Child Safety and First Aid Yin Ke

Ordinary parents do not need to memorize hundreds of first aid plans for accidental injuries to children. As long as they master the three core principles of "avoiding danger before rescuing, controlling damage before sending to the hospital, and relying on muscle memory before thinking about knowledge points", they can deal with more than 90% of common children's accidents at home and outdoors. This is much more reliable than the fragmented first aid knowledge that has been acquired here and there.

The first time I heard this statement was at his offline charity training class last year. There were thirty or forty parents sitting there that day. Most of them came with the mentality of "learning something useful just in case." Many of them still held notebooks with half a page of knowledge points in their hands. Yin Ke didn't read the PPT as everyone expected when he first started. He first talked about a real case he encountered last year: a 3-year-old baby had a fish bone stuck in it. His grandmother fed him two large mouthfuls of rice balls according to traditional experience. As a result, the fish bone that was only stuck near the tonsils directly penetrated the esophagus and stuck next to the aorta. It was finally taken out through a thoracotomy, and the baby suffered a big disaster.

When talking about the treatment of foreign bodies in the airway, he did not directly provide a standard answer. Instead, he first laid out the two mainstream views in the industry: one is the traditional pre-hospital first aid school. As soon as a foreign body is found stuck in the throat, the Heimlich maneuver is immediately performed to avoid the risk of suffocation.； The other school of thought is the perspective of specialized first aid for children, which emphasizes first judging the degree of obstruction. In the case of incomplete obstruction, priority is given to guiding the child to cough out on his own. Blind rescue may make the foreign body dislodged and stuck more fatally. “Both statements are correct, but it depends on the situation." He knocked on the podium and said to the parents in the audience, "If the child's face is purple and he can't make a sound, are you still waiting for him to cough on his own? By the time we got to the hospital, the baby was gone. ； But if the baby can still cry, shout, and tell you, "Mom, I'm stuck," and you go up to it and slap your back and press your belly hard, it turns out that the foreign object is only half stuck, but you're so shocked that it's completely blocked, who's to blame? Don't save scattered first aid knowledge points everywhere. They are like beads without strings. You can't find them when you want to use them. The three principles I give you are the ropes. No matter what situation you encounter, apply these three principles first, and you will be right. ”

In class, he also talked about his son. Last summer, his son fell while riding a balance bike in the community, and his knee was bleeding heavily. His wife took alcohol to wipe it, but he stopped him. I took the bottled mineral water I brought with me and rinsed it for two minutes to wash away the sand, and then used iodophor to gently disinfect it. I didn't even put a band-aid on it, but the scabs formed the next day, and I rode around again in three days. “When you rub the alcohol on it, you feel relieved about the disinfection. Have you considered how tender the baby's skin is? High irritation will delay wound healing. The cartoon band-aid is not breathable, and it will be covered with sweat, so it will be strange if it does not suppurate. ”He said that he had been in the emergency department for 8 years and had seen too many examples of parents turning "love" into "hurt". They used saliva to wipe their wounds when they were broken, and applied wind oil to their mosquito bites. There were all kinds of outrageous things.

When it comes to the treatment of burns and scalds, the controversy is even greater. The older generation always said that applying toothpaste and soy sauce can relieve pain. Nowadays, popular science all insists on flushing with cold water for 15 minutes. Yin Ke said that these two cannot be generalized: "If the skin is only red and not broken, you will be fine if you flush for 20 minutes. The pain relief effect is particularly good." ； But if you have big blisters or even the skin is peeling off, and you still rinse for so long, bacteria in the water can get in and cause infection. After two or three minutes of rinse, cover it with clean gauze and send it to the doctor. There are also those with soy sauce toothpaste, you are so happy. When you get to the hospital, the doctor has to spend a long time scraping off those black things to judge the depth of the burn, which makes the baby suffer in vain. ”

I myself used what he taught me last month. I took my 3-year-old baby to a buffet. He secretly grabbed a piece of jelly and stuffed it into his mouth, and it got stuck. He coughed until tears came out of his eyes. I originally raised my hand to pat his back, but suddenly I remembered what Yin Ke said in class, "Don't touch it if you can cry or cough." So I squatted down and told him, "Cough slowly, cough hard," and he coughed out the jelly in about half a minute. If it had been before, I would have panicked to death, and I might have broken Heimlich's ribs.

Yin Ke's classes never teach knowledge points, nor do they give you a neatly listed first aid manual. In every class, he carries more than a dozen simulation dolls of different ages, allowing everyone to practice. If anyone's movements are wrong, he will break your hand: "Your hand is in the wrong position. If you move it lower, are you going to squeeze out the baby's intestines with such force?" ” He always said that when you really encounter something, your mind goes blank and you can’t even remember what you were doing. “The impact position is two fingers above the belly button.” It all depends on the muscle memory you have practiced every day.

At the end of the last training, a parent chased him and asked if he could make a list of must-memorize knowledge points. He waved his hand and said with a smile: "If I list it for you, you will turn around and stuff it in a drawer and never look at it again. If you really want to insure your child, why not go home now and wrap the corners of your table, put the hot water bottle out of the child's reach, and install limiters on the windows. The best first aid is always to prevent accidents from happening." ” This doesn’t sound like a fancy term, but it’s more practical than all the first aid science I’ve learned before.