Presentation on theme: "Kathleen Blair-Harmon, RN"— Presentation transcript:
1Kathleen Blair-Harmon, RN Relief of Choking in Victims 1 Year of Age and OlderKathleen Blair-Harmon, RN
2Relief of Choking This presentation will discuss common causes of choking and actions to relievechoking – also known as foreign-bodyairway obstruction (FBAO)
3Relief of Choking Learning Objective: At the completion of this presentation theparticipant will be able to show how to relievechoking in the responsive and unresponsivevictim over 1 year of age.
4Relief of ChokingThe key to a successful outcome is the early recognition of an airway obstruction.Foreign bodies can cause either mild or severe airway obstruction
5Relief of Choking Signs of mild airway obstruction are: Good air exchangeResponsive and can cough forcefullyMay wheeze between coughsAs long as good air exchange continues, simply encourage the victim to continue spontaneous coughing and breathing efforts.Do not interfere with the victim’s attempts to expel the foreign bodyStay with the victim and monitor the situationIf the mild obstruction persists, activate the emergency response system (911)
6Relief of Choking It is important to recognize the signs and symptoms of a severe airway obstruction.Poor or no air exchangeWeak ineffective cough or no coughHigh-pitched noise while inhaling/no noise at allIncreased respiratory difficultyCyanosisUnable to speakMaking the universal choking signUnable to move air
7Relief of Choking Universal Choking Sign Clutching the neck with the thumb and fingers
8Relief of Choking Step 1: Ask, "Are you choking?" Stay calm, and try to keep the victim calm as well.
9Relief of Choking Step 2: It is best to point to a specific person and tell him to call911. Instruct the person totell the operator that someone is choking. Don't just call outfor anyone to call 911, asbystanders may freeze orpanic in emergency situations.
10Abdominal ThrustsStep 3: Position yourself behind the choking person.
11Relief of Choking Step 4: Place the thumb side of your fist against the victim’s abdomen,in the midline, slightlyabove the navel andwell below thebreastbone.
12Relief of Choking Step 5: Grab your fist with your other hand and press your fist intothe victim’s abdomen with aquick upward thrust.Give each thrust witha separate and distinctmovement
13Relief of ChokingStep 6: Repeat thrusts until the object is expelled from the airway or the victim becomes unresponsive.
14Relief of ChokingIf a choking victim becomes unresponsive, you know that choking caused the symptoms.Activate 911, open the airway, remove the object if you see it, and begin CPR.
15Relief of ChokingIf you are alone with a child choking victim that becomes unresponsive, openthe airway, remove the objectis you see it, and begin CPR.After about 5 cycles, or 2 minutesof CPR, activate 911 if this hasnot already been done.
16Relief of ChokingFor both the adult and child victims, look for an object each time you go to give a breath. If you see an object, remove it with your fingers. If you do not see an object, keep doing CPR.
17Relief of ChokingIf the victim is pregnant or obese, perform chest thrusts instead of abdominal thrusts.
18Relief of Choking You can tell you have successfully removed an airway obstruction if youFeel air movement and see the chest rise when you give breathsSee and remove a foreign body from the pharynx