Tuesday 18 February 2014

Head injuries update




Yesterday I blogged about head injuries and had many responses and realised that there is indeed a divided opinion about whether to use cold compressess on head injuries.

Safe and Sound  paramedic trainers advice us NOT to put ice packs on heads!! Apparently  no  ice packs  or cold compresses  will be found in hospitals.  So my apologies for telling you about cold compresses for head injuries

"A cold compress is fine for temperatures and not too bad for head bumps if used sparingly. But ice packs and compresses are meant for joints. Not heads!!! The hypothalamus (the bit that controls temperature) is in the head so any type of temperature there can confuse the bodies regulation of heat and cold. Secondly, cold reduces swelling by reducing capillary size and therefore blood flow. Why would you EVER want to reduce blood to the brain!?!?,"  says our parmaedic trainer adding
"Also the reduction in blood flow could potentially hide a compression as the cold cinches off the blood vessel. "
 
 
Clearly with Schumacher still in a coma head injuries are very much in the news and thankfully we are more aware about helmet use.  Even my speed freak son who went ski-ing last week rented a helmet - which is a first!!!!
 
This is the advice from NHS Website:
 
Minor head injuries are common in people of all ages and should not result in any permanent damage.
The symptoms of a minor head injury are usually mild and short lived. Symptoms may include:
  • a mild headache
  • nausea (feeling sick)
  • mild dizziness
  • mild blurred vision
If you or your child experience these mild symptoms after a knock, bump or blow to the head, you won't usually require any specific treatment. However, you should go to your local accident and emergency (A&E) department for a check-up.
If your symptoms significantly worsen or you develop any new symptoms after being discharged, you should return to A&E straight away or call 999 and ask for an ambulance.

How common are head injuries?

Each year in England and Wales, around 700,000 people attend A&E departments with a head injury. Of these, over 80% only have a minor injury.
The most common causes of head injuries are falls, assaults and road traffic collisions.
Children are more likely to sustain a minor head injury because they have high energy levels and little sense of danger.

Treating a minor head injury

Minor head injuries can usually be treated at home and most people will make a full recovery in a few days.
For the first 24 hours after the injury, it's important for someone to stay with the person who was injured, to keep an eye out for any new symptoms that develop.
It is also important to rest and avoid aggravating the injury with stressful situations and avoid contact sports until fully recovered.
Mild headaches can be treated with paracetamol, but always read the manufacturer’s instructions and remember that children under 16 should never be given aspirin.
Read more about how to treat a minor head injury.

Preventing head injuries

Although it can be difficult to predict or avoid a head injury, there are some steps you can take to help reduce the risk of more serious injury.
These include:
  • wearing a safety helmet when cycling
  • reducing hazards in the home that may cause a fall
  • ‘childproofing’ your home
  • using the correct safety equipment for work, sport and DIY
For more information about first aid training courses go to www.safeandsound.uk.net
or call 0208 445 8998

Monday 17 February 2014

Sports Head Injuries




It was a cold winter’s day and I was watching youngest son playing a Rugby match. Middle son was being watched by my partner 3 miles away.  The phone rings “Meet you at A & E,” says my partner. My anxiety levels rise.  I should be used to this, but I am not.  I arrive at A & E to find my son encased head to foot as a security measure as they did not know if he had a neck injury.  He was lucky – it wasn’t.  Which is why I endorse the Welsh rugby coach who is urging people to learn first aid after the skills he had helped him save a players life.

During a charity rugby veteran’s game at Kenfig Hill RFC, Martin Burnell collapsed.

Clive Jenkins, who was watching on the sideline, was able to perform CPR on Martin and consequently save his life.
 

Research shows that, in Wales, around 20,000 people attend A&E every year because they are injured playing sport.

Of course as a regular visitor in London to A & E  I am fully aware of the dangers of this sport and am not a rugby fan! But my partner and boys are!

Many a time I have stood on the sidelines watching the game when players have been injured. Much to my amazement, I have sometimes been the only person there who knew what to do. I have also seen many amateurs trying and sometimes offering bad advice!! And many inured players being encouraged back on the field!

This is why we started Safe and Sound Training 15 years ago because we were concerned that not enough people knew what to do in an emergency situation. Learning first aid is a ‘must’ for everybody. It is our duty as citizens to know how to save a life.  But even more important all Rugby coaches and parent helpers need to attend a first aid course.  Knowing what to do in an emergency can not only ensure that a minor accident doesn’t become a major one, it can also make the difference between life and death.

It takes just a few hours to learn CPR and a day to attend a full first aid course.

 

A few tips for head injuries:

 Cold Compress - wrap a towel or clothing around frozen vegetables or ice to use as a cold compress. You could also use a towel or clothing that’s been soaked in cold water and wrung out. Never place ice directly on the skin because it’s too cold.

A cold compress reduces the swelling and lessens the pain of the injury.

Use a cold compress until the swelling goes down or the person says it feels uncomfortable.

Do not give painkillers because they can mask the signs and symptoms of a serious head injury.

If they vomit or lose consciousness, call an ambulance. You should also call an ambulance if you are unsure how bad the injury is.

If a person suffers a blow to the head, the brain can be shaken inside the skull. This is called concussion. It tends to result in a short loss of consciousness (a few seconds to a few minutes). Most people make a full recovery from a concussion, but occasionally it may become more serious. If you think someone has concussion, call 999.

And with all head injuries you should watch for the symptoms of concussion. If you suspect they have concussion you should call 999.

Sometimes you may not see the symptoms immediately they may include:

  • dizziness
  • headache
  • confusion
  • feeling sick
  • blurred vision
  • Having no memory of what happened.

 

Call us on 0208 445 8998 or go to www.safeandsound.uk.net

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