Choking casualty

Question 1

Choking casualty

Answer 1

Encourage the patient to cough, if effective cough is present,
encourage patient to cough more and gently pat back to help.
 If there is an ineffective cough, advise patient to stand and lean them
forward, supporting them across their shoulders at the front with one
arm and position yourself to the side of the patient.
 Give 5 hard back blows between the shoulder blades at the back with
the flat of your hand, checking between each blow for signs of change
 If back blows are unsuccessful, perform 5 abdominal thrusts by making
a fist under the point of the patient’s ribcage at the diaphragm muscle,
locate the landmark by finding bellybutton with thumb of one hand
and creating a fist, then roll up into position. Grab fist with other hand
and pull inwards and upwards in a short sharp motion. (J shape) check
between each thrust for signs of change.
 If there is no success in removing the object at this stage, phone an
ambulance to make them aware of the unfolding situation.
 Repeat the process until one of two things happens: the item is
dislodged or the patient collapses.
 If patient collapses, ensure an ambulance is updated and begin CPR

Question 2

what patients should not have abdominal thrusts

Answer 2

pregnant women