Choking Child Rescue
GUIDED DISCUSSION A child who choked was the reason Dr. Keener started Safe Sitter®
this could be the most important thing you learn today!
• The technique you’re going to learn can be used to rescue anyone who is choking if they are at least 1 year old, including adults. You’re going to learn how to do abdominal thrusts. [This is the technique formerly known as the Heimlich Maneuver.]
• Has anyone ever had food go down the wrong way? What happened? (The person coughed.)
• Coughing is the body’s defense against airway trespassers like solids or liquids.
• Let’s look at an illustration of the lungs. – Here is the tongue. [Point to the tongue.] – Here is the esophagus. [Point to the esophagus.]
This is what happens when you eat: [Trace the digestive path on the graphic or digital presentation slide with your finger.] When you put food in your mouth, it goes to the back of the throat and down through the esophagus to your stomach.
If you choke, this is what happens: [Trace the wrong path for food on the graphic or digital presentation slide.] You put food in your mouth. It goes to the back of the throat and down the trachea, also known as the windpipe. It usually stops there, but it may progress to one of the two main airways (bronchi).
Coughing is very important. Coughing helps!
• What would the child do if there was a piece of hot dog blocking the child’s airway? (The child would start to cough.)
• What muscles help with coughing? (Diaphragm and muscles between the ribs.) [Point out on graphic.]
• When you cough, where does the air come from? (Lungs.)
• Note that when you cough it is quick and forceful. Firm and quick squeezes work. Slow and gentle squeezes don’t work. Abdominal thrusts must be quick and forceful to work. If the force of the air pushing on the object is strong enough, the object will be pushed out of the airway and the airway will be cleared.
• Abdominal thrusts are “substitute coughs” used to rescue a victim when the victim’s cough fails.
• Where does air come from when you use abdominal thrusts to “cough out” the obstruction in a child with an obstructed airway? (There is air trapped in the lungs below the obstruction.)
Remember: Coughing helps! If a child you are with starts coughing, stay with them and encourage them to cough. Don’t pat them on the back. [Patting or slapping on the back while the child is upright may cause the object to go further down into the airway.]
GRANDPARENTS: GETTING STARTED INSTRUCTOR MANUAL | PAGE 17 , so
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