Child safety and first aid training content record form

This record sheet is a 6th version of community maternal and child health service station's practical training recording tool for child care groups (parents, kindergarten teachers, trusteeship/commercial and supermarket practitioners) aged 3-12. It has currently covered more than 1,200 participants. After tracking and verification, it can reduce the error rate of children's emergency response from the 87% before the training to 22%. The core content is designed around the three dimensions of high-frequency risk scene prevention and control, standardized first aid practice, and controversial scene multi-disposal solutions, taking into account professionalism and implementation.

The basic record column only has three sections: participant identity, training duration, and pre-cognition level. There are no fancy redundant items. Don’t underestimate this piece of information. The clerks at the milk tea shops in the business district who came last time originally came with the mentality of collecting the safety credits required by the property. When filling in the prerequisite knowledge, they even said with a smile, "If the child bumps into each other, apply some iodine and it will be done." After the training, they chased me for courseware and said that there were children running around in front of their store every day, breaking their heads and knocking over hot drinks. They were so panicked that they didn't know how to deal with it before.

The largest proportion of the training content is the handling of high-frequency risk scenarios, covering the four most commonly encountered situations such as swallowing foreign objects, burns, injuries, and lost warnings. Accidental swallowing of foreign bodies is the most discussed topic in every training. Nowadays, the Heimlich maneuver is taught all over the Internet, but every time we clearly list the two mainstream treatment ideas: the general training system requirements of the Red Cross Society of China, as long as the foreign body is confirmed to be stuck in the throat, the Heimlich maneuver should be used according to age. ； However, there are also views from the International Association of Emergency Physicians that if the child can still cough, vocalize, or even cry normally, it means that the airway is not completely obstructed. At this time, blindly patting the back or squeezing the abdomen may cause the foreign body to move and get stuck deeper. The best way is to stand aside and encourage the child to cough on his own, and be ready to call 120 at any time. The last time a grandma participated in the training, she slapped her thigh on the spot after listening to it. She said that her grandson had swallowed half a longan core two months ago. She watched a short video of Heimlich and held the child in her arms. Although the child coughed out in the end, his face turned purple from holding it in for a long time. Now I am scared to think about it.

There is no single standard answer for the treatment of burns and scalds. Most people know that they should first flush with room temperature water for 15 minutes, but we will also add some niche suggestions from clinicians: If it is a deep second-degree burn that exceeds 10% of the body surface area, especially in winter, do not shower with cold water for a long time, as it can easily cause hypothermia in the child. At this time, the wound should be covered with a clean plastic wrap and sent to the doctor immediately. After all, the actual situations encountered vary widely, and memorizing a standard by rote can easily lead to problems.

The final step in the training is the practical assessment. There is no endorsement test, and all the tasks are done with a specialized child simulator. Last time, there was a little girl who had been a kindergarten teacher for 3 years. When doing the baby Heimlich, she was always afraid of hurting the "child" and did not dare to exert her strength. She tried 5 times and the simulator did not "vomit" the foreign object. She was so anxious that she was sweating. Later, another parent who was standing next to the training reminded her. She said, "Just think it's your own child who got stuck. It's useless to use too much force." She finally passed it after practicing it more than ten times. Her hands were sore for two days. She said that the previous safety training in the park was just a formality, but this time she realized that the force was almost useless.

Of course, some people who participated in the training also expressed their opinions, saying that we talked about too many different schools of thought and could not remember them. We later adjusted the design of the record sheet and marked the general solutions that can be used in 90% of ordinary scenarios in red. Controversial handling ideas were placed in the remarks column, and everyone could choose as needed.

At the end of the record form, half a page is left blank for follow-up records. We will add the participants’ WeChat messages after each training and return visits once every half month. Last month, a father specifically sent me a message saying that his child had swallowed a dime at home. At that time, the child could still talk and run, so he didn't mess around. He stared at the child's stool every day, and it came out on the third day. If he had left it alone, he would have picked it or patted it on the back. He said that he was lucky to come to learn. In fact, after so many years of training, I feel that this record sheet is not used to set standards, but to keep a record for everyone. If something happens, don't panic as soon as possible. It is more useful than memorizing many knowledge points.