CHOKING
WHAT IS CHOKING?
-Choking occurs when a foreign object lodges/stuck in the
throat or windpipe, blocking the flow of air
.
Signs and symptoms
Inability to talk
Difficulty breathing or noisy breathing
Squeaky sounds when trying to breathe
Cough, which may either be weak or forceful
Skin, lips and nails turns blue and pale
Loss of consciousness
Signs of distress, and they may point to their throat or grasp their
neck
What to do?
1
If you think someone is choking, ask them ‘Are you choking?' If
they can breathe, speak or cough then they might be able to
clear their own throat. If they cannot breathe, cough, or make
any noise, then they need your help straight away.
Cough it out. Encourage them to cough and remove any obvious
obstruction from their mouth.
3 -Slap it out. If coughing fails to work, you need to give five sharp back
blows.
-To do this, help them to lean forwards, supporting their upper body
with one hand.
-With the heel of your other hand give them five sharp back blows
between their shoulder blades.
-After each back blow, check to see if there’s anything in their mouth.
4
-Squeeze it out. If back blows fail to clear the obstruction, give five
abdominal thrusts.
-To do this, stand behind them and put your arms around their waist.
-Place one hand in a clenched fist between their belly button and the
bottom of their chest.
-With your other hand, grasp your fist and pull sharply inwards and
upwards up to five times. Check their mouth again, each time.
5
-If the blockage has not cleared, call 999 for emergency help straight
away. Repeat five back blows and five abdominal thrusts until help
arrives, re-checking their mouth each time.
-If they become unresponsive at any point, prepare to start adult CPR.
If the person is able to cough forcefully, the person should keep coughing. If
the person is choking and can't talk, cry or laugh forcefully, the ST.JOHN
AMBULANCE a "five-and-five" approach to delivering first aid:
-Give 5 back blows. Stand to the side and just behind a choking adult. For a child,
kneel down behind. Place one arm across the person's chest for support. Bend the
person over at the waist so that the upper body is parallel with the ground. Deliver
five separate back blows between the person's shoulder blades with the heel of
your hand.
-Give 5 abdominal thrusts. Perform five abdominal thrusts (also known as the
Heimlich maneuver is a first-aid procedure for dislodging an obstruction from a
person's windpipe in which a sudden strong pressure is applied on their abdomen,
between the navel and the ribcage
-Alternate between 5 blows and 5 thrusts until the blockage is dislodged.
HOW TO GIVE ABDOMINAL THRUSTS
• Stand behind the person. Place one foot slightly in front of the other
for balance. Wrap your arms around the waist. Tip the person forward
slightly. If a child is choking, kneel down behind the child.
• Make a fist with one hand. Position it slightly above the person's nav
el.
• Grasp the fist with the other hand. Press hard into the abdomen wit
h a quick, upward thrust — as if trying to lift the person up.
• Perform 5 abdominal thrusts until the blockage is dislodged.
Thanks