Pak Bambang, CT Scan buat anak enggak rokemend Pak, pertama karena ada side effect, kedua mungkin anak bakalan berontak dan butuh penenang. Tindakan bapak udah bener. Tunggu observe aja dulu. Memang musimnya lagi enggak sehat, banyak anak yg terserang flu, batuk dan diare nih akhir2 ini. Apalagi Razi waktu jatuh nangis, biasanya kalo anak jatoh nangis enggak terlalu parah jatohnya.
Sekedar info untuk penanganan anak jatuh, dari file milis sehat. Salam, Melisa ========================== http://www.babycenter.com/refcap/baby/babyills/397.html My baby fell off the couch and hit his head. What should I do? Whenever your baby takes a serious tumble from a couch, highchair, crib, or counter top, or falls when cruising on a ride-on toy, you need to do a thorough check for injuries, especially if he falls on his head or back. If your baby cried immediately after striking his head and remained alert, chances are the fall didn't cause serious injury. But if he seems particularly irritable or confused or, worse, lost consciousness, call the doctor. You should also call the doctor if your baby has any of the following: . Cuts, abrasions, or bleeding (if your baby doesn't seem to feel pain around the area, if you can't control bleeding with pressure, or your baby cut his arm or leg and the affected limb seems weak, get medical attention right away) . Significant bruises or bumps . Obvious deformity of the arms or legs, or pain that doesn't significantly improve within several minutes . Signs of a concussion (see below) . A soft area on the scalp, blood showing in the whites of his eyes, or pinkish fluid or blood draining from his nose or ears (these symptoms can all indicate a possible skull fracture) . Prolonged crying or screaming (can signal a possible internal injury) If your baby is just learning to walk and took a tumble, try not to overreact. Let him stand up on his own. Rushing to his side every time he stumbles will wear you out and make him overly cautious or quick to cry whether he's hurt or not. If he sobs and whimpers, calmly comfort him and encourage him to get back on his feet. What should I do if he develops a bump on his head? "Goose eggs" on the head are common, especially in babies who are just learning to cruise and walk. Although a bump on the head looks serious, it's really just swelling and a sign that the injury affects only scalp tissue, not the brain. Don't be surprised if the goose egg is quite large. When swelling occurs on the head it has nowhere to go but out, because your baby's skull is just under the skin. To help the bump go down, place an ice pack on it for 20 minutes. Nursing or feeding your baby during this time can help distract him from the chill. What if my baby takes a serious fall yet doesn't suffer any apparent injury and resumes playing? Be thankful but watchful. Falls can be serious, but because your baby's bones are soft, they don't fracture as easily as those of an older child. If your baby fell on a hard surface but seems okay, continue to carefully observe him for the next 24 hours (especially if he bumped or fell on his head). Keep your eye out for these signs of a possible concussion and if you notice them, call your pediatrician right away: . Crossed eyes, or pupils that are unequal in size . Change in crawling or walking style . Irritability . More than one or two episodes of vomiting (throwing up once after a bad bonk on the head is common and no cause for concern) . Blood or watery fluid from the nose or ears What if my baby lost consciousness after the fall? Seeing your baby lose consciousness, even briefly, is terrifying. You should call your pediatrician right away. If your baby got knocked out but quickly regained consciousness, the doctor will probably want to see him. Then he'll recommend that you put him down to rest and monitor him closely, watching for dizziness, vomiting, or any changes in breathing, skin color, or behavior. If your baby's condition appears to deteriorate, call 911. If your child doesn't regain consciousness within several seconds, call 911 or your local rescue squad immediately. If you suspect his fall may have caused a neck or spinal cord injury - if he's alert but not moving, for example, or conscious but limp - don't move him. Instead, try to immobilize his head and neck by placing books or firm pillows around him to hold his body in position. Otherwise, gently tilt his chin up and his head back to ensure that his airway is open, and check his breathing and pulse. . If he's breathing and has a pulse, hold him in your arms with his head tilted back slightly until help arrives. . If he's not breathing but has a pulse, cover his mouth and nose with your mouth and begin rescue breathing. Check his pulse. Continue this cycle until help arrives. . If he isn't breathing and doesn't have a pulse, give infant CPR (cardiopulmonary resuscitation) until help arrives. My baby has just started walking and falls a lot. What can I do to reduce his risk of serious injury? When babies start to walk, they seem to take more stumbles than steps. Minor bumps and bruises are an