Choking

Question 1

General care Choking: Adults Responsive

Answer 1

Responsiveness:

1. Send for help
2. Encourage them to cough
3. 5 back blows between shoulder blades
4. If not effective, 5 abdominal thrusts, locate the belly button, make a fist just above the belly button and pull inwards and upwards.

Question 2

General Care Choking: Adults (unresponsive)

Answer 2

1. Send for help.
2. Start CPR. 30 chest compressions, about 2 inches deep.
3. Check for airway obstructions. Remove.
4. Give one breath. Note if the patient has taken in one breath.
5. If not reposition head. Give another breath.
6. Repeat until the patient has taken in one breath. Give another breath.
7. Check pulse. If there is a palpable pulse, we are going to give them one breath every 5-6 seconds.
8. After 2 minutes, check if they still have a pulse.

Question 3

General care: Children choking (responsive)

Answer 3

1. If the child is coughing or able to speak. Encourage them to cough forcefully.
2. Stand behind the child and support them with one arm across their chest.
3. Lean the child forward slightly.
4. Use the heel of your hand to deliver 5 back blows between the shoulder blades.
5. If that doesn’t work, attempt abdominal thrusts.
6. Stand behind the child, place your arms above their belly button and make a fist with one hand.
7. Perform quick inward and upward thrusts.
8. Alternate until the airway is cleared.

Question 4

General care: Children choking (unresponsive)

Answer 4

1. Call for help 111
2. Locate AED
3. 30 chest compressions, 2 inches deep. For smaller children use one hand, typically children ages 1-8 years old.
4. Check for airway obstruction.
5. Head tilt, chin lift, pinch their nose: 2 rescue breaths
6. Note if the kid does not take in one full breath, reposition head, give one more breath. And go back to do CPR.
7. Repeat until the child takes in one full breath. Give another rescue breath. Feel for a pulse.
8. If you don’t feel a pulse, continue CPR, one breath, repositioning, one breath, check pulse.
9. However, if you feel a pulse, give one breath every 5-6 seconds.
10. After 2 minutes, check for pulse.

Question 5

General Care: Baby choking (responsive)

Answer 5

1. Encourage coughing (natural way to clear the airway).
2. Hold their face down on your forearm. Ensure that the baby’s head is lower than their chest to help gravity dislodge the object.
3. If not, deliver 5 back blows, between the shoulder blades.
4. If you can see the object, use your fingers to take it out.
5. If all fails, flip the baby over onto their back, still supporting their head and neck. Place two fingers in the center of the chest, deliver 5 chest thrusts.
6. Alternate between the two if the object hasn’t been cleared.

Question 6

General Care: Baby (unresponsive)

Answer 6

1. Check for responsiveness , tap the baby gently and shout their name.
2. Place the baby on their back, tilt the head back slightly.
3. Check for breathing, look if the chest is rising and falling. Listen for breath sounds and feel for breath on your cheek.
4. Chest compressions: two fingers on the chest, 1.5 inches dee, 30 chest compressions followed by 2 rescue breaths.
5. Rescue breaths: open the baby’s airway by tilting their head, cover the baby’s nose and mouth with your mouth. Give 2 breaths, each lasting about 1 second. Watch for the baby’s chest to rise.
6. Find AED, place one pad on the center of the baby’s chest (on the sternum). And place the other pad on the baby’s back between the shoulder blades.