Choking

Question 1

How to recognise difference between partial and complete obstruction?

Answer 1

If patient can vocalise a response - partial
If pt cannot vocalise response - complete

Question 2

How to do back slaps?

Answer 2

Remove obvious debris
Stand to side and slightly behind pt
Tell pt I’m going to give you 5 back slaps
Give up to 5 back slaps between scapulae with heel of hand
Check mouth after each slap

Question 3

How to do abdominal thrusts?

Answer 3

Stand behind pt, put arms around upper abs
Lean pt forward
Clench fist and place under sternum and wrap other hand around fist
Pull sharply up and inwards

Question 4

What to do if 1 round of ab thrusts fails to remove obstruction?

Answer 4

Call for medical assistance
Recheck mouth for debris
5 back slaps and 5 ab thrusts until assistance arrives or until pt loses consciousness

Question 5

What to do if pt becomes unconscious?

Answer 5

Behind CPR - 30:2
If pt unconscious but breathing - place in recovery position to maintain their breathing