Choking pada bayi & anak

By ; Nurindarti

Causes of Breathing Emergencies

Choking Electric Shock Near Drowning Head Injuries Poisoning Asthma Severe Allergic Reactions

Anatomi jalan nafas Obstructed Airway (Choking)

PENYEBAB SUMBATAN JALAN NAPAS :

- BENDA ASING : SEKRET, DARAH DSB.

- LIDAH ( PANGKAL JATUH KE POSTERIOR).

- PEMBENGKAAN DARI PHARYNX, LARYNX

• ATAU

• EPIGLOTIS MIS : ACUT EPIGLOTIS , LARYNX

• OEDEMA.

Examples of Choking Hazards

First Aid on Emergency Nurse

• First Response– Know who to call– Know appropriate information to give dispatcher

• Provide care until EMS arrives– Check airway (A)– Check breathing (B)– Check circulation (C)

Airway

• A. head tilt• B. chin lift

AB

Sumbatan benda asing bayi sadar

1) Sandwich manuever2) Backblow 5x3) Chest trush 5x4) Periksa dengan buka

mulut jepitlidah angkat dagu (tongue jow lift)

5) Terlihat BA finger sweep

Airway Positioning

“Sniffing Position”In the child older than 2 years

Towel is placed under the head

Choking: Conscious Child or Adult

• Ask “Are you choking?” If child can’t make any sound, continue.• Stand behind child & place

your fist against stomach, just above navel. Grasp fist with other hand.• Give 5 quick upward

thrusts.• Continue until object is

coughed up or child becomes unconscious.

If child becomes unconscious, follow recommendations for unconscious child.

T19-3

Choking bayi tidak sadar

1. Chest trush 30 x2. Periksa benda dg

tounge jaw lift3. Apabila terlihat BA

finger sweep dg jari kelingking

4. Periksa nafas dg 3M

1. Chest trush 30 x2. Periksa benda dg

tounge jaw lift3. Apabila tidak terlihat

BA ventilasi 2x4. Periksa nafas dg 3M

Differences with Infants

• Open airway using one finger to lift chin.

T17-3

• Check pulse by placing 2-3 fingers on inside of upper arm, between elbow & shoulder. • Seal lips tightly

around mouth & NOSE to form a seal.

• Blow less to make chest rise & fall. Blow slowly & watch for chest to rise.

Rescue Breathing (Child)

1. Send someone to call EMS.2. Keep airway open. Pinch nose shut. Give 2

breaths.3. If air won’t go in, retilt head. Give 2 more breaths.4. Check pulse. If pulse, but no breathing, give

rescue breathing: 1 every 3 seconds.5. Check breathing and

pulse every minute.6. Continue as long as child

is not breathing or until help arrives.

7. If no pulse, give CPR.

T16-3

Open AIRWAY. Look, Listen & Feel for BREATH. IF child is NOT breathing:

Differences with Adults

• Give 1 breath every 5 seconds (about 12 per minute).

• May need to blow more air to make the chest rise and fall. Blow slowly and watch for the chest to rise.

T18-3

CPR: Children• When performing CPR on a child, modify your

technique as follows:– Perform CPR using only one hand,

and with less force.– Compress only 1 to 1.5 inches– Give 2 breath to 30 compressions

CPR: Infants

• When performing CPR on an infant:– Use only two fingers– Place them one finger below the

nipple line.– Compress 1/2 to 1 inch– Give 2 breath for every 30

compressions