logging in or signing up Sudden Infant Death Syndrome aSGuest1250 Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 1366 Category: News & Reports.. License: All Rights Reserved Like it (0) Dislike it (0) Added: October 18, 2008 This Presentation is Public Favorites: 1 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript Sudden Infant Death Syndrome : Sudden Infant Death Syndrome Sudden death of infant where thorough postmortem fails to reveal cause SIDS : SIDS Incidence 2 to 3 deaths/1000 live births #1 cause of death 1 week to 1 year 90% occur at 1 month to 6 months Rare in first few weeks of life SIDS : SIDS More common in Winter Males Young mothers Low birth weight infants Multiple birth SIDS : SIDS More common in Lower socioeconomic groups Blacks, Native Americans Maternal drug/cigarette use SIDS : SIDS 50% have history of “cold” in week before death SIDS : SIDS May be due to: Chronic hypoxia Sleep apnea Pharyngeal obstruction during sleep Increased CO2 levels in microenvironment created by infants sleeping in prone position SIDS : SIDS SIDS is NOT External suffocation Result of aspiration Child abuse Hereditary Caused by cow milk allergy SIDS : SIDS Cause unknown Cannot be predicted/prevented Always fatal SIDS : SIDS Assessment Normal nutrition/hydration Fluid in/around mouth nostrils; may be blood-tinged Livor mortis/rigor mortis Rumpled bed clothes “Squashed nose” appearance SIDS : SIDS Management Appropriate care for infant Support for family Crisis intervention for EMS personnel SIDS : SIDS Management Aggressive resuscitation unless signs of irreversible death present Parental reaction Agency policy True SIDS cannot be resuscitated SIDS : SIDS Management Support for parents/siblings Ask for, use infant’s name Calm, authoritative manner Structured information Stress that nothing could have done to prevent event SIDS : SIDS Management Support for parents/siblings Expect grief reactions Act as advocate for family SIDS : SIDS Management Crisis intervention for EMS personnel Acknowledge impact Prepare through training Know your limits Use CISM team if needed Child Abuse : Child Abuse Child Abuse : Child Abuse Abuse Physical, emotional, sexual maltreatment of child resulting from acts of omission or commission by parent, guardian, or other caretaker Child Abuse : Child Abuse Neglect Failure to provide for child’s needs although support sources available Child Abuse : Child Abuse 1,000,000 cases/year 4,000 fatalities 10% of trauma < 3 y.o. seen in ERs All social, economic, religious, ethnic groups Child Abuse : Child Abuse Contributing Factors: Child “Different”: handicapped, hyperactive, precocious Male > Female 2:1 Small enough to be unlikely to retaliate 2/3 < 3 years old Child Abuse : Child Abuse Contributing Factors: Abuser Often abused themselves as children Lonely, unhappy, under stress Lack of understanding of normal child development Child Abuse : Child Abuse Contributing Factors: Lack of Support Spouse often non-supportive Extended family support unavailable Child Abuse : Child Abuse Contributing Factors: Crisis Poverty Job loss Marital conflict Illness producing uncontrollable crying Indicators of Abuse : Indicators of Abuse Multiple or repeated injuries Unusual variety Different stages of healing Unusual locations Indicators of Abuse : Indicators of Abuse Inconsistency of injury with: Reported mechanism History Developmental abilities Indicators of Abuse : Indicators of Abuse History changes on retelling Multiple ER visits, EMS contacts Indicators of Abuse : Indicators of Abuse Inappropriate parental response Prolonged delay in seeking help Parent hostile, indifferent, apathetic Person other then caretaker brings child in Indicators of Abuse : Indicators of Abuse Malnutrition Poor hygiene Inappropriate dress Indicators of Abuse : Indicators of Abuse Child is: Apathetic Unusually stoic Extremely fearful of adults Unusually loving or cooperative Child Abuse : Child Abuse Management Get child out of abusing environment Report suspicious to ER physician Document thoroughly Reporting is mandatory Civil immunity if report in good faith SIDS vs Child Abuse/Neglect : SIDS vs Child Abuse/Neglect SIDS victim No external signs of injury “Normal” post-mortem changes Other siblings appear healthy History of child being well when put to sleep SIDS vs Child Abuse/Neglect : SIDS vs Child Abuse/Neglect Abuse/Neglect Victim Visible signs of injury May appear malnourished Siblings may show signs of abuse, neglect Story is evasive, does not sound right Pediatric Critical Incident Stress : Pediatric Critical Incident Stress Pediatric CIS : Pediatric CIS Death of child Prolonged rescue, especially if child dies Child abuse Mutilation Intense media coverage Identification with victim Acute CIS Reaction : Acute CIS Reaction Physical: Fatigue Nausea Tremors Sweating Chills Dizziness Shock symptoms Acute CIS Reaction : Acute CIS Reaction Cognitive memory loss decision-making difficulty concentration lapses difficulty setting priorities dysnomia dyscalcula Acute CIS Reaction : Acute CIS Reaction Emotional anxiety fear hopelessness grief anger irritability depression Acute CIS Reaction : Acute CIS Reaction 85% occur in first 24 hours 50% last 3 weeks or longer Pediatric CIS : Pediatric CIS Untreated reactions can progress to Post Traumatic Stress Disorder Pediatric CIS : Pediatric CIS During emergency Warn incoming crews Maintain proficiency; confidence reduces stress Get people having reactions off scene Accept limitations Use breathing control Pediatric CIS : Pediatric CIS Following emergency Defuse as early as possible Debriefings within 24 to 72 hours Physical exercise reduces stress Avoid sugar, caffeine It’s OK to cry Take care of spouses/families too You do not have the permission to view this presentation. 