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CHOKING RESCUE: ADULT OR CHILD OVER 1 YEAR OLD

Ask "Are you choking?" and maintain eye contact if possible. Assume "yes" if victim can't breathe, speak, gasp or cough, or makes high-pitched sounds.

HAVE SOMEONE CALL 911!
Perform the Heimlich maneuver: From behind victim, wrap arms around waist. Make a fist, thumb-side down, and grasp with other hand on victim's stomach just above navel (Fig.1). Press fist into stomach and give quick inward and upward thrusts until object comes out or victim becomes unconscious.

 

IF VICTIM BECOMES UNCONSCIOUS
Begin rescue breathing/CPR if you are trained or if an emergency dispatcher is guiding you. If alone and victim is from 1 to 8 years old, call 911 after 1 minute of CPR. (A) Lower gently to the floor. Lift victim's jaw, look in mouth. IF OBJECT IS SEEN, finger sweep to remove. DO NOT BLIND SWEEP. (B) OPEN AIRWAY: Tip victim's head back, pinch nose shut, seal mouth with yours, give 2 full breaths (Fig.2). (C) IF AIR WON'T GO IN, begin chest compressions if trained in CPR or if an emergency dispatcher is guiding you. Look for an object in the mouth and throat each time you reopen the airway.

CHOKING RESCUE: INFANT TO 1 YEAR OLD
 

HAVE SOMEONE CALL 911!
Place infant facedown on your forearm, supporting with hand as shown (Fig.3). Give up to 5 firm BACK BLOWS between shoulder blades with heel of other hand. If ineffective, turn infant over, give up to 5 CHEST THRUSTS with index and middle fingertips. (Fig.4). Repeat until effective or infant loses consciousness.

IF INFANT BECOMES UNCONSCIOUS

Begin rescue breathing/CPR if you are trained or if an emergency dispatcher is guiding you. If alone, call 911 after 1 minute of CPR.
(A) Put infant on flat surface, lift jaw, look in mouth. IF OBJECT IS SEEN, finger sweep to remove. DO NOT BLIND SWEEP (Fig.5).
(B) OPEN AIRWAY: Tip infant's head back, lift chin, seal your lips over nose/mouth, give 2 breaths.
(C) IF AIR WON'T GO IN, reposistion head and try again.
(D) IF AIR STILL WON'T GO IN, begin chest compressions if trained in CPR or if an emergency dispatcher is guiding you. If not trained or being guided in CPR, repeat back blows, chest thrusts, check for an object in the throat, and give breaths until effective or help arrives

 

Fig.5   
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