Choking
Emergencies
If you are without Oxygen this
is what will happen:
• 4-6 minutes-possible brain
damage
• 6-10 minutes-brain damage is
likely
• Over 10 minutes-irreversible brain
damage
What can cause an airway
obstruction?
Signs of choking
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Coughing forcefully
Clutching throat
Making high pitch noises
Bluish skin color
Trouble breathing
Shortness/gasping of breath
Panic/fear
Conscious choking techniques
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Check scene
Check victim Are you ok?
Call 911
Say who you are, level of training, what
care you would like to give and ask for
permission to help. IF THEY SAY YES• Put arm across their chest and have
them lean forward-perform 5 back blows
• If object does not come out
• Find the navel, put hand above navel and put
other hand over it-perform 5 abdominal
thrusts.
• Continue performing back blows and
abdominal thrusts until: object comes out,
person goes unconscious, person can cough
forcefully or breathe, YOU are too tired to
continue, or EMS arrives.
Exceptions-give chest thrusts
instead
(Place fist in center of breastbone)
1. Person is pregnant
2. Can’t get your
Hands around person
(obese)
If you are alone and choking
• Try to perform abdominal thrusts on
yourself by using
• your hands
• A chair
• A counter
• A edge of sink
Conscious choking techniques for
child
• Same as adult except: ask permission
from adult/guardian-IF YES
• Go on knees so you are on the same level
as the child-perform back blows &
abdominal thrusts
Choking techniques for infant
• You MUST support the head and neck
when performing both skills. Must support
BODY of Infant on your leg.
Placement for chest thrusts-2-3
fingers below nipple line
CAUSES of Airway obstruction
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Object in airway
Electrocution
Shock
Drowning
Illness
Asthma or emphysema
Allergy
Overdose on drugs
Contact with toxic substances
Respiratory distress-(Most common
breathing emergency)difficulty with
breathing
• Sign and symptoms-gasping, shallow or
deep breaths, wheezing, gurgling, high
pitched sounds, pale or blue skin,
• dizzy/ lightheaded and pain in chest.
Asthma
• Narrow the air passage and makes
breathing difficult.
• Very serious for children ages 10-14
death can occur.
• Causes-allergies to: food,
pollen,drugs,bites or physical activity.
• What are the signs and symptoms?
• Treatment-Medications
Emphysema-Lungs and alveoli
lose ability to exchange oxygen
and carbon dioxide.
• Bronchitis-inflammation of the
trachea, bronchi and bronchioles due
to a build up of mucus.
Anaphylactic shocksevere allergic reaction
• What things are people
allergic to?
Signs and symptoms of
respiratory distress in children
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Agitation
Slow or fast breathing
Drowsiness
Noisy breathing
Pale, ashen or blue skin
Increase in heart and breathing rates
Difficulty breathing
Hyperventilation -breathing faster
than normal
Cause-fear, head injury, bleeding, high
fever, heart failure, lung disease, asthma
and exercise.
Signs and symptoms-fear, confusion, dizzy
and numb.
Treatment-reassurance, paper bag, cupped
hands and controlled breathing (in through
nose and out through mouth).
Unconscious choking techniques
for the adult
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Check the scene
Check the victim-are you okay? Shoulder tap
Call 911
Head tilt/chin lift
Look, listen and feel for 10 seconds
Give 2 breaths (breaths don’t go in)
Retilt the head and give 2 more breaths
( breaths still do not go in)
Give 30 compressions-at least 2 inches
Look for object- Finger sweep if you see it
2 breaths
Until what???????
Unconscious choking child
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Check the scene
Check the victim-are you okay? Shoulder tap
Call 911
Ask for permission from parent
Head tilt/chin lift
Look, listen and feel for 10 seconds
Give 2 breaths (breaths don’t go in)
Retilt the head and give 2 more breaths
( breaths still do not go in)
Give 30 compressions-less effort about 2 inches
Look for object-Finger sweep if you see it
2 breaths
Until what???????
Unconscious choking infant
• Check the scene
• Check the victim-are you okay? Foot flick
• Call 911
• Ask permission from parent/guardian
• Head tilt/chin lift
• Look, listen and feel for 10 seconds
• Give 2 breaths (breaths don’t go in)
• Retilt the head and give 2 more breaths
• ( breaths still do not go in)
• Give 30 compressions-1 ½ inches deep
(Hold head with one hand)
• Look for object -Finger sweep if you see it
• 2 breaths
Until what???????