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FIRST AID XIII: Choking Conscious Adult and Child
Choking occurs when a foreign object becomes lodged in the throat or windpipe, blocking the flow of air. In adults, a piece of food often is the culprit. Young children often swallow small objects. Because choking cuts off oxygen to the brain, administer first aid as quickly as possible.
The universal sign for choking is hands clutched to the throat. If the person doesn't give the signal, look for these indications:
To perform abdominal thrusts (Heimlich maneuver) on someone else:
- Stand behind the person. Wrap your arms around the waist. Tip the person forward slightly.
- Make a fist with one hand. Position it slightly above the person's navel.
- Grasp the fist with the other hand. Press hard into the abdomen with a quick, upward thrust - as if trying to lift the person up.
- Perform a total of 5 abdominal thrusts, if needed. If the blockage still isn't dislodged, repeat the five-and-five cycle.
Determine if the person can speak or cough.
If not, proceed to the next step.
Perform an abdominal thrust (Heimlich Maneuver) repeatedly until the foreign body is expelled.
A chest thrust may be used for markedly obese persons or in late stages of pregnancy.
If the adult or child becomes unresponsive perform CPR.
if you see an object in the throat or mouth, remove it.Clearing the airway of an unconscious person:
Lower the person on his or her back onto the floor.
Clear the airway. If there's a visible blockage at the back of the throat or high in the throat, reach a finger into the mouth and sweep out the cause of the blockage. Be careful not to push the food or object deeper into the airway, which can happen easily in young children.
Begin cardiopulmonary resuscitation (CPR) if the object remains lodged and the person doesn't respond after you take the above measures. The chest compressions used in CPR may dislodge the object. Remember to recheck the mouth periodically.
These names are for your information only please do not contact them in medical Emergency Call 911 or your doctor or your Clinic.
If you have a medical problem to discuss please email female or male doctor and you will be contacted.
Ansar Ahmed MD. MRCP (UK): Neurologist
Fatima Jaffer: BS, RN, CNP: Registered Nurse, Certified Nurse Practitioner-Pediatrics
Amir Monzavi OD: Doctor of Optometry
Cell: 612 483-1691
Abdulhussein Nathani: MD Hospitalist
Zahra A Nathani: MHA (Master of Health Administration)
Shabnam Sabur: BS, RN: Registered Nurse