unavoidable part of developing motor skills and independence. As long as your baby is under constant adult supervision and his play area is free from stairs, sharp edges, and other hazards, most falls will not cause serious injury. Here are some other steps you can take to keep him safe: . Pad pointed corners on furniture (because they're low, coffee tables are common culprits in childhood bumps and bruises, so it may be worth packing yours away until your child is a more confident walker). . Put skidproof pads under all rugs. . Keep your baby away from elevated porches and decks and place gates at the top and bottom of each stairway (choose a mesh gate, rather than the accordion style, which can trap and pinch little fingers) . Be extra vigilant about holding your baby still on the changing table. Some have straps that can help you keep your grip on a real wiggler, but they may not be enough to prevent a fall, so don't ever leave the baby on the table unattended. . Lower your baby's mattress if he's started standing in his crib. . When you're at the grocery store, buckle your baby into the seatbelt on the cart. . Keep a sharp eye on your baby at all times if he's started climbing on the furniture so you can act quickly if he falls. =============================== http://www.askdrsears.com/html/8/T082300.asp HEAD INJURIES The skull acts as a protective helmet for the delicate brain, and the skull is covered with a richly vascularized scalp. It is designed to withstand the hard bumps and bruises of childhood. It helps to appreciate the difference between a skull injury and a brain injury. Most falls involve injury to the scalp only, which bleeds profusely if cut or forms a large swelling (goose egg) from broken blood vessels beneath the skin. Don't be alarmed by how quickly these large bumps appear. They go down quickly with an ice pack and pressure. These bumps and bleeds are usually limited to a scalp injury and seldom indicate that the underlying brain has been injured. Here are some tips to help you get through this ordeal. The main concern after any blow to baby's head is injury to the underlying brain, which occurs in two forms: bleeding and concussion. When small blood vessels have been broken between the skull and the brain or within the brain, bleeding occurs within this space and compresses the brain. A blow to the head may also cause a concussion, meaning the brain has been "shaken up" by the fall. Pressure on the brain from bleeding or from the swelling associated with the concussion produces the outward signs of a brain injury. WHAT TO DO WHEN YOUR CHILD BUMPS HIS HEAD Don't panic. Stay calm. If your child sees you remain relaxed, he is more likely to calm down. Ice, ice, ice! If your child will let you, gently hold an ice pack (a "boo-boo bunny") to the bump (bag of frozen vegetables works great!). This will decrease the eventual size of the bump. Apply the ice for 20 minutes and then take a 5-minute break, then 20 minutes again. Offer your child a treat to eat during the icing to consol him. Many children will kick and scream if you try to apply ice. You can decide if it is worth it. The main benefit from ice is cosmetic appearance. Rarely, a large bump will leave a tiny pea-sized residual hard calcium deposit felt under the skin. Applying ice may help prevent this. Stop the bleeding. The skin on the face and scalp is extremely rich in blood vessels. Cuts on the face and scalp will bleed much more than other areas of the body. Simply apply gentle pressure to the cut using a cloth (may have ice inside it). The bleeding will stop with time. Children virtually never lose too much blood from a cut or bump, even though it may seem like a lot. If there is a cut over the bump, wait for the bleeding to stop, then examine in closely. Click here on to help you decide if it needs stitches. Acetaminophen. When your child has calmed down, you may want to give a dose to relieve the headache that might start. Click on it for dosing. You need to observe your child's mental status as explained below. Try to keep him awake for at least an hour. After that, you can allow him to take short naps, but no more than 20 minutes without observing him. Observe your child. If your child is alert and conscious, walking, talking, playing, and acting like she was before the fall, administer a dose of parental sympathy, apply an ice pack to the cut or bump for twenty minutes, and begin a period of observation before calling your doctor. The reason for the period of observation is because doctors often rely more on how the child behaves after the injury than what happened at the time of the injury. If the brain has been injured, signs may show immediately, or they may appear slowly during the next twenty-four hours. After the period of observation, depending on your baby's condition, you may or may not with to call the doctor. Besides any when-to-call-the-doctor list there is an overriding inner voice. Trust this monitoring system as much as the most sophisticated electronics. If it tells you something's not quite right, call your doctor to report baby's