FirstAidforChokingAmericanInstituteforPreventiveMedicineTheseemergencyproceduresforchoking,whicharebasedonproceduresrecommendedbytheAmericanHeartAssociation,arereprintedfromtheHomeOrganizerforMedicalEmergencies.Copyright©1992bytheAmericanCollegeofEmergencyPhysicians.Usedwithpermission.Adults:ConsciousVictim1.ChokingisindicatedbytheUniversalDistressSignal(handsclutchingthethroat).2.Ifthevictimcanspeak,coughorbreathe,donotinterfere.Ifthevictimcannotspeak,coughorbreathe,giveabdominalthrusts(theHeimlichmaneuver).Reacharoundthevictim'swaist.Positiononeclenchedfistabovenavelandbelowribcage.Graspfistwithotherhand.Pulltheclenchedfistsharplyanddirectlybackwardandupwardundertheribcage6to10timesquickly.Incaseofextremeobesityorlatepregnancy,givechestthrusts.Standbehindvictim.Placethumbofleftfistagainstmiddleofbreastbone,notbelowit.Grabfistwithrighthand.Squeezechest4timesquickly.3.Continueuninterrupteduntiltheobstructionisrelievedoradvancedlifesupportisavailable.Ineithercase,thevictimshouldbeexaminedbyaphysicianassoonaspossible.IfVictimBecomesUnconscious1.Positionvictimonback,armsbyside.2.Shoutfor"Help".Call9-1-1orthelocalemergencynumber.3.Performfingersweeptotrytoremovetheforeignbody.用心爱心专心4.Performrescuebreathing.Ifunsuccessful,give6-10abdominalthrusts(theHeimlichmaneuver).5.Repeatsequence:performfingersweep,attemptrescuebreathing,performabdominalthrusts,untilsuccessful.6.Continueuninterrupteduntilobstructionisremovedoradvancedlifesupportisavailable.Whensuccessful,havethevictimexaminedbyaphysicianassoonaspossible.7.Afterobstructionisremoved,begintheABC'sofCPR,ifnecessary.ConsciousInfant(Under1yearold)1.Supporttheheadandneckwithonehand.Straddletheinfantfacedownoveryourforearm,headlowerthantrunk,supportedonyourthigh.2.Deliverfourbackblows,forcefully,withtheheelofthehandbetweentheinfantÕsshoulderblades.3.Whilesupportingthehead,immediatelysandwichtheinfantbetweenyourhandsandturnontoitsback,headlowerthantrunk.4.Using2or3fingers(seeillustrationforfingerposition),deliverfourthrustsinthesternal(breastbone)region.Depressthesternum1/2to1inchforeachthrust.Avoidthetipofthesternum.5.Repeatbothbackblowsandchestthrustsuntilforeignbodyisexpelledortheinfantbecomesunconscious.ALTERNATEMETHOD:Laytheinfantfacedownonyourlap,headlowerthantrunkandfirmlysupported.Perform4backblows.Turninfantonitsbackasaunitandperform4chestthrusts.UnconsciousInfant1.Shoutforhelp.Call9-1-1orthelocalemergencynumber.用心爱心专心2.Performtongue-jawlift.Ifyouseetheforeignbody,removeit.3.Attemptrescuebreathing.4.Performthesequenceofbackblowsandchestthrustsasdescribedforconsciousinfant.5.Aftereachsequenceofbackblowsandchestthrusts,lookfortheforeignbodyand,ifvisible,removeit.6.Attemptrescuebreathing.Repeatsteps4and5.7.Ifforeignbodyisremovedandvictimisnotbreathing,begintheABC'sofCPR.ConsciousChild(Over1yearold)Todislodgeanobjectfromtheairwayofachild:Performabdominalthrusts(theHeimlichmaneuver)asdescribedforadults.Avoidbeingoverlyforceful.UnconsciousChild(Over1yearold)Ifthechildbecomesunconscious,continueasforanadultexcept:Donotperformblindfingersweepinchildrenupto8yearsold.Instead,performatongue-jawliftandremoveforeignbodyonlyifyoucanseeit.{Note:Abdominalthrustsarenotrecommendedininfants.Blindfingersweepsshouldnotbeperformedoninfantsorsmallchildren.}用心爱心专心
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