CHOKING Flashcards
(17 cards)
A foreign object stuck at the back of the throat that blocks the throat or induces a muscular spasm Causes about 3000 deaths/year
CHOKING
Common Causes:
1. A large piece of food inadequately chewed
2. A large piece of food was hurriedly swallowed
3. Toys or objects placed inside the mouth
Choking
Choking Recognition
- Difficulty of coughing, speaking, and breathing
- Bluishness of the face (Cyanosis)
- Signs from the casualty- pointing to the throat or grasping the neck
Steps to Intervene:
- Recognize respiratory distress (signs and symptoms)
- Remove the cause of the problem and provide fresh air
- Restore and maintain CAB by CPR and Artificial Breathing
- Transport and Obtain Medical help for severe airway and breathing difficulties, even if first aid has been
successful.
Kinds of Airway Obstruction
A. Anatomical Obstruction
B. Mechanical Obstruction
C. Airway Obstruction
occurs when the airway is blocked by the tongue dropping to the back of the throat due to paralysis or unconsciousness.
Anatomical Obstruction
Any swelling of the air passages after injuries, illnesses, or infections
Anatomical Obstruction
Solid foreign objects common with adults and children are usually food, toys, candies, nuts, fruit, veggies, plastics, strings, etc.
Mechanical Obstruction
Fluids (mucus, blood, saliva, vomit)
Mechanical Obstruction
3 Types of Airway Obstructions:
- Partial Obstruction with Good Air Exchange
- Partial Obstruction with Poor Air Exchange
- Complete Airway Obstruction
- The victim can still cough, talk, and breathe with some difficulty.
- The victim can cough forcefully enough to push the obstruction out
- Needs assistance to remove the obstruction because they panic and become confused
Partial Obstruction with Good Air Exchange
- The victim presents a high-pitched noise or sound while breathing
- Has a weak and ineffective cough
- The victim needs help in removing the obstruction
- Heimlich Maneuver, back blow, or slap will do the trick to remove the blockage.
Partial Obstruction with Poor Air Exchange
- The victim may clutch his/her throat with one or both hands
- The victim cannot cough, talk, or breathe
- May eventually lose their consciousness
- Abdominal thrusts, chest thrust, back blow, or combination is necessary
Complete Airway Obstruction
Management:
- Heimlich Maneuver (Abdominal Thrust)
- Chest Thrust
- Back slap or back blow
1.1-5 quick upward thrust above the navel but well below the xiphoid process
2. Produces an artificial cough that might remove the obstruction if done properly
3. Each must be distinct and given with the intent to remove the obstruction
Heimlich Maneuver (Abdominal Thrust)
For obese and pregnant patients which abdominal thrust cannot be performed
-The hands are placed on the breastbone, and a backward thrust is performed
Chest Thrust
5 sharp slaps given between the shoulder blades
4. Combination of 5 back blows/slaps and 5 Abdominal thrusts
Thrust for infants and or 5 back blow/5 slap and abdominal thrust-adult
Back slap or back blow