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choking of baby with big chunk of guava was removed with simple first aid at Periphery in Chisapani Hospita Dr Deevya Darshan

A case of choking of baby with big chunk of guava was removed with simple first aid at Periphery in Chisapani Hospital, Nawalparasi
Dr @dr.deevyadarshan 
P.S- Educational purpose /Consent taken 

Choking is the physiological response to sudden obstruction of airways. Foreign body airway obstruction (FBAO) causes asphyxia and is a terrifying condition, occurring very acutely, with the patient often unable to explain what is happening to them. If severe, it can result in rapid loss of consciousness and death if first aid is not undertaken quickly and successfully. Immediate recognition and response are of the utmost importance.

Choking due to inhalation of a foreign body usually occurs whilst eating; it need not have been a formal 'sit-down' meal - a snack eaten 'on-the-go' or chewing gum can also be inhaled.

Incidence

Choking is a risk whenever food is consumed. Foreign body airway obstruction represents a true medical emergency in adults, with a mortality rate of just over 3%

FBAO also has a unique demography - 80% of cases are below the age of 3 years, with a peak frequency in the 1- to 2-year age group.

Mild choking: encourage them to cough

If the airway is only partly blocked, the person will usually be able to speak, cry, cough or breathe.

They'll usually be able to clear the blockage themselves.

To help with mild choking in an adult or child over 1 year old:

encourage them to keep coughing to try to clear the blockage
ask them to try to spit out the object if it's in their mouth
don't put your fingers in their mouth to help them as they may bite you accidentally
If coughing doesn't work, start back blows.

Severe choking: back blows and abdominal thrusts

Source - Chocking NHS

Severe choking: back blows and abdominal thrusts

Where choking is severe, the person won't be able to speak, cry, cough or breathe. Without help, they'll eventually become unconscious.

To carry out a back blow on an adult or child over 1 year old:

• Stand behind them and slightly to one side. Support their chest with 1 hand. Lean them forward so the object blocking their airway will come out of their mouth, rather than moving further down. 
• Give up to 5 sharp blows between their shoulder blades with the heel of your hand. The heel is between the palm of your hand and your wrist. 
• Check if the blockage has cleared. 
• If not, give up to 5 abdominal thrusts.

Abdominal thrusts

Don't give abdominal thrusts to babies under 1 year old or pregnant women.

To carry out an abdominal thrust:

• Stand behind the person who's choking. 
• Place your arms around their waist and bend them forward. 
• Clench 1 fist and place it right above their belly button. 
• Put the other hand on top of your fist and pull sharply inwards and upwards. 
• Repeat this movement up to 5 times. 

If the person's airway is still blocked after trying back blows and abdominal thrusts, get help immediately:

• Call Emergency  and ask for an ambulance. Tell the 🚨operator the person is choking. 
• Continue with the cycles of 5 back blows and 5 abdominal thrusts until help arrives. 

If they lose consciousness and aren't breathing, you should begin cardiopulmonary resuscitation (CPR) with chest compressions.