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WHEN THE AIR WAY IS CHOCKED

 

When the upper air way blocks partially or completely due to foreign materials like a piece of meat, or any other piece of material that blocks the free passage of air in to our lung, then the golden minutes counts for our chance of survival. The absence of air passage to our lung due to the complete blockage of the air way passage for more than three minutes will result to a fatal brain damage that consequently leads to heart stop and then death.

 

CAN WE HELP? YES!

 

If the individual is having a trouble in breathing due to some thing in the throat:  

Talk to him to cough several times until he coughs out what is blocking his air way but if he is not able to cough or breathe then follow the next procedure.  

 

  

 

  1. As illustrated in the picture, give five hard quick blow between the shoulder which will exert a pressure to the air way so that foreign body or a piece of meat will be pressed  out of the air passage.

    OR
  2.  Grasp the individual around his body as illustrated in the picture below and give a pressure of 4-5 times to the  upper part of the stomach or around the diaphragm ( the musculo membranous wall separating abdomen from thoracic cavity ) this method too  will exert a pressure to the air way and consequently may push out the foreign body out of the  air passage. THE HEIMLICH MANOEUVER .

Suppose the individual is still unable to breath due to continuous air way blockage and is becoming unconscious. Then we have to start immediately CPR (CARDIOPULMONARY RESUSCITATION), which is a basic life support.

 

START:

30 heart or chest compression and then

2 mouth to mouth air breathing

By doing the basic life support and the compression of the chest 30 times for every 2 mouth to mouth air breath (100 heart compression per minute) the chest will acquire a momentum of pressure that will exert extra pressure to the air way and consequently will push out the foreign body out of the air way passage.

Continue the CPR until the individual comes back to his conscious, wakes up and able to breathe by him self and until you get more advance medical help if necessary.

 

BASIC LIFE SUPPORT FOR CHOKING OF A BABY UNDER ONE YEAR

 

1)      Open the mouth for free air way, check if the child is breathing, check if any removable foreign body in the mouth. 

2)      If the child is not breathing and is not able to remove the choking material from the throat, as illustrated by the picture below, lift up the child with your left hand facing the child down word.

 

    - Give a hard blow on the back  ( such pressure must be proportional to the size of the baby ) 5 times between the shoulder until you observe a piece of food or any foreign body which  is blocking the air way is out of the mouth. If it does not work,  

3)     Turn the baby round and let lie on the flour and give a quick five times pressure on the chest or between the breast nipples with your two fingers. 

    or

     If all attempts are not working and the child is not breathing and unconscious then call emergency medical help and in the mean time start immediately CPR.

 

 

Life support or CPR to children under one year for non medical professionals:  

1)      Give 5 times mouth to mouth air breath and observe as the chest rises up as you blow in air to the lung. NB. Mouth to mouth air breathing and chest compression to children must be proportional to the weight and the size of the body so that we donít make things worse or damage.

 

     There is a big challenge to Oromo medical professionals to train Oromo public the skill of CPR).

2)     Using your two fingers start 30 chest compression  between the breast nipples and then continue the procedure 30 chest compression and two mouth to mouth air breath until you get the foreign body out of the air way or until the child wakes up or becomes conscious and until you get advanced medical help.

 

(Basic Life support or CPR to children under one year for medical professionals with acute medicine training is 15 chest compression and two mouth to mouth air breathing). 15:2 ratios)

 

THE PROCEDURE OF BASIC LIFE SUPPORT OR CPR TO CHILDREN ABOVE ONE YEAR IS THE SAME AS THAT FOR ADULTS.

 

DROWNING ACCIDENT:

In connection with drowning accident, the principle of CPR is the same as informed previously.  If an individual is not able to reply your call and is not able to breath then turn him to recovery position where he or she could be able to cough water out of the lung. If your first attempt is not working, no sign of breathing and unconscious then it is the right time to start CPR. Follow the procedure CRP until the individual is able to breath, recover from his consciousness and eventually wake up.

The procedure of CPR must continue if the individual is not back to life and until you get advance medical help.

 

NB. The survival of drowning case depends upon the duration submersion. The longer the individual has been under the water, the less chance of survival.  Any way what ever the circumstances are, we have to just start CPR until you get medical help.

 

  

LITERATURE REFERENCE:

-Scand J trauma Rescusc Emerg Med. 2006

-Emergency medicine by Chris Moulton and David Yates. Second edition.

 

Copyright ģ 2006 OHPA
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