CPR
and Choking
Nathaniel
Genther
Walden
University
Instructor: Erin Eissler
CPR
and Choking
Lets
try to imagine a moment walking into a scenario, in which you are trained to
handle as a teacher. How might you react
and what are the steps in which you should approach the situation. The first scenario is dealing with a child
choking, this since these may be closely linked we will graduate the scenario
as one set, meaning that you will be going through the steps and graduating the
response all the way to Cardiopulmonary Resuscitation otherwise known as (CPR).
Choking
Scenario:
You enter a room on an otherwise normal day, as you look
across the cafeteria you take in the smell of tasty shrimp. Suddenly to your immediate right you hear the
sounds of Coughing, a boy is holding his throat and is hunched over his meal.
1. Assess
the situation - Use of details we know; Shrimp, Coughing, Holding throat. This could be multiple things but the
coughing is symptomatic of a restricted air way (Baby Center, 2017). Holding throat also indicates choking, I note
shrimp in case of allergy or object possibly lodged. Assign, buddy aid from nearby responders,
send bystander to retrieve needed first aid and epi-pen, assign 911 caller.
2. Dislodge
the Object – Start with a back blows, 5 firm blows, between the shoulder blades
with the bottom of the palm. If this
does not dislodge, a finger swipe may remove the object, (be aware of possible
biting). If this does not work move to
abdominal thrusts. Depending on the size
of the child this may be applied different methods on a child you may have to
kneel or lay them down (such as in the case of a baby) in ours it is a little
boy so we will kneel. Locate belly
button, make first with other hand, grasp fist and thrust upwards in the
abdomen 5 times or until dislodged. Repeat back blows and abdominal thrusts
alternating (to avoid bruising).
CPR
Scenario:
You have managed to dislodge the object, but the child is
unresponsive and has fallen unconscious. You decide to lay the child back and
double check the signs.
1. Assess
– The object is out, but the child is not breathing, what are the knowns? The child was eating shrimp, and choking
perhaps it was due to another source.
2. Finger
swipe – double check for any other objects, perhaps there is another lodged
from over consumption. Be certain to tip head to the side to with thumb on jaw
and view back of throat to check for swelling or objects.
3. Check
for breathing – They may be breathing out their nose but not their mouth,
breathe may be only partially obstructed, listen carefully.
4. Rescue
Breathes – 2 rescue breathes, Pinch nose, use of mouth to mouth and exhale (if
you have materials for assisted air such as pump, this is preferable).
5. Move
to Modified CPR – Sit to the side with childs back on solid surface, place hand
on sternum and other hand on top of the first interlace fingers, perform 30
compressions.
a. My
training taught me to perform compressions to the music of “Staying Alive “it
was meant to mimic the same rhythm of a heartbeat.
6. Look
for blockage – Swipe if present – use this moment to reassess (assessment is a
constant process and should be always foremost).
7. Continue
CPR until child revives, or EMS arrives, if you are performing for over 2
minutes use of buddy is necessary to maintain a constant compression rhythm.
Anaphylaxisis
You have noticed that this child shows signs of swelling
before the CPR Scenario, food is dislodged but the breathing does not exist. Assign
nearby teacher or student to retrieve an epinephrine (epi- pen) auto
injector. CPR is still a viable option
to maintain breathing, epi –pen can be used if known allergen is the cause.
Planning
This
scenario above is assuming that you have already a plan in place, planning
ahead is necessary to save lives. If
your aids you sent had no idea where to retrieve the needed supplies to save a
life, the life will not be saved. CPR is
specifically set up to prolong that life, but in some cases extra supplies are
needed. Like the use of difibulator for
heart attacks. Having a trained buddy
aid is necessary to help with CPR in the event you are getting tired, you run
out of steam that life is over quickly (and rescue breathing is a very taxing
activity.
Extra
Adults
Just as in with planning, we need to be able to use other
adults to act in unison. Planning
stipulates that all are in action at once; as he does this she does that. I mentioned a 911 caller, and other aids. Getting a background is necessary, to save a
life, calling parents immediately would be one way of ensuring safety. Suppose I had no idea the child’s allergen
history, this may be important for identifying the possible cause for
unconsciousness.
References
Baby Center (2017) First aid for Choking and CPR: An
illustrated guide for children 12 months and older Retrieved from
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