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1、FirstAidforChokingAmericanInstituteforPreventiveMedicineTheseemergencyproceduresforchoking,whicharebasedonproceduresrecommendedbytheAmericanHeartAssociation,arereprintedfromtheHomeOrganizerforMedicalEmergencies.Copyright©1992bytheAmericanCollegeofEmergencyPhysicians.Us
2、edwithpermission.Adults:ConsciousVictim1.ChokingisindicatedbytheUniversalDistressSignal(handsclutchingthethroat).2.Ifthevictimcanspeak,coughorbreathe,donotinterfere.Ifthevictimcannotspeak,coughorbreathe,giveabdominalthrusts(theHeimlichmaneuver).Reacharoundthevictim'swa
3、ist.Positiononeclenchedfistabovenavelandbelowribcage.Graspfistwithotherhand.Pulltheclenchedfistsharplyanddirectlybackwardandupwardundertheribcage6to10timesquickly.Incaseofextremeobesityorlatepregnancy,givechestthrusts.Standbehindvictim.Placethumbofleftfistagainstmiddle
4、ofbreastbone,notbelowit.Grabfistwithrighthand.Squeezechest4timesquickly.3.Continueuninterrupteduntiltheobstructionisrelievedoradvancedlifesupportisavailable.Ineithercase,thevictimshouldbeexaminedbyaphysicianassoonaspossible.IfVictimBecomesUnconscious1.Positionvictimonb
5、ack,armsbyside.2.Shoutfor"Help".Call9-1-1orthelocalemergencynumber.3.Performfingersweeptotrytoremovetheforeignbody.4.Performrescuebreathing.Ifunsuccessful,give6-10abdominalthrusts(theHeimlichmaneuver).5.Repeatsequence:performfingersweep,attemptrescuebreathing,performab
6、dominalthrusts,untilsuccessful.6.Continueuninterrupteduntilobstructionisremovedoradvancedlifesupportisavailable.Whensuccessful,havethevictimexaminedbyaphysicianassoonaspossible.7.Afterobstructionisremoved,begintheABC'sofCPR,ifnecessary.ConsciousInfant(Under1yearold)1.S
7、upporttheheadandneckwithonehand.Straddletheinfantfacedownoveryourforearm,headlowerthantrunk,supportedonyourthigh.2.Deliverfourbackblows,forcefully,withtheheelofthehandbetweentheinfantÕsshoulderblades.3.Whilesupportingthehead,immediatelysandwichtheinfantbetweenyourhands
8、andturnontoitsback,headlowerthantrunk.4.Using2or3fingers(seeillustrationforfingerposition),deliverfourthrustsintheste