condition, seek advice, and above all tell the doctor why you are concerned. WHEN TO WORRY Bumps on the head, even large ones, don't always warrant a trip to the ER or even a call to your doctor. However a hard hit may shake up the brain - called a concussion, also blood can slowly leak out from a damaged blood vessel beneath the skull, called a hematoma that push into the brain tissue. A small hematoma is not dangerous, but larger ones can push into the brain tissue. This can either happen very quickly within an hour, or it can take two or three days. This is an emergency and requires a CAT scan of the head to diagnose. Remember, considering the many times children hit their head, injury to the brain is unusual. Most bumps on the head, even large ones, are not serious. Here are some signs to watch for that warrant a call to the doctor or the ER immediately: Loss of consciousness. If your child blacks out, even for a few seconds, this can mean that the force of the bump was strong enough to cause a hematoma. A reassuring sign is that you either hear or see your child start to cry immediately after the bump. This means he did not lose consciousness. If your child is unconscious, but breathing and pink (no blue lips), lay her on a flat surface and call emergency medical services. If you have cause to suspect a neck injury, don't move the child but let the trained experts in neck injuries transport her. If she is not breathing, apply CPR, or if she's having a convulsion, keep her airway clear. Sometimes, if baby is sensitive and prone to temper tantrums, she may be pushed into a breath-holding spell, which could be mistaken for a convulsion. This scene naturally pushes panic buttons and gets baby rushed to the hospital. Even if this turns out to be unnecessary, it is better to be safe. When in doubt, take baby and sit in the waiting room of the local hospital emergency room. Vomiting. Many children will vomit once or twice after a big bump on the head, either from crying, coughing and gagging, or just from the shock to the skull. This is expected. However, if your child vomits three or more times, he should be looked at in the ER. As a precaution feed the recovering faller clear liquids for a few hours. Breastfeeding is therapeutic. Altered mental status. This means that your child won't focus on you, look you in the eyes, or respond to questions or commands. Fighting you when you try to apply ice are actually goods signs that he is okay. Loss of balance while walking. Many children may complain of dizziness. This is expected. But if your child actually loses is balance and repeatedly falls over while walking, he needs to see a doctor. Watch your child's normal play. Is he doing everything the same after the fall: sitting straight, walking well, moving arms and legs normally? Or is he off balance, wobbly, dragging a leg, or becoming increasingly disoriented? In the pre- walker, do you notice any change in sitting or crawling skills or in manipulative hand skills Prolonged crying. If an infant continues to cry inconsolably for more than an hour after a good dose of acetaminophen, he should probably see a doctor. Severe headache. If a child continues to complain of a very severe headache you should consult a doctor immediately. Eye signs. The eyes mirror what's going on inside the body, especially inside the brain. In fact, the back of the eye is so intimately connected with the brain that your doctor looks at the backs of the eyes for evidence of brain swelling while examining a child following a head injury. A child's signs are more difficult to assess, but here are the call-doctor cues: Crossed eyes or rolling eyes One pupil larger than the other Behavior such as tripping or running into things that indicates baby's vision is diminished In the older child, add complaints of seeing double and blurred vision to the worry list When in doubt always seek medical attention. WHAT TO LOOK FOR OVER THE NEXT 12-24 HOURS Check your child frequently for any of the above signs. Also check for: Changes in baby's sleep behavior. Babies normally retreat into sleep after trauma, which makes the usual admonition to "watch for a change in consciousness" an anxiety-producing instruction for the parent. If a head injury occurs near night or nap time in an already tired child, you may be confused about whether the drowsiness is due to the injury or whether it's just time for sleep to naturally overtake the child. And it may be impossible to follow the advice "Don't let baby go to sleep." Let baby fall asleep, but awaken yourself every two hours and do a baby check. This is what to look for: Change in color. From pink to pale or, even more alarming, blue. Change in breathing. Periods of very shallow breathing, ten-to twenty-second periods of stop-breathing episodes followed by irregular breathing, or gasping episodes (remember that newborns normally have irregular breathing). Twitches. On one side of the body involving a whole limb. If baby's color and breathing patterns are normal (no change from usual) and your parental instincts sense nothing's