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LESSON 7. AIRWAY OBSTRUCTIONS. 7- 1. Choking Emergencies. Choking is a total or partial obstruction of airway Common cause of respiratory arrest Immediate care is needed. Choking Risks. Over 4,600 people die from choking each year
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LESSON 7 AIRWAY OBSTRUCTIONS 7-1
Choking Emergencies • Choking is a total or partial obstruction of airway • Common cause of respiratory arrest • Immediate care is needed
Choking Risks • Over 4,600 people die from choking each year • Adults over age 65 are twice as likely to die as younger people from choking Most cases can be prevented!
Choking Risks continued • Trying to swallow large pieces of food that haven’t been chewed sufficiently • Eating too quickly • Eating while engaged in other activities • Alcohol or drugs often involved • Dentures increase risk • History of stroke
Mild Choking • Victim is coughing forcefully • Victim is getting some air • May be making wheezing or high-pitched sounds with breath • Do not interrupt coughing or attempts to expel object
Severe Choking • Victim getting little air or none • Victim may look frantic and be clutching at throat (universal sign of choking) • Victim may have pale or bluish coloring around mouth and nail beds • Victim may be coughing weakly and silently or not at all • Victim cannot speak
Choking Care (Responsive Adult or Child) • Responsive choking victim who is coughing: • Encourage coughing to clear object • Call 9-1-1 if object not immediately expelled • Responsive choking victim who cannot speak or cough forcefully: • Give abdominal thrusts • If choking victim becomes unresponsive, immediately call 9-1-1 • Begin CPR with chest compressions
Responsive to Unresponsive • If complete airway obstruction not cleared, victim will become unresponsive in minutes • Quickly and carefully lower victim to floor on back • Begin CPR with 30 chest compressions • Check for object in mouth each time you open it to give rescue breaths
Unresponsive Victim • Check for normal breathing • If victim not breathing normally, start CPR with 30 chest compressions • If first breath doesn’t go in after opening airway – try again to open airway and give breath • If second breath doesn’t go in – give care for choking
Choking Infants • If infant is crying or coughing – watch for object to come out • If infant cannot cry or cough • Have someone call 9-1-1 • Give alternating back blows (slaps) and chest thrusts • If infant becomes unresponsive – give CPR starting with chest compressions • Check for object in mouth each time before giving a rescue breath
5 Back blows • 5 Chest thrusts