Children: Managing Injuries and Trauma
- : Warrnambool VIC 3280
2 Day Seminar: Fractures, Cuts and Lacerations, Paediatric Sedation, Burns, Scalds and Head
In Australia, most sick and severely injured children are cared for in dedicated tertiary hospitals located in major cities. This has lead to highly experienced and focussed expertise which is invariably clustered in these centres of excellence.
However, as children are likely to injure themselves at any time and in any place across Australia, the first point of contact may be a nurse who does not have the necessary expertise or recency of practice in child care nursing to manage the situation.
This seminar is specifically designed for those nurses who do not work in paediatric hospitals. It will be ideal for acute care nurses, primary care nurses, school nurses, and other health professionals who want to increase their knowledge and skills in regard to paediatric physical trauma management.
Need for Program
Children often injure themselves. Most injuries require little more than First Aid; however, when a serious injury occurs fast intervention that is relevant to children is essential to prevent death or long-term disability. Nurses and other health professionals need to know what to do immediately and be able to initiate care that is correct, current and specific to the child.
This seminar offers an opportunity for nurses and other medical professionals - particularly those who work with children - to access up-to-date, evidence-based education in the care of children who are injured.
Purpose of Program
The aim of this program is to provide an update to general nurses on the appropriate and immediate care of children who experience physical trauma.
At the conclusion of this program it is expected that the participants will be able to:
- Correctly and swiftly assess an injured child and initiate appropriate actions
- Differentiate between the management of trauma for an adult versus that of a child
- Apply knowledge about current emergency interventions as appropriate
- Provide or coordinate appropriate ongoing care as required
- Schedule Day One
8:30am - Registration and Refreshments
9:00amAssessment of an Injured Child
Children are different to adults and they can have quite different injuries. The manner in which a child is assessed also differs to that of an adult. This important session looks at why this is the case, and explains how to perform a rapid and effective assessment of a child who is injured. It will include:
- How are children physically and physiologically different to adults and why is this important?
- How to identify a child who is likely to have serious injuries
- Tips on assessing a child whose condition may be deteriorating
10:30am - Morning Tea and Coffee
11:00amThem Bones, Them Bones … Musculoskeletal Injuries
When children experience musculoskeletal injuries it can cause distress for all concerned. This session will give you an overview of common musculoskeletal injuries experienced by children and explain the appropriate first aid and ongoing management.
- How do you know if a bone is broken, how should the break be immobilised before seeking medical attention, and how will the injury be managed in hospital?
- What does a dislocation look like?
12:00pmA Stitch in Time? Cuts and Lacerations
Lacerations can look worse than they are especially if the face and head, areas that are highly vascularised, are involved. This session will outline current practice for treating lacerations and other acute wounds. Includes
- How can you determine if a laceration needs stitches or glue?
- What is the best way to reduce the pain of an abrasion?
- What is the infection risk of a dog bite?
12:45pm - Lunch Break and Networking
1:30pmStop the Pain! Assessment and Management
Pain in children may be expressed in many different ways according to their age and cultural background. This session will present various pain assessment tools and discuss the appropriate pain relief for injured children.
- How can you assess the pain of an injured toddler and provide appropriate analgesia?
- What is appropriate analgesia for a seriously deformed broken arm?
- Is it OK to give analgesia to a child with a head injury?
2:15pmAnticipatory Anxiety? Preparing Children for Procedures
Injured children often need to have a procedure performed to treat their injuries and if the child is not well prepared, the procedure can be more traumatic than the initial injury. Many different ways to prepare children for procedures will be outlined in this session.
- Why isn’t it acceptable to hold a child down and "get the procedure over as quickly as possible"?
- How would you prepare a 6 year old with a cut leg to have sutures?
- Would you use the same techniques for a 6 year old and a 16 year old?
3:00pm - Afternoon Tea and Coffee
3:15pmBeware – Be Aware! Paediatric Sedation – Nitrous and Ketamine
Some procedures on injured children are lengthy or very painful so sedation is required. This session will outline when it is appropriate to use Nitrous Oxide or Ketamine and the strict policies that need to be in place before sedating a child.
- How many staff need to be present when using Nitrous Oxide or Ketamine to sedate a child?
- What are the side effects of using sedation to complete a procedure?
4:00pm - Close of Day One of ProgramDay Two
9:00am - Commencement of Day Two
9:00amWhen Time and YOUR Decision Making Matter Most… Major Trauma in Children
This session reviews how nurses can perform a rapid assessment and stabilisation of a child who is seriously injured.
- Learn how to quickly prioritise your care
- Review the most important decisions you need to make at this time
9:30amCooking up Trauma - Burns, Scalds and Heat Related Injuries
A scald is an injury caused by hot liquid, whereas a burn is an injury caused by dry heat. This interesting session looks at the types of trauma caused by heat mechanisms and explains how to assess and apply first aid to such injuries.
- Assessment of the degree of burn or scalds
- How to identify and manage heat stroke
- Immediate and initial hospital management of such injuries
10:30am - Morning Tea and Coffee
11:00amThe Grey and White Zone - Head Injuries and Spinal Trauma
When a child experiences a head or spinal injury, the immediate care can have profound implications for the child's prognosis.
- How to determine the severity of the injury
- What are the crucial interventions that are used to stabilise children who have experienced trauma related to head and spinal injuries?
12:00pmSoft Bellies – Shallow Breaths: Abdominal and Chest Injuries
A quick review of nursing care relating to chest and abdominal injuries.
- How to assess the severity of different types of abdominal injuries
- Assessment of chest injuries
- Stabilisation and management of a child with chest and/or abdominal injuries
12:45pm - Lunch Break and Networking
1:30pmSilent Death: Drowning
Childhood drowning is still a pervasive menace where children and infants, typically, die in silence. Learn what to do if you are involved in a drowning incident.
- What is needed for the initial and ongoing management of the child?
2:15pmMoving to Best Care - Transfer of a Seriously Injured Child
When a child has injuries that cannot be managed at your health facility they need to be carefully prepared for the journey to more advanced care. This session reviews the process that needs to be considered in order to protect the child and prevent further injury from occurring.
- How do you prepare a child for transfer?
- What are the main risks associated with transfers?
- Considerations when deciding on the mode of transport
- What about the family?
2:15pm - Afternoon Tea and Coffee
3:00pmBehind Closed Doors? The Child is Injured and it was NO Accident
Child abuse is a devastating occurrence and needs careful, sensitive and informed identification, assessment and management. For nurses, reporting such events is a mandatory requirement.
- DWhat signs would make you suspect that child abuse may be occurring?
- What must you do if you suspect child abuse?
- Mandatory reporting and your responsibilities
4:00pm - Close of Seminar and Evaluations
Gerry has many years of paediatric nursing experience, including 16 years in the Emergency Department of the Royal Children's Hospital in Melbourne. The last 10 years at this renowned hospital were spent as a Clinical Nurse Educator. Gerry currently works part-time as a paediatric nurse educator at the Angliss Hospital in Melbourne and runs her own business in paediatric health education. Her teaching is consistently highly evaluated by participants who attend her lectures. Gerry is also the author of the highly successful Ausmed book entitled ‘Care of Sick Children: A Basic Guide’.