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BLS 2015 Choking Relief for Adults, Children, and Infants (Part 9)

echoecho's version from 2018-05-30 15:13


Question Answer
What other emergencies should be distinguished from choking?1) fainting 2) stroke 3) heart attack 4) seizure 5) drug overdose 6) other conditions that may cause sudden respiratory distress but require a different treatment
List the 2 types of foreign-body airway obstruction?1) mild airway obstruction 2) severe airway obstruction
List the signs of mild airway obstruction?1) good air exchange 2) can cough forcefully 3) may wheeze between coughs
List the rescurer actions for mild airway obstruction?1) as long as good air exchange continues, encourage the victim to continue coughing 2) do not interfere with the victim's own attempts to relieve the obstruction, but stay with the victim and monitor the condition 3) if mild airway obstruction continues or progresses to signs of severe airway obstruction, activate the emergency response system
List the signs of severe airway obstruction?1) clutching the throat with the thumb and fingers, making the universal chocking sign 2) unable to speak or cry 3) poor or no air exchange 4) weak, ineffective cough or no cough at all 5) high-pitched noise while inhaling or no noise at all 6) increased respiratory difficulty 7) possible cyanosis
List the rescurer actions for severe airway obstruction?1) if the victim is an adult or child, ask him if he is choking. If the victim nods "yes" and cannot talk, severe airway obstruction is present (an infant can't respond to questions) 2) take steps immediately to relieve the obstruction 3) if severe airway obstruction continues and the victim becomes unresponsive, start CPR 4) if you are not alone, send someone to activate the emergency response system. If you are alone, provide about 2 minutes of CPR before leaving to active the emergency response system


Question Answer
What type of patient should abdominal thrusts (the Heimlich maneuver) be used in?responsive adult or child; but not an infant
Give each individual thrust with the intention of doing what? It may be necessary to repeat the thrust ____ times to clear the airway?relieving the obstruction; several
List the 6 steps to perform when doing abdominal thrusts with the victim standing or sitting?1) stand or knee behind the victim and wrap your arms around the victim's waist 2) make a fist with one hand 3) place the thumb side of your fist against the victim's abdomen, in the midline, slightly above the navel and below the breastbone 4) grasp your fist with your other hand and press your fist into the victim's abdomen with a quick, forceful upward thrust 5) repeat thrusts until the object is expelled from the airway or the victim becomes unresponsive 6) give each new thrust with a separate, distinct movement to relieve the obstruction
Question Answer
How are abdominal thrusts given in a pregnant or obese victim?chest thrusts instead of abdominal thrusts


Question Answer
What are the steps to take in the unresponsive adult or child who has choked?1) shout for help. If someone is available, send that person to activate the emergency response system 2) gently lower the victim to the ground if you see that he is becoming unresponsive 3) begin CPR starting with chest compressions. Do NOT check for a pulse 4) each time you open the airway to give breaths, open the victim's mouth wide. Look for the object (if you see an object that can be easily removed, remove it with your fingers. If you do not see an object, continue CPR) 5) after about 5 cycles or 2 minutes, activate the emergency response system if someone has not already done so
Sometimes the choking victim may already be unresponsive when you first encounter him and you probably won't know that a foreign-body airway obstruction exists, what should you do?activate the emergency response system and start high-quality CPR


Question Answer
What happens to the larynx when a choking victim loses consciousness?the muscles in the larynx may relax
What is the consequence of the muscles in the larynx relaxing?a complete/severe airway obstruction may convert to a partial obstruction
Why could chest compressions help to expel the airway obstruction?the compressions could create at least as much force as abdominal thrusts
Giving ____ compressions and then removing any object seen in the mouth may allow you to eventually give effective breaths?30
Question Answer
List two signs that you have successfully removed an airway obstruction in an unresponsive victim?1) feel air movement and see the chest rise when you give breaths 2) see and remove a foreign body from the victim's mouth
What should you do after you have relieved choking in an unresponsive victim?treat him as you would any other unresponsive victim (check for responsiveness, check for breathing and pulse, confirm that the emergency response system has been activated, provide high-quality CPR or rescue breathing as needed)
If the victim is responsive, do what?encourage victim to seek immediate medical attention for potential complications from abdominal thrusts
Question Answer
Use what maneuvers for choking relief in an infant? Do not use what maneuvers in a choking infants?1) back slaps and chest thrusts 2) abdominal thrusts
List the 8 steps to relieve choking in a RESPONSIVE infant? 1) kneel or sit with the infant in your lap 2) if it is easy to do, remove clothing from the infant's chest 3) hold the infant face down with the head slightly lower than the chest, resting on your forearm. Support the infant's head and jaw with yoru hand. Take care to avoid compressing the soft tissues of the infant's throat. Rest your forearm on your lap or thigh to support the infant. 4) deliver up to 5 back slaps forcefully between the infant's shoulder blades, using the heel of your hand. Deliver each slap with sufficient force to attempt to dislodge the foreign body 5) after delivering up to 5 back sleeps, place your free hand on the infant's back, supporting the back of the infant's head with the palm of your hand. The infant will be adequately cradled between your 2 forearms, with the palm of one hand supporting the face and jaw while the palm of the other hand supports the back of the infant's head 6) turn the infant as a unit while carefully supporting the head and neck. Hold the infant faceup, with your forrearm resting on your thigh. Keep the infant's head lower than the trunk. 7) Provide up to 5 quick downward chest thrusts in the middle of the chest, over the lower half of the breastbone (the same location as for chest compressions during CPR). Deliver chest thrusts at a rate of about 1 per second, each with the intention of creating enough force to dislodge the foreign body 8) repeat the sequence of up to 5 back slaps and up to 5 chest thrusts until the object is removed or the infant becomes unresponsive
Question Answer
If the infant becomes unresponsive during back slaps, what should you do?stop back slaps and begin CPR starting with chest compressions
List the 3 steps for choking relief in an unresponsive infant?1) shout for help. If someone responds, send that person to activate the emergency response system. Place the infant on a firm, flat surface. 2) begin CPR (starting with compressions) with 1 extra step = each time you open the airway, look for the object in the back of the throat. If you see an object and can easily remove it, remove it. Note that you do NOT check for a pulse before beginning CPR 3) after about 2 minutes of CPR, activate the emergency response system (if no one has done so)
Question Answer
Why should you NOT perform a blind finger sweep?because it may push the foreign body into the airway causing further obstruction or injury
1) Which is an example of a mild foreign-body airway obstruction?
a) cyanosis
b) high-pitched noise while inhaling
c) inability to speak or cry
d) wheezing between coughs
Answer = d
2) Which victim of a severe airway obstruction should receive abdominal thrusts?
a) an average-size 27 year old man
b) a women who is obviously pregnant
c) an obese 50
d) an average size 9 month old infant
Answer = a
3) You are performing abdominal thrusts on a 9 year old child when he suddenly becomes unresponsive. After you shout for nearby help, what is the appropriate action to take next?
a) begin high-quality CPR, starting with chest compressions
b) check for a pulse
c) continue performing abdominal thrusts
d) provide 5 back slaps followed by 5 chest thrusts
Answer = a