING

Answer 12

Provide age-appropriate education for parents/caregivers and
children including:
◦ Use fencing and gating of appropriate height and material around the swimming pool.
◦ Ensure adequate and consistent adult supervision of children during water activities.
◦ Use approve floatation device while swimming or boating.
◦ Toddlers can drown in shallow areas like buckets, basin and toilets thus should always be adequately supervised.

Question 13

Any child with a history of draining exudate from the ear canal needs an

Answer 13

OTOSCOPIC EXAMINATION

Question 14

FOREIGN BODIES IN THE EAR is common in toddlers and preschoolers

Answer 14

toddlers and preschoolers

Question 15

If the tympanic membrane is intact, irrigating the object from the ear canal with _________________. Restrict this if the substance will swell when wet, like peanut.

Answer 15

SYRINGE AND NSS

Question 16

If the ________________________ is ruptured, ear canal must not irrigated because it can cause infection (Otitis Media).

Refer to an ____________________________

Answer 16

tympanic membrane; ORTOLARYNGOLOGIST

Question 17

Obstruction in the nose can cause ___________________________________ from the nares.

Answer 17

inflammation and purulent discharge

Question 18

Classic sign of FOREIGN BODIES IN THE NOSE:

Answer 18

the odor accompanying such impaction

Question 19

MANAGEMENT for

Answer 19

• Remove the object with FORCEP
  ◦Local antibiotic – if ulceration is present after the removal

Question 20

If contact with soil or rust, ___________________________ is advised after the extraction

Answer 20

TETANUS PROHYLAXIS