On May 1, Labor Day, Xi’an had a beautiful spring and pleasant weather. As a veteran doctor for many years, I was still used to going out to the specialist clinic. At about 11 o’clock, I heard noises in the pediatric corridor, parents’ heartbreaking cries and panicked cries for help. Emergency patients are coming! Emergency physicians and I quickly came to the rescue room, only to see a 4-year-old girl’s face, lips, extremities endings are cyanosis, respiratory heartbeat has stopped, pupils dilated. Nurses are establishing intravenous channels, doctors are busy doing CPR, tracheal intubation ……, rescue is being carried out in a tense and orderly manner. We carefully inquired about the onset of the child. It turned out that the parents took advantage of the holiday to take their children to the park to play, the baby is very happy, shortly after entering the park to buy a ham sausage, the child jumped and jumped, eating and playing, the parents followed the child, completely unaware of the accident occurred! Suddenly, the child turned around, red face, breathing difficulties, unable to speak, the parents realized that the child may be ham sausage stuck, rushed to call for help, and put his fingers into the child’s mouth, trying to pull out the ham sausage, but it did not help at all, the child’s face from red to purple, breathing more and more weak, life is in danger! The young mom and dad panicked and cried loudly, completely stunned! The good people next to them rushed to call 120 for help, and 30 minutes later, 120 brought the child to our hospital. This scene was like a scene from a movie or a TV show, everything came so suddenly and unexpectedly! Although we tried our best to save the life of the little one, the child eventually went away because the choking time was too long! In a moment, the parents were separated from their child, how can this not make people sigh with their wrists! A flower withered before it could bloom, and at least three families were devastated by the loss of their children! “If we hadn’t taken the child to the park today, nothing would have happened ……”, “If I hadn’t bought her a ham sandwich it would have been fine …… “, moms and dads bawled and cried in pain, they kept blaming themselves and repenting. When we come across this kind of situation, our healthcare professionals’ hearts also ache, but there is nothing we can do to help them back. Accidental injuries to children are very common. Working in pediatrics for nearly 30 years, I have seen all kinds of accidental injuries: drowning, fecal drowning, scald, fall, fall, car accident, carbon monoxide poisoning, accidental intake of various drugs (contraceptive pills, hypoglycemic pills, antipsychotics, etc.), poisoning (poisoned rat, pesticide, poisoned mushrooms, etc.), trauma to the eye, tracheal foreign body, choking (caused by eating chewing gum or jelly), pet bites and so on. A survey by the Global Organization for Child Safety shows that unintentional injuries have become the leading cause of death for children aged 1 to 14 in China. In China, more than 50,000 children die from injuries every year, or nearly 150 children die from injuries every day. Unintentional injuries are the leading cause of death for children aged 1 to 14 in China, with one out of every three deaths caused by unintentional injuries. According to some data, more than 25% of unintentional injuries occur at home, even under the eyes of parents. The majority of unintentional injuries to children occur because parents, teachers and other guardians lack the awareness and knowledge to prevent unintentional injuries to children. Accidental injuries often lead to disability or even death of children, which not only bring great harm to the family, but also cause great economic losses and heavy social burden. There is no parent who doesn’t love their children, and they give selflessly to their children, but as the guardian of the children, it is the most basic skill and responsibility to learn about safety, and to teach the children how to avoid the accidental injuries that may occur at any time, and how to protect their own lives better. As pediatricians, we have the responsibility to help parents, teachers of childcare institutions and the community to raise awareness of risk, prevent accidental injuries, protect children’s safety, prevent accidents before they happen, and avoid recurrence of tragedies through education. The first step is to strengthen safety education for children, parents and teachers should make up the lesson of preventing unintentional injuries to children safety education. This will help the public, parents, engineers and technicians in the cognitive basis, know what I should do. Traffic accidents: Avoid children sticking their heads, hands and bodies out of the window when riding in a car; sit in the back and fasten seat belts; lock the car doors so that children don’t open the door switches; don’t let children walk alone on the road. Falls and injuries: Frequent places for falls and injuries: beds, stairs, windows, bicycles, recreational