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© 2011 National Safety Council AIRWAY OBSTRUCTIONS LESSON 7 7-1

© 2011 National Safety Council AIRWAY OBSTRUCTIONS LESSON 7 7-1

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Page 1: © 2011 National Safety Council AIRWAY OBSTRUCTIONS LESSON 7 7-1

© 2011 National Safety Council

AIRWAY OBSTRUCTIONSLESSON 7

7-1

Page 2: © 2011 National Safety Council AIRWAY OBSTRUCTIONS LESSON 7 7-1

© 2011 National Safety Council

Choking Emergencies

• Choking is a total or partial obstruction of airway

• Common cause of respiratory arrest

• Immediate care is needed

7-2

Page 3: © 2011 National Safety Council AIRWAY OBSTRUCTIONS LESSON 7 7-1

© 2011 National Safety Council

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!

7-3

Page 4: © 2011 National Safety Council AIRWAY OBSTRUCTIONS LESSON 7 7-1

© 2011 National Safety Council

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

7-4

Page 5: © 2011 National Safety Council AIRWAY OBSTRUCTIONS LESSON 7 7-1

© 2011 National Safety Council

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

7-5

Page 6: © 2011 National Safety Council AIRWAY OBSTRUCTIONS LESSON 7 7-1

© 2011 National Safety Council

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

7-6

Page 7: © 2011 National Safety Council AIRWAY OBSTRUCTIONS LESSON 7 7-1

© 2011 National Safety Council

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

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Page 8: © 2011 National Safety Council AIRWAY OBSTRUCTIONS LESSON 7 7-1

© 2011 National Safety Council

Abdominal Thrusts (chest thrust)

7-8

Page 9: © 2011 National Safety Council AIRWAY OBSTRUCTIONS LESSON 7 7-1

© 2011 National Safety Council

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

7-9

Page 10: © 2011 National Safety Council AIRWAY OBSTRUCTIONS LESSON 7 7-1

© 2011 National Safety Council

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

7-10

Page 11: © 2011 National Safety Council AIRWAY OBSTRUCTIONS LESSON 7 7-1

© 2011 National Safety Council

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

7-11

Page 12: © 2011 National Safety Council AIRWAY OBSTRUCTIONS LESSON 7 7-1

© 2011 National Safety Council

• 5 Back blows

• 5 Chest thrusts

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