First aid treatment for pediatric convulsions

If there are children at home, there must be a lot of first aid medicines at home. However, some first aid medicines cannot be used in certain situations. For example, when a child has a convulsion, what should we do? Everyone needs to learn the emergency response measures when a child has a convulsion. Below I will explain in detail the on-site first aid measures when a child has a convulsion.

① The child should lie on his side, loosen his collar and belt, and wrap a tongue depressor with gauze and place it between the upper and lower molars to prevent tongue bite. 1. Keep the respiratory tract open and suction sputum in time; 2. Press or acupuncture the Ren Zhong, Hegu, and Yongquan points; 3. Inhale oxygen. If accompanied by fever, use cold water baths or place ice packs on the groin and neck in time to achieve the purpose of rapid cooling; 4. Use anticonvulsant drugs as soon as possible.

Anticonvulsant drugs should be fast-acting, easy to use, low in toxicity, and should not affect respiratory and circulatory functions when used in sufficient quantities.

① Ding'an: Usually the first choice, 0.25-0.5 mg/kg each time by slow intravenous injection (the original drug is not diluted, the speed is <1 mg/min) or 1 mg/year (under 10 years old), which takes effect in 1-3 minutes. If necessary, repeat after 20 minutes and repeat 3 to 4 times a day. In recent years, it has been suggested that lorazepam (clorazepam) and chlordiazepoxide are more effective in relieving shock, but the safety and dosage for children under 12 years old have not yet been determined.

②Phenobarbital sodium: 5-10 mg/kg each time, intramuscular injection. It is a basic drug for controlling convulsions, but it takes a long time to take effect and cannot stop convulsions immediately. However, it lasts for a long time. After controlling the attacks with diazepam, it can be used as a maintenance treatment to consolidate the therapeutic effect.

③10% chloral hydrate: This drug takes effect quickly and lasts for a short time. 0.4-0.6 ml/kg each time, the maximum amount should not exceed 1 g each time, add 1-2 times normal saline solution for retention enema or nasogastric feeding, and give the drug again after 30 minutes if necessary.

The above has introduced in detail the on-site first aid treatment for children's convulsions. If you have children at home, please read this article in detail. Because if your child at home has convulsions, you don’t know how to deal with it. Emergency treatment methods are very important, because your ignorance may cause your child to lose a life. Please read carefully.