facilities and so on. Crawling babies are most likely to fall out of bed, and babies who are learning to walk are most likely to fall out of windows and down stairs. Baby should be assisted up and down stairs. Don’t leave baby alone in an adult bed. Put non-slip mats in the restroom, in front of the sink, and on stairs. Choking on foreign objects in the airway: Cling film, plastic bags, peanuts, melon seeds and other nuts can become blocked in your child’s airway and cause choking. Put away small foreign objects, such as buttons, coins, etc.; children under 3 years of age should be cautious of eating nuts, beans and sticky frozen foods (dumplings, jelly, etc.); do not talk during meals, do not make children laugh, do not allow children to hold tableware, such as chopsticks, spoons and walk around. It is best to walk without food in the mouth. If your child gets a foreign body stuck, seek medical attention in serious cases. Tracheal foreign body emergency treatment: 1, pat the back method – let the child lying on the rescuer’s knees, head down, support its chest, pat its back, so that the child clucked out the foreign body. 2, emetic method – with a finger into the mouth, stimulate the root of the tongue to emetic, suitable for closer to the throat of the trachea foreign body. 3, forced squeeze stomach method – the rescuer holds the child’s waist, with the index finger, middle finger, ring finger of both hands on the top of the pressure of its upper abdomen, hard to the back of the upper extrusion, pressure and relaxation, repeated and rhythmic, in order to form an impact on the airflow, the foreign body flushed out. Encourage the child to cough. When the above methods do not work, should be sent to the hospital as soon as possible to the ear, nose and throat department, respiratory arrest to give mouth-to-mouth artificial respiration. Drowning: Wear a life jacket for your child whether on a boat or near water. Keep an eye on your child at all times when he or she is near and in the water, including near pools, bath tubs, and buckets; don’t leave your child because danger can happen at any time when you are answering the phone or talking to someone else. Swimming places with professional rescuers should be chosen and children should never be allowed to swim alone in lakes and rivers. Accidental ingestion of medicines and poisons: Everyday items in the home such as cosmetics, household cleaners as well as medicines may be swallowed by your child, which can lead to fatal poisoning. Topical and internal medicines, cosmetics and cleaning items at home should also be kept out of the reach of children. When giving medicines to your child, use them strictly according to the instructions and medical advice. Expired and unused medicines and chemicals should be thrown away promptly. If your child mistakenly takes a poison, call 120 immediately, and be sure to bring the poison or medication that was mistakenly taken with you when you seek medical attention. When a child’s skin comes into contact with common household chemicals, flush with water for about 15 minutes. However, if it is a strong acid, do not flush it directly with water, but wipe it with a dry cloth and seek medical attention immediately. Scalding burns: Try not to leave children alone in the kitchen or in contact with utensils such as hot water bottles, and do not leave young children alone in the bathroom. Put cold water in the bath tub before hot water. When bathing children in winter, be sure to pay attention to safety if placing heaters. Ignition devices (e.g., lighters, matches) should be locked in a drawer. Place electrical sockets high or covered so that children cannot easily reach them. Immediately immerse the injured part in clean, cold water. The sooner you immerse it in cold water, the better, but the temperature of the water should not be lower than -6°C. The time spent in cold water should be longer than the time spent in cold water. Soak time with cold water should generally last more than half an hour, and then use scissors to cut the wound at the clothes, with a clean cloth bandage and sent to the hospital. Special Tips Home Supplies Safety 5S Principles The Global Organization for Child Safety puts forward the 5S principles for home supplies safety checks to help parents create a safe home environment and prevent accidental injuries at home: “See See”: learn to use children’s eyes to examine the placement of items. “Strings”: Avoid excessively long strings. “Size”: The smaller the child, the larger the items parents need to give. “Surface: Try to make sure that the surface of the item is smooth and soft with lots of paint/small parts that are not peeling off. “Standard Standard”: scrutinize the safety standards related to children’s items. By strengthening education and social publicity on children’s safety and raising the preventive awareness of parents or teachers and preventive health care workers, we can avoid the occurrence of accidental injuries to children and protect children’s healthy growth.