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KURSUS BLS Disediakan Oleh : Miharil Ruminggun Hospital Pitas. CHOKING ( TERSEKAT SALURAN PERNAFASAN)
SALURAN  PERNAFASAN SALURAN  MAKANAN Bahan yang masuk melalui mulut tersekat pada saluran pernafasan, dan seterusnya menyekat pernafasan mangsa akan menyebabkan tercekik PROSES TERCEKIK PERTOLONGAN CEMAS
CLASSIFICATION OF OBSTRUCTION ,[object Object],[object Object],[object Object],[object Object]
TANDA – TANDA  TERCEKIK Sukar untuk bernafas Susah atau tidak boleh bercakap Batuk Muka dan leher menjadi merah Mangsa mengeluarkan bunyi aneh atau menjadi senyap PERTOLONGAN CEMAS
2.  SEVERE ,[object Object]
Tersekat saluran pernafasan(choking) : -Dewasa -Kanak-kanak berumur 1 tahun ke atas.
Dewasa sedar ,[object Object]
Mangsa tidak boleh bercakap ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Lean the victim forward and give 5 back blows with the heel of your hand Position yourself slightly behind the victim Provide support by placing one arm diagonally across the chest and lean the victim forward Firmly strike the victim between the shoulder blades with the heel of your hand Each blow is a distinct attempt to dislodge the object
Beri 5 abdominal thrusts ,[object Object],[object Object],Give 5 abdominal thrusts Adult:  stand behind the victim Child:  stand or kneel behind the victim; use less force on a child Use on hand to find the navel Make a fist with your other hand and place the thumb side of your fist against the middle of the victims abdomen, just about the navel Grab the fist with your other hand
Abdominal thrust
KAEDAH   ABDOMINAL THRUST Berdiri di belakang mangsa Genggam tangan kanan atau kiri anda Tempatkan ditengah-tengah abdomen (2 inci di atas pusat) Kunci kedua-dua tangan Tarik genggaman tangan anda “ KE DALAM DAN KE ATAS” Lakukan sehingga benda asing tersebut keluar
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Kaedah chest thrust – mangsa mengandung dan  obese ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
unconscious ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
 
Kanak2 unc ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
If No Breathing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
If No Breathing ,[object Object],[object Object],[object Object],[object Object]
Infant choking
Check the Scene    - make sure it is safe for you to help the choking victim.   Don't become another victim yourself.    Check the Victim     - If the parent is there, identify yourself and ask if you can help.   If the infant cannot cough, cry, or breathe, then they need help.    Call for Help     - Tell someone to call 9-1-1. If you are alone with an infant, skip this step until later - it's more important to fix the choking.      ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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. 
[object Object],[object Object],[object Object],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
[object Object],[object Object],Continue giving 5 back blows and 5 abdominal thrusts until... ,[object Object],[object Object],[object Object]
[object Object]
KAEDAH BACK BLOW &  ,[object Object],[object Object],[object Object],PERTOLONGAN CEMAS
 
[object Object],[object Object],[object Object],[object Object]
5 back blow ,[object Object]
 
KAEDAH  CHEST THRUST ,[object Object],[object Object],[object Object],PERTOLONGAN CEMAS
Actions for Relieve of FBAO for unconscious infant
Unc inf ,[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Continue giving 5 back blows and 5 abdominal thrusts until... ,[object Object],[object Object],[object Object]
Unconscious Choking ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Continue 2 rescue breaths and 5 chest thursts until... ,[object Object],[object Object],[object Object]
 
 
 
