The First Aid of Choking

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- ADDIE A DDIE

• Needs assessment • Purpose: provide basic

• Many people do not training about choking
know the basics about and Heimlich maneuver
the Heimlich (informal • Library members 16
survey) years and older
• Great for new learners
and those that need to
review or update
• Four learning objectives
• Intellectual and motor
skills
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A-A DIE A-AD IE

• Gagne’s Nine • Search for images
Events of • Search for video
Instruction • Exit survey
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A-ADD E A-ADDI
• To be reviewed • Exit survey
 Why learn the Heimlich?

https://www.youtube.com/watch?v=h3KV_o
KRZvY
 Learning Objectives
Upon completion of this class, learners will be able
to:
• SLO 1: Identify and recognize signs of choking
• SLO 2: Distinguish between a choking victim
with a partial obstruction and a total obstruction
• SLO 3: Respond to a choking victim
• SLO 4: Perform the Heimlich maneuver and
back blows on an adult or child one year or older
 Personal Experience?
• Do you have a story you would like to
share with us?
• Do you know what the Heimlich maneuver
is?
• Have you ever watched someone perform
the Heimlich?
• Are you up to date on the changes?
 The Choking Victim

• Coughing
• Making whistling noises
• Universal Choking Sign
• Bright Red/Blue face
• Trouble Speaking
 Types of Choking
(Obstruction)

1. Partial Obstruction – some oxygen can

still pass through
2. Total Obstruction – no oxygen intake
(cannot speak or breathe)
a. Conscious
b. Unconscious
 What to do…

1. Partial Obstruction
• Encourage coughing
• Do NOT touch
• Comfort
2. Complete Obstruction
• If conscious but cannot breathe, initiate Heimlich
Maneuver and back blows (ask permission)
• If unconscious, call 9-1-1 and perform CPR if trained
 Heimlich Maneuver
• Purpose: Push air out of the lungs to force
the victim to cough with the hope that the
cough will dislodge the object from the
airway

• The current method consists of switching

off between back blows and abdominal
thrusts
 Heimlich: How To

• For adults and children over a year:

1. Position yourself behind the victim
with one foot slightly in front of the
other to help keep your balance
2. 2. Wrap one arm across the chest and
bend the person forward. With the
help of your other hand give 5 firm
back blows between the shoulder
blades
 Heimlich: How To

3. Make a fist with one of your

hands. Place the thumb side of
your fist between the person's
belly button and the lowest part
of his ribs. Do not put your fist
on the ribs.
4. Put your other hand over
your fist. Press your fist into the
person's abdomen with a quick
inward and upward and
administer 5 abdominal thrusts.
 Heimlich: How To

5. Continue the cycle of 5 back blows and 5 abdominal

thrusts until the object comes out or the person begins
to breathe or cough

If victim becomes unconscious

• Lay the person on his back on the floor if he becomes
unconscious. Then call 911 and start rescue
breathing or CPR. Ask for more information about
rescue breathing and CPR.
 Heimlich: How To

For pregnant or overweight:

Wrap your arms under the armpits of an
overweight or pregnant person. Place your
fist on the center of the person's breastbone.
Be sure your fist is not low on the
breastbone, or off to one side on the ribs.
Place your other hand over your fist, and do
quick pushes. Do this until the object comes
out or the person becomes unconscious
 Let’s Practice…

• What would you do???

 Let’s Wrap Up
• https://www.redcross.org/store/choking-
skill-poster-rev-2016/656758.html
• http://www.redcross.ca/crc/documents/fa_
poster_chokingadult_web.pdf

• Complete survey