When it comes to stopping choking, paramedics follow a specific procedure to ensure the safety and well-being of the individual in distress. Here is a detailed explanation of how paramedics handle a choking situation:
1. Assess the Situation: Upon arriving at the scene, paramedics quickly assess the situation to determine the severity of the choking incident. They observe the individual’s behavior, breathing, and ability to speak or cough. This assessment helps them decide the appropriate course of action.
2. Encourage Coughing: If the person is able to cough, paramedics encourage them to continue coughing forcefully, as this may dislodge the obstruction from their airway. They stand by to monitor the situation and provide assistance if needed.
3. Perform Abdominal Thrusts: If the person is unable to cough or their coughing is ineffective, paramedics proceed to perform abdominal thrusts (also known as the Heimlich maneuver). This technique involves standing behind the person and placing their arms around their waist. One hand is then formed into a fist, positioned slightly above the navel, and covered with the other hand. Paramedics then deliver a series of upward thrusts into the abdomen, using quick, forceful movements to create pressure that can help expel the object causing the obstruction.
4. Back Blows: If abdominal thrusts do not dislodge the obstruction, paramedics move on to performing back blows. They position the individual in a forward-leaning posture, supporting their upper body with one hand. With the heel of their other hand, paramedics deliver five sharp back blows between the person’s shoulder blades. After each back blow, they check the person’s mouth for any visible obstructions and remove them by squeezing them out.
5. Chest Thrusts: If back blows do not resolve the choking, paramedics may proceed to perform chest thrusts. Similar to abdominal thrusts, this technique involves standing behind the person and placing their arms around their chest. They then position one hand on the center of the person’s chest and the other hand on top of it, just below the breastbone. Paramedics deliver a series of inward and upward thrusts to the chest, aiming to create pressure that can dislodge the obstruction.
6. Use of Advanced Techniques: In some cases, if the above techniques are unsuccessful, paramedics may resort to advanced airway management techniques. These may include inserting an oropharyngeal airway (OPA) or nasopharyngeal airway (NPA) to help maintain an open airway or using suction devices to remove the obstruction.
It’s important to note that these steps are general guidelines and may be adapted based on the specific situation and the paramedics’ assessment. Additionally, paramedics receive extensive training in managing choking incidents and follow protocols established by their respective medical systems.
Remember, if you find yourself in a choking emergency, it is crucial to call emergency services immediately for professional assistance.