The DRSABCD Action Plan is a 7- step approach that we encourage parents and carers to use when faced in ANY medical situation. Medical staff in the emergency department and paramedics out on the road are following this simple systematic approach. If you can stay calm and work your way through the DRSABCD action plan, we guarantee you will get through any situation. 

 

D – Dangers?

Check for dangers to self, bystanders and the casualty.

 

R – Responsive?

Check for response – Talk and Touch.

 

S – Send for Help

Call Triple Zero (000) for an ambulance, or ask a bystander to CALL for help, or go get help.

 

A – Open Airway

Position casualty onto their back. Open mouth and ensure airway is clear.

 

Open/Check Airway:

  • Infant – Head tilt/chin lift – Neutral Position
  • Child – Head tilt/chin lift – Sniffing Position
  • Adult – Full Head tilt/chin lift

 

To clear foreign material from the mouth cavity, roll casualty onto their side and use your fingers. (Infant little finger, child index finger, adult two fingers). * Only if object is easily visible and accessible in the mouth, taking great care not to push it down further.

If the object is too far back and in the ‘danger zone’ of the airway, Do NOT attempt to pick it out. In the height of stress any attempts to remove an object ‘to far back’ can have a devastating effect on a child’s airway.

 

B – Normal Breathing?

  • Look, Listen and Feel.
  • Absent or NOT normal breathing = Start CPR
  • Normal breathing = place in recovery position, monitor.

 

C – Start CPR (30:2)

Give 30 chest compressions, followed by 2 breaths.

Chest Compressions : 30

  • Compress centre of the chest, nipple line good reference for paediatrics.
  • Infants (0-12mths) – Use 2 fingers (index and middle) to compress 1/3 depth of chest.
  • Child – Use heel of one hand to compress 1/3 depth of chest.
  • Adult – Use both hands to compress 1/3 depth of chest.
  • Compressions should be at a rate of approximately 100/min (2 per second).

Breaths : 2

During breaths, open airway and maintain the following head positions:

  • Infant – Head tilt/chin lift – Neutral Position – Cover both nose/mouth, and deliver 2 puffs.
  • Child – Head tilt/chin lift – Sniffing Position – Pinch nose, cover mouth and deliver 2 half breaths.
  • Adult – Full Head tilt/chin lift – Pinch nose, cover mouth and deliver 2 full breaths.

Continue CPR until responsiveness or normal breathing occurs.

 

D – Attach Defibrillator (AED)

As soon as available and follow voice prompts. Ensure help is coming.

 

Our KidzAid workshops are very hands on and interactive. We guarantee you will walk away feeling confident and empowered in paediatric first aid. We cannot stress enough how essential it is to practice these techniques on our real-life baby and child manikins. 


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Fever

A fever is when your baby or child’s temperature is higher than normal. In children, a temperature over 38 degrees indicates a fever.

A fever is usually a sign of an infection such as a virus or something caused by bacteria. A high fever does not necessarily mean your child has a serious illness, will not cause brain damage and once the infection has cleared, your child’s temperature will return to normal.

An infection caused by a virus does not require treatment with antibiotics. Antibiotics do not cure viruses. If your child has a bacterial infection they will be treated with antibiotics.

You may want to take your child’s temperature, if they are unwell and showing any of these signs:

  • In pain.
  • Crying.
  • Irritable.
  • Vomiting or refusing to drink/eat.
  • More sleepy than usual.
  • Feel hot to touch.
  • Unwell.

Treatment

  • The aim of fever management is to keep your child comfortable.
  • Dress your child in enough clothing so they are not shivering.
  • Encourage frequent sips of small amounts of clear fluids.
  • If breastfeeding, continue to do so, offer more feeds frequently.
  • Do not worry if your child refuses to eat, BUT continue to encourage fluids.
  • Watch for signs that their illness is getting worse.
  • Also see Dehydration

When to see your doctor?

  • Child complains of a stiff neck (infants may appear distressed when you pick them up).
  • Light sensitive / light hurting their eyes.
  • Child appears to be in pain.
  • Breathing problems.
  • Rash.
  • Decreased urine output / wet nappies.
  • Vomiting and refusing to drink / eat.
  • Not their usual self.

Fanning children and tepid sponging, is NOT recommended.

If your child has a temperature but is well and happy (‘Hot and Happy’) there is no need to give them medication such as paracetamol.  If your child has a fever and is miserable, give them paracetamol. Giving analgesia is only helpful in lowering your child’s fever for comfort. The analgesia may not make the fever go away but it will make the child feel better.

Key points to remember:

  • Fever is not necessarily a bad thing, it’s the bodies natural response in fighting infection and your child’s temperature will return to normal when the infection has cleared.
  • A high fever does not necessarily mean your child has a serious illness.
  • Don’t focus purely on the number on your thermometer, how does your child appear? Are they ‘hot and happy’? How do they look?
  • Fevers do not cause brain damage.

Babies under 3-months with a fever MUST be seen by a medical professional. You know your child better than anyone, so if you are unsure and concerned at anytime, seek medical attention.

Nurse On Call – 1300 60 60 24.

Pregnancy Birth & Baby – 1800 882 436.

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