Ceramah bls choking

1.KURSUS BLS Disediakan Oleh : Miharil Ruminggun Hospital Pitas. CHOKING ( TERSEKAT SALURAN PERNAFASAN)

In Mild FBAO, the victim can

1. speak

2. breath

3. cough effectively

unable to speak, breathe, or cough and may clutch the neck with the thumb and fingers. Movement of air is absent.

Tanya / pastikan mangsa boleh bercakap atau Batuk.

1: GIVE 5 BACK BLOWS

BERDIRIDI BELAKANG / SISI MANGSA

TUNDUKKAN MANGSA SEDIKIT KE HADAPAN

BERIKAN 5 PUKULAN DI BELAKANG MANGSA (DIANTARA KEDUA TULANG SKAPULA)

To give back blows, position yourself slightly behind the child.

Provide support by placing one arm diagonally across the chest and bend the child forward at the waist until the upper airway is at least parallel to the ground.

Firmly strike the child between the shoulder blades with the heel of your other hand.

2: GIVE 5 ABDOMINAL THRUSTS

Place a fist with the thumb side against the middle of the persons abdomen, just above the navel.

Cover your fist with your other hand.

Give 5 quick, upward abdominal thrusts.

: CONTINUE CARE

Continue sets of 5 back blows and 5 abdominal thrusts until the:

Object is forced out.

Person can cough forcefully or breathe.

Person becomes unconscious.

4: WHAT TO DO NEXT IF PERSON BECOMES UNCONSCIOUSCALL 9-1-1, if not already done.

Carefully lower the person to the ground and give CARE for an unconscious choking adult, beginning with looking for an object.

Dewasa-berdiri dibelakang mangsa

Kanak-kanak-berdiri/berlutut dibelakang mangsa

These include: Coughing, either forcefully or weakly

Clutching the throat with one or both hands

An inability to cough, speak, cry or breathe

Making high-pitched noises while inhaling, or noisy breathing

Bluish skin color

Losing consciousness

Berdiri dibelakang mangsa

Genggam tangan kiri atau kanan anda

Tempatkan ditengah-tengah dada berhampiran tulang sternum mangsa

Kunci kedua-dua tangan

Tarik genggaman tangan anda

KE DALAM DAN KE ATAS

Lakukan sehingga benda asing tersebut keluar

GIVE A RESCUE BREATH Retilt the head and give another rescue breath.

2: GIVE 30 CHEST COMPRESSIONS If the chest still does not rise, give 30 chest compressions.

LOOK FOR AND REMOVE OBJECT IF SEEN

: GIVE 2 RESCUE BREATHS 5: WHAT TO DO NEXT IF BREATHS DO NOT MAKE THE CHEST RISERepeat steps 2 through 4.

IF CHEST CLEARLY RISESCHECK for breathing. Give CARE based on the conditions found.

Do not stop except in one of these situations: The object is removed and the chest clearly rises with rescue breaths.

The person starts to breathe on his or her own.

Another trained responder or EMS personnel take over.

You are too exhausted to continue.

The scene becomes unsafe.

Locate the correct hand position for chest compressions. Use the same technique that is used for CPR. Give chest compressions. Compress an adults chest 30 times to a depth of at least 2 inches.

Compress at a rate of at least 100 chest compressions per minute; the 30 chest compressions should take about 18 seconds to complete.

Give 2 rescue breaths. Tilt the head back, pinch the nose shut and seal your mouth over the child's mouth.

If the chest does not clearly rise, repeat cycles of chest compressions, foreign object check/removal and 2 rescue breaths.

If a conscious choking child becomes unconscious, carefully lower the child to the ground, open the mouth and look for an object.

If an object is seen, remove it with your finger.

Open the persons airway by tilting the head and try to give 2 rescue breaths.

If the chest does not clearly rise, begin the modified CPR technique used for an unconscious choking child.

Initial assessment steps:

Assess responsiveness

Activate EMS

Assess breathing

Perform CPR

CAB begin CPR cycles with compressions, followed by airway and breathing.

Guideline applies to adults, children, and infants.

Step 1:Attempt to breathe into

their mouth

-if the chest doesnt rise,

Step 2-REPOSITION and RE-

attemptventilation

-if still no air going in,

Step 3:BEGIN CHEST COMPRESSION

-Give 30 chest Compression s then 2 breaths

The only difference here from normal CPR is theyou must check for the obstruction at the back of the throatas you open airwayafter every30 compressionsand beforegiving 2 rescue breaths.

