Skill Guide # 8
Adult/Child Choking: Severe Blockage
Emergency Action Steps
Responsive
Patient is clutching throat.
Cannot cough or make any sound.
Quickly ask “Are you choking?”
If the patient nods yes or is unable
to speak, cough or cry-act quickly.
Stand behind an adult or kneel behind
a child.
Make a fist. Place the thumb side against
the patient’s abdomen, just above the navel.
Give quick inward and upward thrusts
until the object is expelled or the patient becomes unresponsive.
Emergency Action Steps
Unresponsive
Carefully get the patient to
the ground, immediately alert EMS or activate your emergency
action plan. If you are alone with a child, give about 5 cycles
(about 2 min.) of CPR, then alert EMS.
Open the airway.
Remove the object if you see it.
Begin CPR.
Each time the airway is opened for rescue breaths, look for
an object In the victim’s throat. If you see it, remove
it.
Continue CPR until the AED or EMS arrives or the victim shows
signs of life.
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