Choking or airway obstruction is an emergency and this situation can develop anywhere. This presentation can help everybody to deal this kind of emergency
31. SITE OF OBSTRUCTION
• NOSE
– BYPASSED
• BREATHE
– ORAL CAVITY
• NEONATES
– OBLIGATORY
NASAL
BREATHERS
32. SITE OF OBSTRUCTION
(PHARYNX)
• BLUNT/SMALL - DO NOT STAY
» SWALLOWED
• SHARP
– TONSIL, BASE OF TONGUE,
VALLECULAE, PYRIFORM FOSSAE
– MORE DISCOMFORT
– LESS OBSTRUCTION
• VERY BIG- CHILDREN
» DO NOT GAG MUCH
» CANNOT TAKE OUT
– SEVERE RESPIRATORY OBSTRUCTION
37. STAGES OF PRESENTATION
• INITIAL PERIOD - EMERGENCY
– CHOKING
– GAGGING
– WHEEZING
• SYMPTOMLESS INTERVAL–VARIABLE
• DURATION
• NATURE OF FORGEIN BODY
• 20-50% NOT DETECTED WITHIN FIRST WEEK
• LATE SYMPTOMS - COMPLICATIONS
• OBSTRUCTION
• INFLAMMATION
• TRAUMA
38. CHOKING WITNESSED
COMPLETE OBSTRUCTION
• HEIMLICH’S MANOEUVRE
• BACK BLOW
• CHEST THRUST
• ABDOMINAL THRUST
• AIM
– USE THE AIR IN LUNGS
– TOOL TO DISLODGE THE F.B.
63. SITUATION-1
MOTHER
• ONE MONTH OLD BABY
• SUDDENLY FOUND APOENIC
• MOTHER CAME OUT OF WASHROOM
64. SITUATION-2
PATIENT+ATTENDANT+DOCTOR IN MRC
• FOUR SOLDIERS PLAYING LUDDO
– CMH UNIT LINES
• ONE KEEPING GOAT IN MOUTH
• SUDDENLY STARTED DYSPNOEA
• BECAME RESTLESS
• NOISY BREATHING