Step 4 :If the obstruction is visible, REMOVE itwitha finger sweep

Blows and Thrusts

Carefully hold the infant face down on your forearm, your hand supporting its head and neck

Strike the infant directly between the shoulder blades with the heel of your other hand 5 times

Turn the infant over and position two fingers in the center of the chest

Give 5 1/2 to 1 inch deep chest thrusts

Repeat Blows and Thrusts

until the object is forced out, the infant starts breathing, or the infant becomes unconscious.

Position the infant face-up along your forearm Position the infant between both of your forearms, supporting the infant's head and neck

Turn the infant face-up

Lower the infant onto your thight with the infant's head lower than his/her chest

Give 5 chest thrusts Put 2-3 fingers on the center of the chest just below the nipple line

Compress the chest 5 times about 1/2- 1 inch

The object is forced out

The victim begins to breathe or cough forcefully on his/her own

The victim becomes unconscious

Pegang bayi dengan stabil dan kukuh

Berikan 5 tepukkan ditengah-tengah tulang belikat (shoulder blade)

Pusing bayi, periksa mulutnya sekiranya benda asing tersebut dapat dikeluarkan, jika tidak:

To give back blows: Position the infant face-down on your forearm, holding the infant's jaw with your thumb and fingers.

Lower your arm onto your thigh so that the infants head is lower than his or her chest.

Then give 5 firm back blows with the heel of your hand between the shoulder blades.

Each back blow should be a separate and distinct attempt to dislodge the object.

Back blow

Tempatkan 2 jari anda ditengah-tengah dada bayi

Kedudukan jari telunjuk hendaklah sebaris dengan puting susu

Berikan 5 tekanan dada ( - 1 inci)

Give 2 rescue breaths. -Tilt the head to a neutral position and seal your mouth over the infant's mouth and nose. If the breaths do not make the chest clearly rise, repeat cycles of chest compressions, foreign object check/removal and rescue breaths.

Locate the correct hand and finger position for chest compressions. Use the pads of two or three fingers of your other hand to give chest compressions on the center of the chest, just below the nipple line (toward the infants feet). If you feel the notch at the end of the infants sternum, move your fingers slightly toward the infants head.

Give 30 chest compressions at a rate of at least 100 chest compressions per minute. Each compression should be about 1 inches deep.

f the infant cannot cough, cry or breathe, carefully position the infant face-down along your forearm Support the infant's head and neck with your hand

Lower the infant onto your thigh, keeping the infant's head lower than his or her chest.

Give 5 back blows Use the heel of your hand

Give back blows between the infant's shoulder blades

Each back blow should be a distinct attempt to dislodge the object

Position the infant face-up along your forearm Position the infant between both of your forearms, supporting the infant's head and neck

Turn the infant face-up

Lower the infant onto your thight with the infant's head lower than his/her chest

Give 5 chest thrusts Put 2-3 fingers on the center of the chest just below the nipple line

Compress the chest 5 times about 1/2- 1 inch

The object is forced out

The victim begins to breathe or cough forcefully on his/her own

The victim becomes unconscious

If rescue breaths do not make the chest clearly rise, reposition the airway by retilting the infant's head and try 2 rescue breaths again

If rescue breaths still do not make the chest clearly rise, remove the resuscitation mask and give 5 chest thrusts Keep 1 hand on the infant's forehead to maintain an open airway

Put 2-3 fingers on the center of the chest just below the nipple line

Compress the chest about 1/2 to 1 inch

Each chest thrust should be a distinct attempt to dislodge the object

Compress at a rate of about 100 compressions per minute

Look for an object Grasp the tongue and lower jaw between your thumb and fingers and lift the jaw

If you see the object, take it out Remove it with your little finger by sliding it along the inside of the cheek, using a hooking motion to sweep the object out.

Replace the resuscitation mask and give 2 rescue breaths

Object is removed and the victim begins breathing

Victim becomes conscious

Victim loses pulse, begin CPR

if rescue breaths do not make the chest clearly rise, reposition the airway by tiliting the head farther back and try 2 rescue breaths again

If resc ue breaths still DO NOT make the chest clearly rise, give 5 chest thrusts Place the heel of one hand on the center of the chest

Place the other hand on top of the first hand and compress the chest 5 times

Adult: compress the chest about 1 1/2 to 2 inches

Child: compress the chest about 1 to 1 1/2 inches

Each chest thrust should be a distinct attempt to dislodge the object

Compress at a rate of about 100 compressions per minute

Look inside the victim's mouth Grasp the tongue and lower jaw between your thumb and fingers and lift the jaw

f you see the object, take it out Adult: remove the object with your index finger by sliding the finger along the inside of the cheek, using a hooking motion to sweep the object out

Child: remove the object with your little finger by sliding along the inside of the cheek, using a hooking motion to sweep the object out

Object is removed and the victim begins breathing

Victim becomes conscious

Victim loses pulse, begin CPR

Ceramah bls choking

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