Question

mmedicctcy 16. If a choking victim (airway obstruction) becomes unconscious, what are the next steps the rescuer should take? resturt begin hert ComprsS DA 17. When should a rescuer initially ensure that a scene is safe? 18. How long should a rescuer check for a pulse on a victim? 7. D 19. What is gastric inflation, and how can you prevent it when performing a rescue? 20. How soon after determining a victim is unresponsive, not breathing, and does not have a pulse, should you begin chest compressions (withi how many seconds)? 8. Wh . What What i 21. In 2-rescuer CPR, when the first rescuer is beginning chest compressions, what should the second rescuer be doing? at is

Answer 1

16. When an object gets stuck in the airway blocking the passage of air into the lungs, it is called choking. The person may become unresponsive/unconscious. At this time, pulse need to be checked. The steps the rescuer need to take are:

• If not breathing properly, cardiopulmonary resuscitation (CPR) must be commenced. CPR must be done with chest compressions and rescue breath.
• The rescuer must position himself directly over the victim’s chest so as to obtain maximum cardiac output. He should kneel over the patient’s chest and lock elbows and force chest compressions by counting.
• Check inside the mouth for any objects, if there is anything take it out using fingers. If no, breathe into the rescue mask/ mouth and wait for the chest to rise and fall. For this, hold the victim by tilting the head and lifting the chin and close his nose using thumb and index finger. A single breath must be given every 5 to 6 seconds. If nothing is happening try repositioning the head and try again. If not, do chest compressions again.
• Check for carotid pulse and continue with rescue breath (10 to 12 breaths per minute) and recheck every 2 minutes. CPR must also be performed according to the response.

17. The initial sign which ensures the victim has been revived is when his chest starts to rise and fall, and he will gain consciousness by coughing, opening his eyes and starts moving. Once, he starts breathing normally, CPR must be stopped.

18. If the victim has a pulse but is not breathing, the pulse needs to be checked for not less than 5 seconds and up to10 seconds. This should be checked every 2 minutes.

19. Mouth to mouth breathing must be performed in such a way that it is not too forceful or rapid, since this can cause air enter stomach instead of lungs. Too much air in the stomach can lead to gastric inflation. This may lead to vomiting and there is also a tendency where particles of vomit may enter the lungs. This can lead to pneumonia. Hence, it is always advisable to give adequate breath slowly for over 1 second that helps the chest to rise.