文章First Aid for Choking.doc

文章First Aid for Choking.doc

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时间:2019-04-29

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1、FirstAidforChokingAmericanInstituteforPreventiveMedicineTheseemergencyproceduresforchoking,whicharebasedonproceduresrecommendedbytheAmericanHeartAssociation,arereprintedfromtheHomeOrganizerforMedicalEmergencies.Copyright©1992bytheAmericanCollegeofEmergencyPhysicians.Usedwithpermission.Adults:C

2、onsciousVictim1.ChokingisindicatedbytheUniversalDistressSignal(handsclutchingthethroat).2.Ifthevictimcanspeak,coughorbreathe,donotinterfere.Ifthevictimcannotspeak,coughorbreathe,giveabdominalthrusts(theHeimlichmaneuver).Reacharoundthevictim'swaist.Positiononeclenchedfistabovenavelandbelowribca

3、ge.Graspfistwithotherhand.Pulltheclenchedfistsharplyanddirectlybackwardandupwardundertheribcage6to10timesquickly.Incaseofextremeobesityorlatepregnancy,givechestthrusts.Standbehindvictim.Placethumbofleftfistagainstmiddleofbreastbone,notbelowit.Grabfistwithrighthand.Squeezechest4timesquickly.3.C

4、ontinueuninterrupteduntiltheobstructionisrelievedoradvancedlifesupportisavailable.Ineithercase,thevictimshouldbeexaminedbyaphysicianassoonaspossible.IfVictimBecomesUnconscious1.Positionvictimonback,armsbyside.2.Shoutfor"Help".Call9-1-1orthelocalemergencynumber.3.Performfingersweeptotrytoremove

5、theforeignbody.4.Performrescuebreathing.Ifunsuccessful,give6-10abdominalthrusts(theHeimlichmaneuver).5.Repeatsequence:performfingersweep,attemptrescuebreathing,performabdominalthrusts,untilsuccessful.6.Continueuninterrupteduntilobstructionisremovedoradvancedlifesupportisavailable.Whensuccessfu

6、l,havethevictimexaminedbyaphysicianassoonaspossible.7.Afterobstructionisremoved,begintheABC'sofCPR,ifnecessary.ConsciousInfant(Under1yearold)1.Supporttheheadandneckwithonehand.Straddletheinfantfacedownoveryourforearm,headlowerthantrunk,supportedonyourthigh.2.Deliverfourbackblows,forcefully,wit

7、htheheelofthehandbetweentheinfantÕsshoulderblades.3.Whilesupportingthehead,immediatelysandwichtheinfantbetweenyourhandsandturnontoitsback,headlowerthantrunk.4.Using2or3fingers(seeillustrationforfingerposition),deliverfourthrustsintheste

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