Bodily Injuries and Foreign Bodies

Subject: Child Health Nursing

Overview

Injury from sharp instruments such as cuts from knives, scissors, and needle are common during early childhood period. Large numbers of this accident are preventable. If the injury is big and bleeding is severe, need emergency referral and management in the higher center hospital.Avoid giving sharp or pointed objects to children, ears, store all dangerous tools, equipment in the locked cabinet and alert parents to dangers of unsupervised animals to prevent from bodily injury and damage from sharp instruments.Children are fond of putting objects into various orifices either their own or others due to ignorance or innocence and curiosity during the oral phase of psychosexual development and thereafter. The lips, eyes, and ears are common locations for foreign body introduction. In children, aspiration of foreign bodies into the respiratory tract accounts for around 75% of all foreign body cases. Objects that are frequently inhaled include seeds, nuts, and other vegetable stuff. Wings from insects, dust, coal, metal shavings from lathes, wood shavings, and loose eyelashes are a few examples of foreign bodies that frequently get up in the eyes. If they are not quickly removed, they cause pain and redness. Vegetable pieces, nuts, pins, pencil tips, peas, insects, and other foreign objects are frequent causes of ear infections. If the foreign object is an insect, place warm salt water, coconut oil, mustard oil, or glycerin in the ear and check to see if the insect floats. If not, transport the youngster right away to the hospital. Common foreign items found in children's noses include fragments of stones, peas, and other small objects that they have inhaled.

 Bodily injury and damage from sharp instruments

Early childhood is a time when cuts from knives, scissors, and needles are common injuries from sharp objects. These accidents can be avoided in large numbers. If the wound is significant and the bleeding is serious, a higher center hospital should be referred to for emergency care. Quick evaluation of the children is necessary in this situation, along with maintaining the airway, breathing, and respiration. Take action to stop the bleeding, then contact the hospital right away.

Bodily Injury and damage from sharp instruments prevention:

  • Give children no pointy or sharp things.
  • Avoid giving candy or other comparable items to children when they are jogging or walking.
  • impart safety advice.
  • All hazardous equipment and tools should be kept in a locked cabinet.
  • Make parents aware of the risks posed by unattended animals.

Foreign Bodies

Because of their ignorance, innocence, and curiosity during the oral phase of psychosexual development and beyond, children like inserting objects into various orifices, whether they are their own or those of others. The nose, ears, mouth, eyes, and other regions are frequent sites for foreign body introduction. Foreign bodies affect children differently depending on where they are inserted. Therefore, we must talk separately.

  • Foreign bodies in respiratory tract: 
    In children, aspiration of foreign bodies into the respiratory tract accounts for around 75% of all foreign body cases. Objects that are frequently inhaled include seeds, nuts, and other vegetable stuff. Other materials like glass, beads, plastic, and stone are also widely used.
    Aspiration typically begins between 1-3 years of age. Choking, aphonia, stridor, violent inspiratory effects, or even death in the event of complete impaction are typical aspiration signs and symptoms. Similar symptoms include spasmodic paroxysmal coughing, wheezing, hoarseness, hemoptysis, cyanosis, and dyspnea when there are foreign bodies in the trachea.
    • First aid management
      • Quickly evaluate the child's health.
      • Try to identify the substance you breathed in.
      • It is possible to take precautions by turning the child upside down, thumping on the back, grouping fingers in the pharynx, back blows, and chest thrusts.
      • Send the child as soon as you can to the hospital.
    • Prevention of foreign bodies in respiratory tract:
      • Avoid eating huge pieces of meat.
      • Fish, bones, dry beans, hard sweets, chewing gum, and fruit with pits should also be avoided.
      • Offer safety products without protruding edges or tiny detachable components.
      • Put dangerous items out of harm's way.
      • Close supervision and aspiration prevention instruction.
  •  Foreign bodies in the eye
    Common items that end up in the eye include insect wings, dust, coal, metal shavings from lathes, wood shavings, and loose eyelashes. If they are not quickly removed, they cause pain and redness. Splinters that lodge in the cornea can occasionally create serious issues, and penetrating foreign objects pose a risk to the eye itself.
    • Management
      Do not rub your eyes. If a child is not cooperating, you should tie his hands behind his back. Because the eye is a very sensitive organ and can be harmed by anything in a very short period of time, it is sometimes necessary.Seat the patient so that light falls on the eye. Pull the lower lid down if the foreign body is floating and-and embedded remove it with a narrow moist swab, the corner of a handkerchief twisted to a fine point will also do.
      Ask the youngster to hold a cup of clean water in their hand and blink quickly into the water if they are able to do so if the foreign body is not visible. If it doesn't work, move the upper lid forward, lift the lower lids, and then release both lids. Tey this a second or two times. Don't touch anything that is embedded in the eye, especially the cornea, if it is a foreign body. Apply a soft pad, being careful not to rub the eye, and quickly mention the hospital.
  • Foreign body in the ear
    Vegetable pieces, nuts, pins, pencil tips, peas, insects, and more are examples of common foreign bodies found in the ear. If the foreign object is an insect, place warm salt water, coconut oil, mustard oil, or glycerin in the ear and check to see if the insect floats. If not, take the child right away to the hospital. Avoid using water on a foreign body made of a vegetable and take the child right away to the hospital.
  • Foreign body in nose
    Common foreign items found in children's noses include fragments of stones, peas, and other small objects that they have inhaled. Usually located in the lower portion of the nose, the impaction site is characterized by unilateral blockage and purulent discharge.
    • First aid management
      • Make a quick evaluation and try to identify the impacted object.
      • Make the kid breathe in and out of their mouth.
      • Avoid attempting to remove the foreign object.
      • In the case of small children, the hands should be tied behind.
      • Obtain the hospital for the child.
Things to remember
  • Early childhood is a time when cuts from knives, scissors, and needles are common injuries from sharp objects.
  • These accidents can be avoided in large numbers. If the wound is significant and the bleeding is serious, a higher center hospital should be referred to for emergency care.
  • Because of their ignorance, innocence, and curiosity during the oral phase of psychosexual development and beyond, children like inserting objects into various orifices, whether they are their own or those of others.
  • The nose, ears, mouth, eyes, and other regions are frequent sites for foreign body introduction.
  • In children, aspiration of foreign bodies into the respiratory tract accounts for around 75% of all foreign body cases. Objects that are frequently inhaled include seeds, nuts, and other vegetable stuff.
  • Insect wing fragments, dust, coal, metal shavings from lathes, wood chips, and loose eyelashes are a few examples of foreign bodies that frequently end up in the eyes. If they are not quickly removed, they cause pain and redness.
  • Vegetable pieces, nuts, pins, pencil tips, peas, insects, and more are examples of common foreign items found in the ear. If the foreign object is an insect, place warm salt water, coconut oil, mustard oil, or glycerin in the ear and check to see if the insect floats. Common foreign items found in children's noses include fragments of stones, peas, and other small objects that they have inhaled.
Questions and Answers

