Showing posts with label Infant. Show all posts
Showing posts with label Infant. Show all posts

Wednesday, July 31, 2013

CHOKING



By Nurse Diane


Two hillbillies walk into a restaurant. While having a bite to eat, they talk about their moonshine operation.
Suddenly, a woman at a nearby table, who is eating a sandwich, begins to cough. After a minute or so, it becomes apparent that she is in real distress.
One of the hillbillies looks at her and says, 'Kin ya swallar?'
The woman shakes her head no. Then he asks, 'Kin ya breathe?'
The woman begins to turn blue and shakes her head no.
The hillbilly walks over to the woman, lifts up her dress, yanks down her drawers and quickly gives her right butt cheek a lick with his tongue.
The woman is so shocked that she has a violent spasm and the obstruction flies out of her mouth. As she begins to breathe again, the Hillbilly walks slowly back to his table.
His partner says, 'Ya know, I'd heerd of that there 'Hind Lick Maneuver' but I ain't niver seed nobody do it!'

I was watching a movie recently, Groundhog Day, and there was a scene where Bill Murray goes to a restaurant and someone is choking, and he performs the Heimlich Maneuver, and out pops the food that was blocking the person's airway and the person quickly recovers.

Choking can happen at any time. Choking prevents breathing, and can be partial or complete, with partial choking allowing some, although inadequate, flow of air into the lungs. Prolonged or complete choking results in asphyxia, which leads to anoxia and is potentially fatal. Oxygen stored in the blood and lungs keep the victim alive for several minutes after breathing is stopped completely.  One of the most common causes of choking is a foreign object blocking the airway, such as food or small toys.

If you see a person start to choke, they will typically use the universal sign of choking, which are the hands across the throat.  If a person is coughing forcefully, there is no need to take any action.  Encourage coughing, or even slapping them on the back.  Sometimes when I drink water it will go "down the wrong way" and my mother will tell me to raise my arms.  This has never helped me, but it may help you.  Keep watching closely, and if they stop coughing, that is the time to go into action.  Ask if they are ok – then follow these steps:
From behind, wrap your arms around the victim's waist.
Make a fist and place the thumb side of your fist against the victim's upper abdomen, below the ribcage and above the navel.
Grasp your fist with your other hand and press into their upper abdomen with a quick upward thrust. Do not squeeze the ribcage; confine the force of the thrust to your hands.
Repeat until object is expelled.



If choking occurs with a small child or infant, there are other procedures to take to prevent causing injury to them.  With a baby you will want to place them on your lap so that their head is lower than their body, have them on their stomach, so that you will be able to slap their backs.  This is the proper technique, however, in most actual cases the rescuer will become excited, and hang the child upside down and shake.  Caution must be taken to prevent injury to the child.

If you find yourself alone and become choked, a person may also perform abdominal thrusts on themselves by using a fixed object such as a railing or the back of a chair to apply pressure where a rescuer's hands would normally do so. As with other forms of the procedure, it is possible that internal injuries may result.

Taking time to chew your food properly, or keeping small objects away from children is the key for prevention of choking.  Taking small bites and proper chewing will help what you swallow to go down efficiently.  Make sure to review the Heimlich Maneuver, and ask those around you if they know the procedure. 

It’s never too later to learn, and you could save a life.

[Photos from Google) 

Tuesday, October 30, 2012

SIDS Awareness Month

(Google Image) 

By Nurse Diane

When I was pregnant with my son, I was young and had no experience around babies. I had moved in with my parents when he was 6 weeks old, and it had been 20 something years since my mother had been around any babies.  Her sister who had four of them by that time, was an expert, so we waited a few months til she came to visit before we even put him in water to bathe him.  Before that time, I had just been washing him off on a big sponge pad for babies.   I never even put him in real clothes until he was several months old, instead dressing him in gowns that tied at the bottom.   We also placed him in bed on his stomach, believing that putting him on his back was bad for him.  Thinking that sleeping on his back would cause his tongue to block his airway.  Now we know that putting him on his stomach was the worst position to put him in.

(Google Image) 
The reason this is bad is because stomach sleeping can increase an infant's risk of "rebreathing" his or her own exhaled air, particularly if the infant is sleeping on a soft mattress or with bedding, stuffed toys, or a pillow near the face. In that scenario, the soft surface could create a small enclosure around the baby's mouth and trap exhaled air. As the baby breathes exhaled air, the oxygen level in the body drops and carbon dioxide accumulates. Eventually, this lack of oxygen could contribute to Sudden Infant Death Syndrome (SIDS).

(Google Image) 
SIDS is the unexplainable cause of death for infants between the ages of 1 month to one year of age. Some of the other causes of SIDS include:
  • Being around cigarette smoke while in the womb or after being born;
  • Sleeping in the same bed as their parents (co-sleeping);
  • Soft bedding in the crib;
  • Multiple birth babies (being a twin, triplet, etc.);
  • Premature birth;
  • Having a brother or sister who had SIDS;
  • Mothers who smoke or use illegal drugs;
  • Being born to a teen mother;
  • Short time period between pregnancies;
  • Late or no prenatal care; and
  • Living in poverty situations.


Almost all SIDS deaths occur without any warning or symptoms when the infant is thought to be sleeping.  Ways to prevent SIDS include:
  • Place the infant on the back to sleep;
  • Keep soft fluffy material away from the crib;
  • Allow infant to sleep in the same room as parents, but not the same bed;
  • Offer a pacifier after one month of age to prevent interference with breast feeding; and
  • Don’t keep the room too hot.

(Google Image) 
October is SIDS Awareness Month.  For more information click on this site: http://www.cdc.gov/features/SidsAwarenessMonth/

Monday, October 31, 2011

Pregnancy and Infant Loss Awareness Month



By Diane Forrest, RN

A year ago a young man in our community committed suicide.  While I don't know the reason for this action, I learned that soon after his wife discovered she was pregnant with his child.  She went to the doctor the day before her due date, and it was discovered there was a problem.  She was rushed to the hospital where a c-section was performed only to discover the infant had died.   I cannot imagine the pain this family experienced.

The son's mother, and baby's grandmother spoke at my church recently.  Within seconds the whole congregation was in tears. She attributed her strength to her faith in God and the support of her friends and family.  Without them she would not have been able to survive.  She told us how they wrapped the baby up, placed him in her arms where she was allowed to hold him, sing to him and talk to him.

For those who have never experienced the loss of a pregnancy or infant, it is hard to imagine what the parents are experiencing.

It all starts as a dream. You have decided you want to have a baby. You dream of how it will feel to have a baby in the house, picture what you will do for it's room, but it is still a dream. What you hope for.

Then the day arrives! You find out that you are pregnant. Hooray! The dream has become a reality. You are going to the doctor, making plans. There is a little life growing inside you – your child.

Now you have the reality of your dream - a baby. And more dreams! Will it be a boy or a girl? You immediately start thinking of names. What will he/she look like?

We all know what is supposed to happen next. Having a healthy baby, of course. Yet, that doesn't always happen. Whether through miscarriage, stillbirth, newborn death, or SIDS some of us lose our babies. It is a shattered dream, and it is a shattered reality.

Even though they may not have had the time with the infant that you have with other people who are gone from their lives.  The loss is still the same.  This is a time that we need to remember these families have experienced a great loss, and need as much support and comfort they can get.

Remember those who are grieving this month, Pregnancy and Infant Loss Awareness Month, and every month.


Happy Birthday Dad!

  October 15, 2023 Each day, I walk into my den to see what in new and what are my ‘to do’ items for the day and say good morning, Dad. This...