Know what to do when children or young people are ill or injured

Signs and symptoms of some common childhood illnesses:
Chicken pox- Chickenpox is a mild and common childhood illness that most children catch at some point. It causes a rash of red, itchy spots that turn into fluid-filled blisters. They then crust over to form scabs, which eventually drop off. However, even before the rash appears, the child may have some mild flu-like symptoms including: •feeling sick

•a high temperature (fever) of 38ºC or over
•aching, painful muscles
•generally feeling unwell
•loss of appetite
Hand, foot and mouth disease- is a viral infection that can affect young children. It doesn’t usually pose a serious threat to a child’s health, but it can be an unpleasant condition, particularly if it affects younger children. Typical symptoms of hand foot and mouth disease include: •cold-like symptoms, such as loss of appetite, cough and a moderately high temperature of around 38-39°C •a non-itchy red rash that develops on the hand and the feet; sometimes the rash can develop into painful blisters •painful mouth ulcers

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Measles-The symptoms appear around 10 days after you get the measles infection and generally last for up to 14 days. The measles rash usually appears a few days afterwards. The initial symptoms of measles include: •cold-like symptoms, such as runny nose, watery eyes, swollen eyelids and sneezing •red eyes and sensitivity to light

•a mild to severe temperature, which may peak at over 40.6C (105F) for several days, then fall but go up again when the rash appears •tiny greyish-white spots (called Koplik’s spots) in the mouth and throat •tiredness, irritability and general lack of energy

•aches and pains
•poor appetite
•dry cough
•red-brown spotty rash
Mumps- Swelling of the parotid glands is the most common symptom of mumps. The parotid glands are a pair of glands responsible for producing saliva. They are located in either side of your face, just below your ears. Both glands are usually affected by the swelling, although only one gland can be affected. The swelling can cause pain, tenderness and difficulty with swallowing. More general symptoms often develop a few days before the parotid glands swell. These can include: •headache

•joint pain
•feeling sick
•dry mouth
•mild abdominal pain
•feeling tired
•loss of appetite
•a high temperature (fever) of 38°C or above
Tonsillitis- symptoms include:
•sore throat that can feel worse when swallowing
•high temperature (fever) over 38°C (100.4°F)

2.Actions to take when a child is ill or injured
•If it is a minor injury get it treated by someone who is first aid trained •Take the child to a quiet area
•Sit with them possibly read them a story
•Inform parents/carers about the illness/injury
•Check see if there is any medicines the child should be taking •Make sure an incident/illness form is filled in

3.Circumstances where a child may need urgent medical attention: Some children may be too young or may not be physically able to tell you when they need medical attention due to a disability. Often children and young people can become seriously ill very suddenly which means that as a member of staff you should be alert to any changes in their behaviour which could indicate pain or nausea. When a child becomes sick or lets you know that they feel unwell, you will need to sufficiently look after them until their parent or a carer arrives to collect them. In life threatening situations the emergency services should always be contacted straight away. An example of this would be if a child had any of the following signs of acute illness. 1. An open wound that won’t stop bleeding or where the blood is pumping out. 2. Burns or scalds to the child’s skin

3. Meningitis symptoms such as a stiff neck, fever, headache and a rash that doesn’t fade when pressed by a glass. 4. Confusion, headache, vomiting or blurred vision after a head injury. 5. being floppy, unresponsive or unconscious.

6. Difficulty breathing and blueness around the lips.
7. Having a high fever, heat exhaustion or severe sunburn.

4.Actions to take in emergency situations:
•Fires- Make sure you know where your fire exits are in your setting. Shut fire doors and windows and exit the building following your setting evacuation plan. Don’t leave children unattended. Call the fire brigade as soon as possible. Take the evacuation pack with the children’s emergency contact details on to get in touch with parents/carers. •Security incidents- Check the identity of the person coming to collect the child. Make sure they are not left alone with the children unless they are authorised to do so. Refuse entrance to anyone you are unsure of. Call the police if it is felt anyone is a danger to the children •Missing children or young people- Check all areas of the setting and if child is not found inform senior member in the setting, if you suspect a child is missing raise the alarm immediately. Make sure the other children are safe and occupied. Checking where and when the child was last seen. Phone the police and child’s parents. Starting an organised search. Keep someone at the last point the child was seen outside.

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