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How to Handle a Choking Emergency

Updated: Mar 15

Are You Prepared to Help Someone Who's Choking? See Our Step-by-Step Guide to Responding to a Choking Emergency


 

Responding to a Choking Emergency: A Comprehensive Guide


Choking occurs when an object obstructs the airway, preventing normal breathing. Immediate intervention is crucial to prevent severe injury or death. This guide outlines effective steps to handle a choking emergency, incorporating insights from the Cleveland Clinic.


Recognizing the Signs of Choking


A person who is choking may exhibit the following symptoms:

  • Inability to speak, cough, or breathe

  • Weak or ineffective coughing

  • High-pitched noises or no sound while inhaling

  • Clutching the throat with one or both hands

  • Panic, confusion, or a surprised appearance

  • Bluish skin color, indicating lack of oxygen


Immediate Steps to Assist a Choking Person


  1. Encourage Coughing: If the person is conscious and able to cough, encourage them to continue coughing to expel the object.

  2. Call for Emergency Help: If the airway remains blocked, call emergency services immediately.

  3. Administer Back Blows:

    • Stand to the side and slightly behind the person.

    • Support their chest with one hand and bend them forward at the waist, ensuring their head is lower than their chest.

    • Deliver up to five firm back blows between the shoulder blades with the heel of your other hand.

  4. Perform Abdominal Thrusts (Heimlich Maneuver):

    • Stand behind the person and wrap your arms around their waist.

    • Make a fist with one hand and place it just above the person's navel, thumb side in.

    • Grasp your fist with your other hand and perform quick, upward thrusts into the abdomen.

    • Repeat up to five times if necessary.

  5. Alternate Between Back Blows and Abdominal Thrusts: If the obstruction persists, continue alternating five back blows and five abdominal thrusts until the object is dislodged or professional help arrives.


Special Considerations


  • Pregnant or Obese Individuals: For individuals who are pregnant or obese, perform chest thrusts instead of abdominal thrusts. Place your hands at the center of the chest, on the lower half of the breastbone, and press inward and upward.

  • Infants (Under One Year Old): Lay the infant face down along your forearm, supporting their head. Deliver five gentle back blows between the shoulder blades. If ineffective, turn the infant face up and provide five chest thrusts using two fingers at the center of the chest.


Performing the Heimlich Maneuver on Yourself


If you are choking and alone:

  1. Call Emergency Services: Dial emergency services immediately, even if you cannot speak.

  2. Self-Administer Abdominal Thrusts:

    • Make a fist and place it above your navel.

    • Grasp your fist with your other hand and press inward and upward.

  3. Use a Firm Object: If unable to perform self-abdominal thrusts effectively, lean over a firm object like the back of a chair or countertop and press your abdomen against it to create a quick upward pressure.


Preventing Choking


  • Chew Food Thoroughly: Take small bites and chew food completely before swallowing.

  • Avoid Talking or Laughing While Eating: Focus on eating to prevent accidental inhalation of food.

  • Keep Small Objects Away from Children: Ensure that small toys and objects are out of reach of young children to prevent accidental ingestion.


Understanding and applying these steps can save lives during choking emergencies. For more detailed information, refer to the Cleveland Clinic's guidelines on the Heimlich maneuver.


Note: This guide is for informational purposes and does not replace professional medical training.

 

Do you know how to rescue someone who is choking?

  • Yes!

  • No, but I want to learn


Learn how to relief choking for adults, children and infants in Blue Healthcare Training Centers's Heartsaver® CPR AED class!




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