CPR and Choking by mcdaven


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									             Application Week 3

             Kristie Davenport

Child, Health, Safety and Nutrition

             Walden University

             June 26, 2011/Week 3

             Professor Sachs
                                               Application Week 3

       The first scenario is during lunch time in a childcare preschool class. There are 14

children from ages 3-5 with a lead teacher and an assistant. During the course of the meal the

children alert me to the fact that Joey, a four-year-old little boy, is grabbing his throat and

making strange sounds. When I see that Joey cannot breathe or talk I pick him up and remove

him from the table. I tell the assistant to alert the director and call 911 as a backup. I then tell

her to return to the class to deal with the other children who are getting worried and anxious.

I then check Joey’s mouth for any food and turn his back to me with my arms around him. I

placed my right fist in the center of his diaphragm, cover with my left hand and pull upward

with quick jerky moves. (The Heimlich) All during this time I talk to Joey in a calm reassuring

voice and reassure him that everything is going to be okay. Hopefully after few jerks the piece

of debris would be dislodged from his throat and he has never lost consciousness. If this is not

the case then the emergency paramedics have been called. If the food has indeed been

dislodged I then call the parents and explain the situation and see how and what they want to

address the issue. If the child is still choking I continue to try to dislodge the material until help

arrives. I then tell the assistant to call the parents and tell them what is happening and where

the child will go for treatment.

The next scenario is staged on the playground of a childcare center where there are about 12

children ages 3-5 are playing. There are 2 adults on the grounds supervising the children when

a 5 year-old little girl falls from one of the pieces of equipment and is lying on her back and not
breathing. Again I alert the other teacher to call 911 and begin the assessment of the little girl’s

condition. I take a quick look at her from head to toe for any open or bleeding wounds. After

checking for breathing and a pulse, if both are absent, I then sweep her mouth out, tip her head

back and take two puffs to begin CPR. After the 2 puffs I then do 30 chest compressions, talking

to the child and reassuring the others that may be observing and not understanding what is

going on. The parents must be called and informed of the situation and include them in the

decision making process. I know that the chances of me restarting her heart are not good at

least I am keeping the brain alive with the blood flow from the compressions until the

paramedics arrive.

Unforeseen situations are always a risk when working with young children in a childcare

environment. As early childhood professionals, we need to train ourselves for these

emergencies not only for the injured child but for the other children who may need reassurance

that the situation is under control and the injured child will be looked after and taken care of. If

you have training you are able to keep a more level head and you have an idea of how to

handle the crisis and can follow the steps. In the State of Washington, childcare personal are

required to have current CPR and first aid training.

       Advance preparation for emergencies is key when in the childcare field. This

preparation may include CPR and first aid training by a certified instructor. There should be a

central location for the emergency numbers of all the children and teachers need to realize the

importance of informing the parents when emergencies occur. Our state also requires that all
childcare centers have a well stocked first aid kit although we are only allowed to clean wounds

with antibacterial soap and apply band aids.

We all hope that these types of events never happen but there is always the chance that they

will and for the sake of the children we need to be prepared to react in an effective way for our

actions may mean the difference between life and death.

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