Unconscious Choking ,[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
 
Replace the resuscitation mask and give 2 rescue breaths Continue 2 rescue breaths and 5 chest thursts until... ,[object Object],[object Object],[object Object]
Relief of Foreign Body Obstruction •  If the foreign body obstruction is  mild, do not interfere.  Allow the  victim to clear airway by coughing  while you observe for signs of  severe foreign body obstruction. •  If the foreign body obstruction is  severe you must act to relieve the  obstruction. •  For adults and children, perform  abdominal thrusts until the object  is expelled or the victim becomes  unresponsive. •  For infant, deliver repeated cycles  of 5 back blows followed by 5  chest compressions until the  object is expelled or the victim  becomes unresponsive.
Foreign Body Airway Obstruction (Choking)  •  Greater than 90% of childhood  deaths from foreign body  aspiration occur in children under  5 years old. •  Foreign body obstruction can be  either mild or severe. •  When it is mild, the adult and children  can cough and make some sounds. •  When it is severe, the adult or child  cannot cough or make any sound
Relief of Foreign Body Obstruction (Unresponsive) If the victim becomes unresponsive: • Start CPR with chest compressions – do not perform a pulse check. • After 30 chest compressions open  the airway. • If you see a foreign body, remove it  but do not perform blind finger  sweeps because they may push the  objects further into the pharynx. •  Attempt to give 2 breaths and  continue with cycles of chest  compressions and ventilations  until the object is expelled. Look  for the object after each round of  compressions and sweep if seen. •  After 2 minutes, if no one has  done so, activate the emergency response system
 
Terima Kasih Thank you

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Ceramah bls choking

  • 1. KURSUS BLS Disediakan Oleh : Miharil Ruminggun Hospital Pitas. CHOKING ( TERSEKAT SALURAN PERNAFASAN)
  • 2. SALURAN PERNAFASAN SALURAN MAKANAN Bahan yang masuk melalui mulut tersekat pada saluran pernafasan, dan seterusnya menyekat pernafasan mangsa akan menyebabkan tercekik PROSES TERCEKIK PERTOLONGAN CEMAS
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  • 4. TANDA – TANDA TERCEKIK Sukar untuk bernafas Susah atau tidak boleh bercakap Batuk Muka dan leher menjadi merah Mangsa mengeluarkan bunyi aneh atau menjadi senyap PERTOLONGAN CEMAS
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  • 6. Tersekat saluran pernafasan(choking) : -Dewasa -Kanak-kanak berumur 1 tahun ke atas.
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  • 11. Lean the victim forward and give 5 back blows with the heel of your hand Position yourself slightly behind the victim Provide support by placing one arm diagonally across the chest and lean the victim forward Firmly strike the victim between the shoulder blades with the heel of your hand Each blow is a distinct attempt to dislodge the object
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  • 14. KAEDAH ABDOMINAL THRUST Berdiri di belakang mangsa Genggam tangan kanan atau kiri anda Tempatkan ditengah-tengah abdomen (2 inci di atas pusat) Kunci kedua-dua tangan Tarik genggaman tangan anda “ KE DALAM DAN KE ATAS” Lakukan sehingga benda asing tersebut keluar
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  • 28. 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. 
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  • 38. Actions for Relieve of FBAO for unconscious infant
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  • 51. Relief of Foreign Body Obstruction • If the foreign body obstruction is mild, do not interfere. Allow the victim to clear airway by coughing while you observe for signs of severe foreign body obstruction. • If the foreign body obstruction is severe you must act to relieve the obstruction. • For adults and children, perform abdominal thrusts until the object is expelled or the victim becomes unresponsive. • For infant, deliver repeated cycles of 5 back blows followed by 5 chest compressions until the object is expelled or the victim becomes unresponsive.
  • 52. Foreign Body Airway Obstruction (Choking) • Greater than 90% of childhood deaths from foreign body aspiration occur in children under 5 years old. • Foreign body obstruction can be either mild or severe. • When it is mild, the adult and children can cough and make some sounds. • When it is severe, the adult or child cannot cough or make any sound
  • 53. Relief of Foreign Body Obstruction (Unresponsive) If the victim becomes unresponsive: • Start CPR with chest compressions – do not perform a pulse check. • After 30 chest compressions open the airway. • If you see a foreign body, remove it but do not perform blind finger sweeps because they may push the objects further into the pharynx. • Attempt to give 2 breaths and continue with cycles of chest compressions and ventilations until the object is expelled. Look for the object after each round of compressions and sweep if seen. • After 2 minutes, if no one has done so, activate the emergency response system
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