Conscious Adult Choking
06
October

By Adem Lewis / in , , , , , /


Now let’s cover the highly effect and very
important skill called conscious adult choking. Now in this scenario we have someone who is
eating at a table, they begin to choke, we know they were choking because they could
not cough, they could not breathe, they could not speak. This is a full obstruction if and
it need’s help if it’s gonna come out in most cases. If it’s easy to activate the emergency
response team or call 911, great, but if not, we can wait until the patient goes unresponsive
before we actually take the time to call 911 or activate a code. But in this case we’re
gonna come up to the person, we’re gonna look them in the eyes, “Are you choking”? They
nod “Yes”. “I know how to help you. May I help you”. They give me permission to help
them. They’re still conscious and so we wanna get that permission from the patient if at
all possible. Now I’m gonna elevate their elbows, I’m gonna find the belly button. The
belly button is my landmark so that I can tuck my thumb in and put the fist just above
the belly button on their abdomen. I wanna stay below the xiphoid process which is approximately
right here, I wanna stay just above the belly button because this is where i find the diaphragmatic
region. This is exactly what I want so that I can bring that diaphragm up and in while
I compress the lower lobes of the lung, shoot the air up the trachea, popping that object
out, and it’s effective the majority of the time. So I’m gonna take that hand, keep my
elbows out so I’m not on their ribs anymore than I have to be, and I’m gonna start with
my inward and upward thrust. And I’m gonna do these thrust, until either the object comes
out or the person goes unresponsive. In this case the object did come out. He began breathing,
coughing, clearing his own airways. I simply re-encourage him that he’s doing fine. If
he feels like sitting down you can have him sit down. And if we had not already called
911, now would be the time to call 911 or call a code “if” they go unresponsive. If
we’ve already called 911 keep ’em coming, it’s fine. Even though the object already
came out, it’s always a good idea to have EMS stay on the way, so that if this person
opts not to go in, they can be checked out by the EMS professionals. They’re gonna check
airway, they’re gonna check some lung sounds to make sure there’s no partial obstruction,
and they’re probably do a quick assessment to make sure there is no internal bleeding
from the abdominal thrust. So if the individual does not opt to have that done to him, or
the EMS providers do not come, I always like to encourage them to go to their own practitioner
and just be looked over and made sure that everything is okay. Keep in mind, that if
this person were not to have this successful removal of the obstruction, they would probably
go unresponsive in a short amount of time. And it’s then that we would assist them to
the ground carefully and begin the skill of unconscious adult choking. Now we’re gonna
talk about special considerations as it relates to a pregnant woman. You know when we’re doing
this lifesaving skill of trying to remove the obstruction from the airway, and the person
is pregnant, we need to understand that we’re dealing with two patients, save mom, save
baby. So it’s important that we’re aggressive in our treatment, but there’s a special way
to do it so that we don’t injure the baby in the process. Let’s take a look at how we
do that right now. When we have the, the person in front of us, we know the baby is here in
the normal location where we would do abdominal thrust. So we’re gonna avoid the area altogether
by forming the fist and going under the breast with that fist on the sternum. We’re then
gonna take that opposite hand, go under the breast and onto that fist that’s on the sternum.
We’re now gonna do inward thrusts, inward deep thrusts. And we’re gonna continue to
do those compressions until the object comes out and the person begins to breathe normally
again. If they doesn’t come out, they’re gonna go unconscious. When they go unconscious,
we’re gonna activate 911, and then we’re gonna start doing our unconscious choking victim
compressions as we learned in the other segment.


26 thoughts on “Conscious Adult Choking

  1. Thank for the training we almost lost our father during Christmas eve but thank God my young brother was trained and he saved his live.

  2. Choking isn't always a total blockage, sometimes the thing you're choking on, i choked on a tiny piece of meat, it got caught in my throat, when i took a breath, it went into my airway pipe, and my whole breathing airway wasn't blocked, but as i tried to breath, it was moving down in further. Your body reacts quickly without you. I kept trying to cough it out but I couldn't pull in enough air to build up pressure and then cough to dislodge it. But that didn't happen, i had a tiny bit of space between the food and airway but not enough to breath, and i was so afraid to breath in hard, it would go down deeper. Suddenly my body is making me heave and gag, i knew there was only a small amount of air left in my lungs, so when my body went to gag reflex i used that to push the air pit as hard as i could. And yes, thank you world, that tiny piece of meat flew to the other side of the my kitchen. Oh and not only a gag reflex i had vomited quite a lot. After the block was gone, i still kept gagging for a while after. My lungs hurt for about a day. But thankfully, no pneumonia, which can result from choking

  3. I just wonder if before starting, we have to push the center of the back 5 times. In some videos it shows yes, and some not.

  4. This is not in line with resus council guidelines. It should be:
    1) Encourage cough (if person is able)
    2) 5 back blows between the shoulder blades
    3) 5 Abdominal thrusts
    Repeat steps 2 & 3 until object is removed or patient becomes unresponsive (then start CPR).

    It's dangerous having outdated information online.

  5. I do not normally comment but I wanted to bring something to the groups attention that happened to me tonight. I have a younger sister she is moderately autistic and has epileptic seizures. Tonight she was eating and she started convulsing when she did her food lodged fully in her throat and she stopped breathing. I had to perform the Heimlich maneuver on her while she was in mid seizure. I had got first aid certified years ago. In the moment I doubted if I could still remember what to do. I think part of it was instinct that helped guide my memory on what to do. I laid her on her left side and placed one fist on her belly button and rolled in up and placed the other one beside it and pushed in and up a few seconds later the food came dislodged and I was able to clean the food from her mouth as she began to cough. I wanted to share this because many do not experience what to do if the person chocking is having a seizure nor does training mention it. I hope this helps someone should they ever encounter a seizure patient chocking on food.

  6. I'm not sure if I remember this correctly, but in a wilderness first aid course I took, the instructors mentioned that if the patient was chocking that badly (like needing abdominal thrust) but the object comes out, it's still an evacuation (maybe no helicopter), in case the object causes airway swelling or remaining crumbs cause lung infection. No they are not going to continue that 18-day hike into nowhere.

  7. What if you don't know if the victim is pregnant or not, like if she's still early in her first trimester and not showing. Is it still okay to do the Heimlich manuver on her the regular way?

  8. Of course they will say.. What kind of question is that??? do you want someone die from choking infrond of you? No right??? Without wasting time just act fast.. No dumb stupid question when someone is in trouble or pain….

  9. Is the "rescuer" in this video right or left handed? I've previously been taught you grip your dominant hand with your other hand, but he's gripping his left with his right?

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