Early childhood is a time when cuts from knives, scissors, and needles are common injuries from sharp objects. These accidents can be avoided in large numbers. If the wound is significant and the bleeding is severe, a higher center hospital should be referred to for emergency care. Quick evaluation of the children is necessary in this situation, along with maintaining the airway, breathing, and respiration. Take action to stop the bleeding, then contact the hospital right away.

Bodily Injury and damage from sharp instruments prevention:

  • Keep sharp or pointy things away from youngsters.
  • Avoid giving lollipops or other comparable items to children when they are running or walking.
  • Instruct in safety measures.
  • Keep all potentially harmful tools and equipment in a locked cabinet.
  • Warn parents about the risks posed by unattended animals.

 

Foreign bodies in the eye

Common objects that end up in the eye include insect wings, dust, coal, metal shavings from lathes, wood shavings, and loose eyelashes. If they are not quickly removed, they cause pain and redness. Splinters that lodge in the cornea can occasionally cause serious issues, and penetrating foreign objects pose a risk to the eye itself.

Management

  • Do not rub your eyes. If a child is not cooperating, you should bind his hands behind his back. Because the eye is an extremely sensitive organ and can be harmed by anything in a very short period of time, it is sometimes required.
  • Place the patient's chair so that the eye is illuminated. If the foreign body is floating and embedded, pull down the lower lid and remove it with a narrow, damp swab; a handkerchief corner that has been carefully twisted will also work.
  • Ask the youngster to hold a cup of clean water in their hand and blink quickly into the water if they are able to do so if the foreign body is not visible. If it doesn't work, move the upper lid forward, lift the lower lids, and then release both lids. Tey this a second or two times. Don't touch anything that is embedded in the eye, especially the cornea, if it is a foreign body. Apply a soft pad, being careful not to rub the eye, and quickly mention the hospital.

 

First aid management

  • Make a quick evaluation and try to identify the impacted object.
  • Make the kid breathe in and out of their mouth.
  • Avoid attempting to remove the alien object.
  • For tiny children, the hands should be tied behind the back.
  • Obtain the hospital for the child.

 

First aid management

  • Quickly evaluate the child's health.
  • Try to identify the substance you breathed in.
  • It is possible to take precautions by turning the child upside down, thumping on the back, grouping fingers in the pharynx, back blows, and chest thrusts.
  • Send the child as soon as you can to the hospital.

Prevention of foreign bodies in respiratory tract:

  • Steer clear of meat in big portions.
  • Steer clear of nuts, fish, bones, dry beans, hard confectionery, and fruit with pits.
  • Offer safety products without protruding edges or tiny removable components.
  • Keep dangerous objects out of the way.
  • Close supervision and aspiration prevention instruction.

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