DR.P.SELVARAJ
ARTICLE ON PREVENTION OF CHILDHOOD ACCIDENT
Ref: - Child who fell in a hole, dug for
deep bore well. This catostrophic issue must be give national importance. A
national level expert committee to be set up to go into various aspects, specially
medical treatment protocol to be observed by any one. Majority of recovered
children will need the following:-
AIM:- To design a medical treatment
protocol for children who fell inside bore well hole.
1. Collect all medical data available
for these cases that died and take retrospective medical analysis.
2. Whole body skeletal X-Ray and CT
brain for all cases for present and future assessment (some of them may need
ventriculostomy).
3. Rapid aggressive rehydration
technique may be carefully employed.
4. Pulse oxy meter will give a clue for
oxygen requirement.
5. Nil oral for 24hrs.
6. Hyper baric oxygen and not
conventional oxygen. Oxygen under pressure will enter into tissues more easily.
7. Lytic cocktail therapy will improve
the low blood pressure. This will also improve the hypothermia and shock
syndrome.
8. A small whole blood transfusion will
help improve
a) Tissue oxygen level
b) Tissue iron level
c) Increase blood pressure
d) Improves defence mechanism
9. A defibrillation equipments to
deliver low joules of electricity, if child found in, near death state or if
their hearts develop any arrhythmia problems or stops abruptly (cardiac,
systole).
10. A suitable engineering technology to
pull the child if possible by visualising position of child like laparoscopic
technology and see the child through monitor kept above. This will save time to
meet medical emergency.
11. Other supportive measures as per
needs like A/C and warmer.
12. Cryotherapy after consultation with
surgeon anaesthetic.
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