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Choking

Choking. Choking is respiratory distress that occurs when the airway is partially or totally obstructed by the foreign body or the tongue. Choking. For advanced pregnant women and obese casualty consider using CHEST THRUSTS on the middle of the casualty’s sternum. CHOKING.

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Choking

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  1. Choking Choking is respiratory distress that occurs when the airway is partially or totally obstructed by the foreign body or the tongue.

  2. Choking For advanced pregnant women and obese casualty consider using CHEST THRUSTS on the middle of the casualty’s sternum.

  3. CHOKING HOW TO RECOGNIZE IT? • Difficulties in breathing (exaggerated but ineffective breathing movements) • Unable to speak or make any sound. • Coughing rapidly • Showing Universal Sign of choking (victim clutches his neck between his thumb and index finger) • Cyanosed (blueness of lip/nail bed • Collapse

  4. Adult Conscious Choking • Approach casualty and identify yourself • Stand behind casualty and grab his shoulder • Ask, “Are you choking?” • Locate victim’s navel • Make a fist with knuckles up, 2 fingers above navel. • Grab fist with other hand

  5. Press fist into casualty’s abdomen with individual inward and upward thrusts, each thrusts is a separate and distinct object. • Stop when object is dislodges or casualty become unconscious (if casualty is unconscious, lie casualty on the floor, proceed to unconscious choking procedures) If object is dislodged • Check for casualty’s ABC • Should casualty be send to hospital • Re-assure the casualty • If casualty is unconscious, lie casualty on the floor (see unconscious choking procedures)

  6. Unconscious Choking • Approach casualty; tap victim’s shoulder. Shout, “Hello! Hello! Are you OK?” • No response, Shout for “Help! Call ambulance 995” • Check victim’s mouth (clear foreign body if seen)

  7. Do a Head tilt/Chin lift to open airway (Place you hand that is nearest victim’s forehead and apply backward pressure to tilt head back, place fingers of your other hand under bony part of jaw near chin and lift, avoid pressing on soft tissues under jaw, tilt head backward without closing victim’s mouth)

  8. Look, Listen and Feel (place your ear over victim’s mouth and nose while keeping airway open, look at victim’s chest to check for rise and fall; listen and feel for expired air) • No response, give 1 breath to test for obstruction. (pinch nose shut, take a deep breath and seal your lips tightly around victim’s mouth)

  9. CONFIRMED CHOKING • Place your shoulder directly over your hands on the chest • Keep arms straight and elbows locked • Push sternum straight down 1 ½ to 2 inches (4 to 5 cm) • Do 15 compressions (count 1 and 2 and 3 and 4 and 5 and 1 and 2 and 3 and 4 and 10 and 1 and 2 and 3 and 4 and 15)

  10. Use your thumb and fingers to grasp victim’s jaw and tongue and lift upward to pull tongue away and back of throat and away from foreign object. • If you are unable to open mouth to perform the tongue-jaw lift, use crossed-finger method by crossing the index finger and thumb and pushing the teeth apart. • With index finger of your other hand, slide finger downs along the inside of one cheek deeply into mouth and use other cheek to dislodge foreign object.

  11. If foreign bodies comes within reach, grab and remove it. Do not force object deeper. • For a child: use finger sweep only if foreign object is seen. • If unsuccessful – repeat until the object is expelled or paramedic arrives.

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