1. Ch. 6 Choking Emergencies

2. 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

3. What can cause an airway obstruction?

4. Signs of choking Coughing forcefully Clutching throat
Making high pitch noises
Bluish skin color
Trouble breathing
Shortness/gasping of breath
Panic/fear

5. Conscious choking techniques
Check scene
Check victim Are you ok?
Call 911-GET AED
Say who you are, level of training, what care you would like to give and ask for permission to help. IF THEY SAY YES-

6. Find the navel, put hand above navel, PUT THUMB SIDE TO ABDOMINAL REGION and put other hand over it-perform abdominal thrusts.
EACH THRUST IS A SEPARATE ATTEMPT TO GET OBJECT OUT.
Continue performing abdominal thrusts until: object comes out, person goes unconscious, person can cough forcefully or breathe, YOU are too tired to continue, or EMS arrives.

7. Exceptions-give chest thrusts instead (Place fist in center of breastbone)
1. Person is pregnant
2. Can’t get your
Hands around person
(obese)

8. 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

9. 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 abdominal thrusts.

10. Choking techniques for infant
You MUST support the head and neck when performing both skills. Must support BODY of Infant on your leg. Give 5 back blows…if object does not come out give..

11. 5 chest thrusts-make sure fingers are vertical on the sternum

12. Conscious choking infant-(Do Now)
___1. Check the scene
___2. Check the victim- ask permission from parent-foot flick are you okay?
___3. Call 911 and Get AED
___4. Look, listen and feel for 10 seconds
___5. Perform 5 back blows
___6. Perform 5 chest thrusts
___7. Repeat steps 5 and 6 until
(Anytime you See object=finger sweep)
Object comes out, infant coughs forcefully infant goes unconscious, too tired, or EMS arrives.

13. Asthma Narrow the air passage and makes breathing difficult.
Very serious for children ages death can occur.
Causes-allergies to: food, pollen,drugs,bites or physical activity.
What are the signs and symptoms?
Treatment-Medications

15. 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.

16. Anaphylactic shock-severe allergic reaction
What things are people allergic to?

17. Signs and symptoms of respiratory distress in children
Agitation
Slow or fast breathing
Drowsiness
Noisy breathing
Pale, ashen or blue skin
Increase in heart and breathing rates
Difficulty breathing

18. 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).

19. Unconscious choking techniques for the adult
___1.Check the scene
___2.Check the victim-are you okay? Shoulder tap
___3.Call 911-GET AED
___4.Look, listen and feel for 10 seconds
NOT breathing
___5.Give 30 compressions-at least 2 inches
___6.Look for object- Finger sweep if you see it
___7. Give 2 breaths Until what???????

22. Do now
Describe the hand placement for Conscious choking adult and Unconscious choking adult.
What is the same?
What is different?

23. Unconscious choking child
___1.Check the scene
___2. Check the victim-are you okay? Ask permission from parent Shoulder tap
___3. Call 911-GET AED
___4. Look, listen and feel for 10 seconds
___5. Give 30 compressions-less effort about 2 inches
___6. Look for object-Finger sweep if you see it
___7. Give 2 breaths Until what???????

24. WHO HAS BETTER FORM? 1 2

25. Unconscious choking infant
___1. Check the scene
___2. Check the victim-are you okay? Ask permission from parent Foot flick
___3. Call 911-GET AED
___4. Look, listen and feel for 10 seconds
___5. Give 30 compressions-1 ½ inches deep
(MUST Hold head with one hand).
___6. Look for object -Finger sweep if you see it
___7. Give 2 breaths Until what???????

26. 2 fingers below nipple line