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Swallowed foreign bodies and Choking: first aid

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 If a foreign body is swallowed, it is usual that it will eventually be excreted out of the body through the digestive tract. But some objects may settle in the canal that connects the larynx to the stomach (esophagus) If the foreign body is stuck in the esophagus, it may be necessary to remove it, especially if:



.A sharp object, as must be removed as soon as possible to avoid further wounds to the esophageal membrane

.A tiny battery of the type used in wristwatches or calculators, as can cause injury to nearby tissue and must be removed from the esophagus without delay/Li 

If a person is able to cough vigorously, he should continue to cough. If the person is choking and is unable to speak, cry or laugh hard, the American Red Cross Society recommends a five-step first aid procedure.


The five steps in performing first aid:


Slap the person on the back 5 times. Stand to the side directly behind the adult suffering from suffocation. If the person is a child, crouch behind him. Place one arm on the affected person's chest to support them. Bend the person from the waist area so that the upper part of the body is parallel to the floor. Direct five separate slaps with the bone of your palm on the back of the injured person between the shoulder blades.

Direct 5 compressions on the abdomen. Press or press on the abdomen at a rate of 5 compressions (also known as the Himmelich maneuver).

Alternate between the five slaps on the back and the five abdominal compressions until the stuck object comes out.

If you are the only rescuer, do back slaps and abdominal compressions before calling 911 or your local emergency unit number for help. If someone else is present, ask them to call while you provide first aid.


If the person who swallowed the foreign object becomes unconscious, place him on his back on the floor. If you can see the object in the mouth, remove it by inserting one finger into the mouth and pulling it out. Be careful not to push the body further into the airway. If your body remains stuck and the victim is not responding to your exertion, perform CPR.


The American Heart Association doesn't teach back slaps, but it practiced abdominal pressure only. It is expected that you will not do back slaps if you are not eligible, both methods are acceptable.


To do abdominal compressions (Heimlich maneuver) for another person.

Stand behind the injured person. Place one foot slightly in front of the other foot for balance. Wrap your arms around the person's waist. Tilt the person forward slightly. If the child suffers from the suffocation of the shark, crouch behind the child.

Place the fist almost above the person's navel.

Hold the fist with the other hand. Press hard pushing the abdomen quickly and upwards as if you're trying to lift the person up.

Apply 6 to 10 abdominal compressions until the foreign body is removed.

Such first aid is taught after being modified for use in the case of a pregnant woman or obese person. The rescuer places his hand on the middle of the chest, not on the abdomen, to start pressing.



To perform a maneuver that will not be on yourself





If you suffocate and are alone, call 911 (or your local emergency number) immediately. You will not be able to perform the beating movements for yourself. But you can do compressions on the abdomen.
Place one of your fists slightly above your navel.



Clench your grip with your other hand, while bending over a hard surface, the tabletop or bench will fit.

How to perform abdominal compressions (Heimlich maneuver) on yourself?

Push your fist in and up.


Choking: First aid


Suffocation occurs when a foreign body enters the throat or trachea leading to the blocking of the airway. The cause of infection of adults with it is often a piece of food. Children, on the other hand, often swallow small objects. First aid must be provided as soon as possible because suffocation prevents oxygen from reaching the brain.


The signal used universally to express suffocation is to wrap the hands around the throat. If the person doesn't come up with this signal, pay attention to these indicators:


Inability to talk

Difficulty breathing or breathing audibly

Wheezing sounds when trying to breathe

the Cough is weak or strong

Change the colour of the skin, lips, and nails to blue or dark

Red skin has naturally turned pale or bluish

Loss of consciousness

If a person is able to cough vigorously, they should continue to cough. If a person is suffocated and cannot talk, cry or laugh hard, the American Red Cross recommends using the five and five methods of providing first aid.


The five and five methods of providing first aid:


Multiply five strokes. Stand aside right behind the suffocated person. And if it's a child, get on your knees behind him. Support the injured person by placing one arm on their chest. Bend a person's body at the waist so that the upper part of his body is parallel to the floor. Hit the person hard five times on the back, from between their shoulder blades with the bottom of their palm.

Press five compressions on the abdomen. Press five compressions to the abdomen (also known as the Heimlich maneuver).

Alternate between five strokes and five strokes until the blockage clears.

Abdominal compressions (Heimlich maneuver) on another person


Perform abdominal compressions (Heimlich maneuver) for yourself:


If you're alone, first call 911 (or your local emergency number in your city or country) right away. After that, you may not be able to perform blows on the back, but you can still make compressions on the abdomen to remove the body causing the blockage.


Place one of your fists slightly above your navel.

Clench your grip with your other hand,  while bending over a hard surface, the tabletop or bench will fit.

Push your fist in and up.


To open the airway of a pregnant woman or obese person:


Place your hands at a slightly higher point than in the average person's Himmelish maneuver, specifically just below the chest bones and above the contact point of the lower ribs.

Complete the Heimlich maneuver by pressing on the chest quick presses.

Repeat these steps until the food or the body is out causing the blockage. If this person loses consciousness, follow these steps.


To open the airway to an unconscious person:


Place the person lying on his back on the floor with his arms at his sides.

Disrupt the airway. If you can see the object causing the blockage at the end of the throat or in an elevated part of it, insert a finger into the mouth and pull the object causing the blockage out. Do not try pulling something with your finger if you do not see the object. Be careful not to push food or a foreign object into the airway, which can easily happen in children.

Start CPR if the body remains stuck inside and the person doesn't respond after you took the previous actions. Compressions used in CPR may cause the body to eject the cause of the blockage. Remember to examine the mouth several times.


To open the airway to an infant under one year old:


Take a sitting position and hold the baby's face so that it is placed down on your forearm resting on your thigh. Support the baby's head and neck with your hand, and hold the head lower than the torso.

Gently but tightly stroke the infant five times in the middle of the back using the palm. Gravity and blows on the back will cause the body to exit the cause of the blockage. Keep your fingers pointed upwards to avoid hitting the back of the baby's head.

Turn the baby face up on your forearm and lean on your thigh, with their head lower than their torso if they are still not breathing. Hold two fingers in the middle of the baby's sternum, and press five quick presses to the chest. Press an inch and a half apart, then let the chest rise again between each press.

Repeat back strokes and chest compressions if breathing does not return. Seek emergency medical help.

Start CPR if one of these methods has successfully opened the airway, but the infant hasn't regained breath.

If your child is older than one year and is conscious, use abdominal compressions only. Beware of using excessive force to avoid damaging the ribs or internal body organs.


We recommend learning the Heimlich maneuver and CPR method at an approved first aid training center to prepare yourself for such situations.

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