I. Identifying if a person is truly choking A. Universal sign- clutching his or her neck with both hands 1. Is the victim able to talk? 2. Is the victim having difficulty breathing or noisy breathing? 3. If the victim is able to cough, allow them to continue to try to expel the object by productively coughing
Once the victim can no longer talk or cough, you must assist to clear the obstruction. To clear the obstructed airway, in accordance to the American Heart Association, you must perform the Heimlich manuever, also known as abdominal thrusts.
II. Abdominal thrusts A. Description of body positioning 1. Stand behind the choking adult 2. Wrap your arms around his or her waist 3. Make a fist with one hand, placing the thumb side of the fist against the victims abdomen- just above the belly button- be sure hand is for below the tip of the breast bone. B. Give quick upward thrusts into the victims abdomen
Continue performing abdominal thrusts until the object blocking the airway is dislodged, and the victim begins to breathe, or until the victim becomes unconscious
III. Unconscious Person A. Assist victim by lowering him or her to the floor onto his or her back. 1. Perform a head-tilt, and chin-lift to open airway- perform a finger sweep to attempt to remove object 2. 2 slow breaths 3. Continue giving 5 abdominal thrusts, a finger sweep, and 2 slow breaths, repeating cycle until help arrives
If you were the choking victim, and you are alone, you can lean against a hard surface, or chair to attempt to dislodge it yourself. If you are in a large group setting, do not feel embarrassed and leave the room to hide. There have been many cased where they find the victim dead because nobody knew what was happening. Remember to cut food into small pieces, chew food thoroughly. Do not talk or laugh when eating. For children, keep small objects out of their reach, anything that can fit into the tube of a toilet paper roll is not safe for children to play with, and poses a choking hazard.
Personal experience with daughter choking
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