It is very important that you take a course in first-aid and cardiopulmonary resuscitation (CPR). This lesson does not replace that course. This lesson only provides a brief introduction to keeping children safe when they are injured.

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Children are natural explorers. Have you ever thought, “That child has no fear!”? You were probably right: Children do not always recognize the danger in situations. They challenge their developing bodies and minds. In school-age programs, we have to be prepared to respond to a range of injuries. Some injuries will only require cleaning and bandaging. Other injuries require immediate medical attention. You must be able to tell the difference between the two. You must be prepared to respond during any situation. Consider these examples:

Your program space is designed to minimize risks when accidents occur. For example, properly inspected playground equipment and cushioned fall zones make it unlikely Simone would be seriously injured in a fall from the slide. The safety rules you teach make it less likely children will collide with one another at high speeds. Even in the best situations, though, accidents happen. You must be prepared to act on injuries big and small. Some injuries are small and only require minor first-aid. For example, when Dante skins his knee, the staff member will likely respond by cleaning the wound, applying a bandage, and completing an incident report. Dante is able to continue playing.

其他伤害are serious but not life threatening. For example, Madison and Simone may need medical treatment for their injuries, but they are not likely to face permanent disability or death.

有些伤害是危及生命，需要立即医疗。例如，卢克的意外与移动的车辆，摄入未知的药丸，米莉的窒息都可能导致严重伤害或死亡。作为一名学龄员工，您必须能够识别这些情况并妥善应对。

您必须知道如何帮助受伤的孩子提供哪些资源。根据伤害的严重程度，您可以：

• Perform, or find someone who is trained to perform, first-aid or CPR. Training on first-aid and CPR is offered by your employer and community agencies, such as the Red Cross.
• 在国际地点致电紧急医疗服务（EMS）或其等同物。EMS指您所在地区的任何紧急响应者。这些可能是消防员，救护车或警方。当您在美国拨打911时达到EMS服务。在美国之外，与您的主管，教练或教练讨论如何获得紧急医疗服务。

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You must know what to look for when you are deciding how to respond to an injury.

叫EMS后，请记住联系孩子的法定监护人。

If a child has any of the following symptoms, call EMS right away:

• You believe the child’s life is at risk or there is a risk of permanent injury.
• The child has difficulty breathing, is having an asthma exacerbation, or is unable to speak.
• 孩子的皮肤或嘴唇看起来很蓝，紫色或灰色。
• 孩子的武器和腿部有节奏的刺激性以及意识丧失（癫痫发作）。
• The child is unconscious.
• 孩子越来越响应。
• 头部受伤后，孩子有以下任何一种：减少警觉性，混乱，头痛，呕吐，烦躁或行走困难。
• 孩子患上任何地方的疼痛都会增加或严重。
• The child has a cut or burn that is large, deep, or won’t stop bleeding.
• 孩子是吐血。
• 孩子颈部严重僵硬，头痛和发烧。
• 孩子有明显脱水：沉思的眼睛，昏昏欲睡，没有泪水，不排尿。
• Multiple children are affected by injury or serious illness at the same time.
• When in doubt, call EMS.

Follow your程式policies if a child has any of the following symptoms or get medical attention within one hour:

• Fever in any age child who looks more than mildly ill
• 快速蔓延紫色或红色皮疹
• A large volume of blood in the stool
• 可能需要针脚的切割
• 任何需要父母通知的儿童护理计划中专门概述的任何医疗状况

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