1. Chapter 35 Lesson 3 First Aid for Choking, Rescue Breathing, and CPR

2. Recognizing the signs Choking occurs when food gets caught in the trachea Step 1 – recognize symptoms Step 2 - Attempt to dislodge the object Universal signal for choking is Both hands placed at the throat

3. Choking for Children and Adults If you suspect someone is choking 1 – Ask “are you choking?” 2 – If victim is unable to breath, cough, or speak, begin to administer abdominal thrusts ( Heimlich)

4. Heimlich Page 780 in book 1. wrap you arms around the victims wais, thumb side of your wrist against the victims abdomen. Make sure the victims fee are spread apart so that you have a good base of support. Place you hand halfway between the lower tip of the victims, breastbone, or sternum and the navel

5. Heimlich 2 – Grasp you fist with the other hand and press into the abdomen with quick upward thrusts until the blockage is dislodged If no other person is present, victim can perform abdominal thrusts on himself by leaning over the back of a chair other edge of a table

6. Choking in Infants P.780 For children age 1 and under abdominal thrusts are not recommended, it may damage abdomen Following technique should be used only on conscious choking infants

7. Choking in Infants 1 – Place infant on a downward angle over your arm 2 – Using the heel of your hand, give four quick blows to the baby’s back between the shoulder blades 3 – Turn the infant over, supporting its head, neck and back between the shoulders.

8. Choking in Infants 4. Press two fingers into the middle of the baby’s sternum, this is known as chest thrusts, repeat 4 times 5. Alternate administering back blows and chest thrusts until object is dislodged

9. Respiratory Failure This condition can result from the lungs filling with water as in drowning, or from gas poisoning, an overdose of Narcotics, or electrocution

10. Signs of Respiratory Failure Absence of breathing movements Dilated pupils bluish color lips and tongue, or fingernails Blood and oxygen circulation must be restored to the brain within FOUR MINUTES to prevent irreversible brain damage Rescue breathing recommended

11. Rescue Breathing for Adults Tap person’s shoulder and ask “are you all right?” Direct someone to call 911 1.Tilt head back by placing one hand under the bony part of the chin and lifting while placing the other hand on the victims forehead and pressing downward. This moves the jaw and tongue forward

12. Rescue Breathing for Adults 1.Look listen and feel for breathing - look to see if chest is rising - listen for breathing - feel for breath on cheek 2.IF NOT BREATHING – - Pinch nose together with your index finger and thumb - Give 2 full breaths

13. Rescue Breathing for Adults 3. Keep head tilted and look, listen and feel - Determine if victims heart is beating by checking the carotid pulse - To find carotid place index and middle finger on the adam’s apple and slide them into the groove at the side of the neck

14. Rescue Breathing for Adults 4. If there is a pulse but no breathing continue to administer breaths at the rate of 1 every 5 seconds - Periodically check chest to see if it is rising and falling - Continue until victim begins breathing or medical help arrives

15. Rescue Breathing for Infants and Children Rescue breathing for Infants and Children are the same as adults with these 3 exceptions 1.Do not tilt head as far back as adult 2.Place mouth over mouth and nose of infant 3.Give not quite full breaths 4.Give 1 breath every 4 seconds for children 5.Give 1 breath every 3 seconds for infant

16. CPR BEFORE A PERSON CAN ADMINSTER CPR THEY MUST BE CERTIFIED