Choking management

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Anita Felix Lopes BSN,MSN, RN 1

Transcript of Choking management

Page 1: Choking management

Anita Felix LopesBSN,MSN, RN

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Page 2: Choking management

The tongue is the most common obstruction in the unconscious victim (head tilt- chin lift)

Vomit Foreign body Swelling (allergic reactions/

irritants) Spasm (water is inhaled suddenly)

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Can you hear breathing or coughing sounds?High pitched breathing sounds?

Is the cough strong or weak? Can’t speak, breathe or cough Universal distress signal (clutches neck) Turning blue A partial airway obstruction with poor air

exchange should be treated as if it were a complete airway blockage.

If victim is coughing strongly, do not intervene

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Give 5 abdominal thrusts (Heimlich maneuver)Place fist just above the

umbilicus (normal size)Give 5 upward and inward thrustsPregnant or obese? 5 chest thrusts

Fists on sternum If unsuccessful, support chest with one hand

and give back blows with the other Continue until successful or victim

becomes unconscious4

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Call for help Try to support victim with your knees while

lowering victim to the floor Assess Begin CPR After chest compressions, check for object

before giving breaths breaths

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Position with head downward 5 back blows (check for expelled

object) 5 chest thrusts (check for expelled

object) Repeat

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If infant becomes unconscious: When the first breaths don’t go in, check

for object in throat then try 2 more breaths.

If neither set of breaths goes in, suspect choking

Begin 30 compressions Check for object in throat (no blind finger

sweep) Give 2 breaths

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