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Sudden Infant Death Syndrome aSGuest1250 Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 1366 Category: News & Reports.. License: All Rights Reserved Like it (0) Dislike it (0) Added: October 18, 2008 This Presentation is Public Favorites: 1 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript Sudden Infant Death Syndrome : Sudden Infant Death Syndrome Sudden death of infant where thorough postmortem fails to reveal cause SIDS : SIDS Incidence 2 to 3 deaths/1000 live births #1 cause of death 1 week to 1 year 90% occur at 1 month to 6 months Rare in first few weeks of life SIDS : SIDS More common in Winter Males Young mothers Low birth weight infants Multiple birth SIDS : SIDS More common in Lower socioeconomic groups Blacks, Native Americans Maternal drug/cigarette use SIDS : SIDS 50% have history of “cold” in week before death SIDS : SIDS May be due to: Chronic hypoxia Sleep apnea Pharyngeal obstruction during sleep Increased CO2 levels in microenvironment created by infants sleeping in prone position SIDS : SIDS SIDS is NOT External suffocation Result of aspiration Child abuse Hereditary Caused by cow milk allergy SIDS : SIDS Cause unknown Cannot be predicted/prevented Always fatal SIDS : SIDS Assessment Normal nutrition/hydration Fluid in/around mouth nostrils; may be blood-tinged Livor mortis/rigor mortis Rumpled bed clothes “Squashed nose” appearance SIDS : SIDS Management Appropriate care for infant Support for family Crisis intervention for EMS personnel SIDS : SIDS Management Aggressive resuscitation unless signs of irreversible death present Parental reaction Agency policy True SIDS cannot be resuscitated SIDS : SIDS Management Support for parents/siblings Ask for, use infant’s name Calm, authoritative manner Structured information Stress that nothing could have done to prevent event SIDS : SIDS Management Support for parents/siblings Expect grief reactions Act as advocate for family SIDS : SIDS Management Crisis intervention for EMS personnel Acknowledge impact Prepare through training Know your limits Use CISM team if needed Child Abuse : Child Abuse Child Abuse : Child Abuse Abuse Physical, emotional, sexual maltreatment of child resulting from acts of omission or commission by parent, guardian, or other caretaker Child Abuse : Child Abuse Neglect Failure to provide for child’s needs although support sources available Child Abuse : Child Abuse 1,000,000 cases/year 4,000 fatalities 10% of trauma < 3 y.o. seen in ERs All social, economic, religious, ethnic groups Child Abuse : Child Abuse Contributing Factors: Child “Different”: handicapped, hyperactive, precocious Male > Female 2:1 Small enough to be unlikely to retaliate 2/3 < 3 years old Child Abuse : Child Abuse Contributing Factors: Abuser Often abused themselves as children Lonely, unhappy, under stress Lack of understanding of normal child development Child Abuse : Child Abuse Contributing Factors: Lack of Support Spouse often non-supportive Extended family support unavailable Child Abuse : Child Abuse Contributing Factors: Crisis Poverty Job loss Marital conflict Illness producing uncontrollable crying Indicators of Abuse : Indicators of Abuse Multiple or repeated injuries Unusual variety Different stages of healing Unusual locations Indicators of Abuse : Indicators of Abuse Inconsistency of injury with: Reported mechanism History Developmental abilities Indicators of Abuse : Indicators of Abuse History changes on retelling Multiple ER visits, EMS contacts Indicators of Abuse : Indicators of Abuse Inappropriate parental response Prolonged delay in seeking help Parent hostile, indifferent, apathetic Person other then caretaker brings child in Indicators of Abuse : Indicators of Abuse Malnutrition Poor hygiene Inappropriate dress Indicators of Abuse : Indicators of Abuse Child is: Apathetic Unusually stoic Extremely fearful of adults Unusually loving or cooperative Child Abuse : Child Abuse Management Get child out of abusing environment Report suspicious to ER physician Document thoroughly Reporting is mandatory Civil immunity if report in good faith SIDS vs Child Abuse/Neglect : SIDS vs Child Abuse/Neglect SIDS victim No external signs of injury “Normal” post-mortem changes Other siblings appear healthy History of child being well when put to sleep SIDS vs Child Abuse/Neglect : SIDS vs Child Abuse/Neglect Abuse/Neglect Victim Visible signs of injury May appear malnourished Siblings may show signs of abuse, neglect Story is evasive, does not sound right Pediatric Critical Incident Stress : Pediatric Critical Incident Stress Pediatric CIS : Pediatric CIS Death of child Prolonged rescue, especially if child dies Child abuse Mutilation Intense media coverage Identification with victim Acute CIS Reaction : Acute CIS Reaction Physical: Fatigue Nausea Tremors Sweating Chills Dizziness Shock symptoms Acute CIS Reaction : Acute CIS Reaction Cognitive memory loss decision-making difficulty concentration lapses difficulty setting priorities dysnomia dyscalcula Acute CIS Reaction : Acute CIS Reaction Emotional anxiety fear hopelessness grief anger irritability depression Acute CIS Reaction : Acute CIS Reaction 85% occur in first 24 hours 50% last 3 weeks or longer Pediatric CIS : Pediatric CIS Untreated reactions can progress to Post Traumatic Stress Disorder Pediatric CIS : Pediatric CIS During emergency Warn incoming crews Maintain proficiency; confidence reduces stress Get people having reactions off scene Accept limitations Use breathing control Pediatric CIS : Pediatric CIS Following emergency Defuse as early as possible Debriefings within 24 to 72 hours Physical exercise reduces stress Avoid sugar, caffeine It’s OK to cry Take care of spouses/families too