Choking哽塞 & Cardio Pulmonary Resuscitation心肺复苏法

Choking / Foreign Body Airway Obstruction哽塞

Foreign Body / Obstruction blocked the airway.

成因Reason for choking
- 一边吃东西，一边说话
keep talking when he/she is eating
- 小孩由于好奇，把异物放入嘴里

病症和病状signs and symptoms
-cannot talk
-cannot cough咳嗽
-cannot breath
-face will become red due to cannot breath
-universal signs(伤病者可能抓住颈部或指着喉咙)

处理方法Management
- Check for danger

- Introduce yourself

- Ask whether casualty is choking

- if casualty nod（点头）/universal sign

- tell the casualty that you will go to his back and do Heimlich Manuever/Abdominal thrust. When u say cough, he need try to cough.

- make the casualty's body move forward 45 degree, feet apart(one advance of other一只脚站在患者两只脚中间，一只脚向后)

- (do Heimlich Manuever/Abdominal thrust腹部挤压法, at the same time, ask casualty to cough）x 5times

- pay attention to casualty whether he could throw out(vomit)

- repeat the Heimlich Manuever/Abdominal thrust until the obstruction/foreign body have came out or he is fainting and no breathing.

- do CPR if he fainted


腹部挤压法
- 在伤病伤病者背后以前弓后箭的姿势站稳
- 双臂环抱伤病者腹部
- 手掌向下，一只手掌的尾指放在伤病者肚脐，另一只握拳
- 将拳头扁平面向内，放在伤病者肚脐, 远离胸骨尖(第三和第四只手指之间)
- 向内及向上按压

Cardio Pulmonary Resuscitation(CPR)
- Check for danger
Remove danger if can. If cant, transfer the casualty to safety place.

- Check for response

- No response, call help!!! ask someone to call ambulance 999 and call back to report to u.

- Head tilt chin lift

- Look, feel, listen

- Give 2 rescue blows

- Check sign of life

• Breathing
• Movement
• Coughing

- (30compressions + 2 blows ) x 5cycles in 2mins

- (use little finger to take out the obstruction)

- Check sign of life
if he/she have normal breathing, turn him/her to recovery position
if not breathing, do another (30compressions + 2 blows ) x 5cycles


Under what condition u could not perform CPR?
-Pregnant
-Poisoning
-Profuse Bleeding
-Spinal Injury

Under what condition u could stop CPR?
-the casualty is conscious/semi-conscious, is breathing
-doctor, nurse or an appropriate person /ambulance have been arrived
-u r too tired to continue

Reason to finish 5cycles in 2min
-total compressions = 30 compressions x 5cycles
= 150 compressions

-so, 1min = 150/2 =75 compressions
for Adult, pulse rate is 60-80times per min
75 is in between of 60-80