Choking is an incident trivial that can be fatal, which can make breathing hard even cause death due to run out of breath, so if it happens to people around us, we must know the first thing to do, below are some steps first aid when choke:
- Standing or kneeling on the back of the victim (make sure your body height to the height of the body of the victim, if the victim is still chlid or smallish than you probably have to kneel)
- Clench one of your hand.
- Put your fist with the thumb sticking to the direction of the victim’s stomach wall, place your fist two fingers above the center (the center is always parallel to the top of the hip bone), you should not position your fist in the solar plexus.
- Tighten your fist with the ssatunya so both your arms wrapped around the victim’s stomach.
- Apply pressure towards the back and top up foreign objects out or fall victim becomes unconscious.
If the choking victim is a pregnant woman or adults who are overweight (obesity), we can do no other choice to do a “chest thrust” is to put your fist in the middle of the sternum
Choking Treatment For Childhood> 1year – Adults The Unconscious
If the victim becomes unconscious falls do the following steps:
- Call medical help immediately
- Open the victim’s airway (AIRWAY), if you can see foreign objects do finger swab or a finger sweep to remove foreign objects
- Immediately doing CPR / CPR. The difference with regular CPR is after 30 chest compressions, check the victim’s mouth before giving 2 breaths help.
You have successfully handle an unconscious choking victim if you’ve noticed the following signs:
- You see his chest rise when providing breathing assistance
- Viewed foreign objects out of the mouth of the victim.
Perform the following steps if you’ve managed to handle a choking victim. Because there are several possibilities that will happen after the foreign objects out of the mouth of the victim:
- Give 2 breaths
- See the victim responses (cough, vomiting, movement) if you are trained to check the pulse, the pulse periklsah on the victim’s neck for 10 seconds.
- If the pulse was not palpable and the victim is not breathing, continue CPR and AED pair immediately (if available). If no pulse but no breathing then give breathing assistance only for 2 minutes, in one minute you have to give 10 breaths (so pauses between breaths is 6 seconds). After 2 minutes check whether existing breathing or not, if the victim is breathing normally tilted position the victim (the recovery position) while waiting for help to arrive.
Choking Treatment For Infants (<1 years old)
Handling of the baby choking on a different course with children older than 1 year. We can not do abdominal pressure (Heimlich manuever) in infants because it will injure internal organs, namely the liver. Handling choking for infants consisted of a combination of chest compressions (chest thrust) and pat the back (back slaps).
Here is an aid measures choking for infants who are still conscious:
- Hold your baby with you sitting or kneeling position.
- Open the baby clothes.
- Hold your baby with the face down position face down on the lap of your hand. Make the baby’s head lower than his feet. Support the head and lower jaw baby using your hands (be careful not to press the baby’s neck, as this will cause a blockage of the airway.
- Give 5 times a pat on the back (pat backs, between the two scapula baby, DO pat on the nape!). Use the heel of your hand while giving a pat.
- After providing 5 times pats the back, behind the neck sanggalah your baby with your hands and turn it over so that the baby’s body in a supine position. Create the position of the baby’s head lower than his feet.
- Perform 5 times the chest compressions (This area is similar to the position in the process of CPR chest compressions that amid the mid-sternum / below the imaginary line between two baby nipple). Only gunakan2 fingers (index finger and middle finger to perform chest thrust.
- Repeat step No. 4,5,6 above until foreign objects out of the mouth of the baby or the baby becomes unconscious.
Technic Thrust Chest or Chest Press
If the foreign body has not been able to get out and be aware of your baby (baby fell limp, no movement, blue lips, unable to cry or make a sound) handling is as follows:
- Lay the baby on a flat surface and hard.
- Open the airway baby (the baby’s mouth) and see if the foreign body is visible or not. If looks have taken using your finger sweep. If you do not see Do NOT do “blind finger swab” / mengkorek-match baby’s mouth with the aim of searching for foreign objects.
- If foreign matter can not be seen to do the next step is do CPR consists of 30 times the chest compressions followed by 2 breaths. However, the difference CPR choking victims with the usual victims is every time you’re finished with 30 chest compressions first check the baby’s mouth before giving 2 times the breathing assistance.
- If after 5 cycles of CPR, foreign objects still can not get out and the baby was still unconscious. Call medical assistance immediately, then continue your CPR until help comes or her foreign objects