wrong, there's no need to awaken baby unless advised to do so by you doctor. The deep sleep from a head injury is nearly always associated with shallow, irregular breathing patterns that you are unlikely to have seen before. If, however, you are uncertain or child's appearance sets off a "not normal" alarm, do a partial arousal. Sit or stand your child up and then put her back down. Normally, a child will fuss a bit and thrash around in the bed to resettle. If your child does not act like this, try to fully arouse her by sitting or standing her up, opening her eyes, and calling her name. If she awakens, looks at you, fusses or smiles, and struggles to be left undisturbed, you can go back to sleep without worrying. If, on the other hand, she does not protest, can't be awakened enough to begin fussing, is pale, shows irregular breathing, and is drooling profusely, or shows any of the signs of brain injury listed above, seek medical attention immediately. SHOULD I WAKE MY CHILD UP DURING THE NIGHT? While it's standard advice to awaken the child frequently after a head injury, in practice this advice is confusing. Children normally retreat into sleep after any upset. In fact, because of new insights into the management of head injuries it is no longer standard practice for an ER physician to advise waking a child up, if the ER physician has thoroughly examined the child and found no evidence of internal injury. Studies of children seen in an ER for a head injury show that if a child has a normal neurological exam and normal CAT scan there is very low risk of that child deteriorating and therefore it is not necessary to wake that child up. A more practical approach is to observe a change in your child's color and breathing patterns. If your child looks pale and shows very irregular or very shallow breathing that is very different from his usual patterns awaken him for a more complete evaluation. Your doctor will advise you whether or not to awaken your child. WHAT ABOUT SKULL X-RAYS? Except for severe head injuries or obvious fractures, skull x-rays are seldom helpful; nor is it necessary to rush a happily playing child to the hospital for an x-ray. First, try a period of observation; next, call your doctor; then comes the advice on whether or not to take baby to the hospital for x-rays. A CAT scan, a series of cross-sectional x-rays of the brain, has nearly replaced the plain skull x-ray. In most cases if a child warrants an x-ray at all, he merits a CAT scan. This technological breakthrough reveals much more about an injury, such as whether there is bleeding or swelling of the brain, than a simple skull x-ray. On a softer note: In the life of a child, considering the many times little heads meet hard floors, injuries to the brain are uncommon. ----- Original Message ----- From: "Bambang Suseno" <[EMAIL PROTECTED]> To: <balita-anda@balita-anda.com> Sent: Monday, September 18, 2006 9:33 AM Subject: [balita-anda] Jatuh..muntah2... > > Dear Parents, > > saya lagi sedih. > jumat sore Razi (2 tahun) jatuh lagi dari kursi jam 5 sore. > Kita nggak liat jatuhnya..tau2 dah nangis...lalu anaknya biasa lagi... > Tapi jam 7 sore..dia muntah....kita bawa kedokter ...jam 8 muntah > lagi...cuma yaitu anaknya tetep ceria aja ..tidak ada benjolan > lalu jam 1 dini hari...dia muntah lagi > Pagi hari kita bawa ke dokter syaraf di klinik anakku di Cinere tuk > observasi (dr.Irawan) > Beliau bilang mudah2an muntahnya disebabkan hal lain...karena sebelum > muntah Razi pegang2 perut.(mungkin masuk angin..???) dan diobservasi lagi > sampai senin sore..bila ada benjolan segera CT scan. > Namun samapi saat ini anaknya biasa aja...karena yang saya baca di > internet...bila jatuh, biasanya anaknya akan pusing,lemes,mengantuk, dan > ada perubahan perilaku tidak seperti biasa. > > Yang ingin saya tanyakan : > 1. Apa efeknya CT scan terhadap Otaknya? karena itu pasti ada radiasinya. > 2. Mungkinkah muntahnya disebabkan hal lain? > 3.Apa langkah yang harus segera saya ambil? > > > Regards, > Bams > > > > -------------------------------------------------------------------------- ------------------------------------- > This message and any attachment are confidential and may be privileged or otherwise protected from disclosure. > If you are not the intended recipient, please telephone or email the sender and delete this message and any attachment from your system. > If you are not the intended recipient you must not copy this message or attachment or disclose the contents to any other person. > -------------------------------------------------------------------------- ------------------------------------- > > -------------------------------------------------------------- > Kirim bunga, http://www.indokado.com > Info balita: http://www.balita-anda.com > Peraturan milis, email ke: [EMAIL PROTECTED] > menghubungi admin, email ke: [EMAIL PROTECTED] > -------------------------------------------------------------- Kirim bunga, http://www.indokado.com Info balita: http://www.balita-anda.com Peraturan milis, email ke: [EMAIL PROTECTED] menghubungi admin, email ke: [EMAIL PROTECTED]
