Tuesday, July 25, 2017
   
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Choking & Epilepsy

Choking

Choking occurs when the airway is partially or totally blocked by a swallowed object, i.e. when something goes down the windpipe rather than the food passage.The aim of treatment is to clear the blocked passage.

Treatment

Conscious Adult

  1. Ask, "Are you choking?" If the victim can speak, cough or breathe, DO NOT INTERFERE - he is not choking.
  2. If the victim cannot speak, cough or breathe, give upward abdominal thrusts.

To do this, stand behind victim and wrap your arms round the waist. Grasp one fist with your other hand and place thumb side of your fist in the mid-line between waist and rib cage. Press fist into abdomen with 4 quick upward and inward thrusts.

  1. Do not use abdominal thrust when dealing with a pregnant woman or over-weight victim. In these cases use chest thrusts - press on breastbone as in CPR.
  2. Stand behind victim and place your arms under her armpits to encircle body.
  3. Grasp one fist with the other hand, and place thumb side on the middle of the breastbone.Press with quick backward thrusts.
  4. Repeat above sequence.Be persistent.
  5. Send for medical aid, call an Ambulance and continue treatment until help arrives.

Self Help The above technique can be used successfully. If a person is choking and alone, lean over a chair or railing as you act to help release obstruction.

Unconscious Adult

  1. Establish unconsciousness.
  2. "Call for Help". Get them to get an Ambulance, Now !
  3. Dial your local emergency telephone number.
  4. Open Airway and begin A of resuscitation procedure.
  5. If unsuccessful deliver five abdominal thrusts.
  6. Use finger probe in mouth to remove the dislodged foreign body.
  7. If unsuccessful repeat these sequences. Be persistent.
  8. Continue treatment until help arrives.

Child (as for adults)

If a child ('1-8 years) is choking, proceed as for adult, depending on whether victim is conscious or unconscious.

Infant (up to 1 year)

If an infant is choking, turn infant face downwards supporting the body along your arm with hand supporting head and neck.

  1. Ensure airway is open.
  2. Deliver five back blows between the shoulders, then turn over and give five chest thrusts.
  3. Remove object if visible.
  4. Do not perform blind finger sweeps in infants and children. When obstruction is removed and infant is still not breathing and has no pulse start CPR.
  5. Call help fast see section on Resuscitation for Children.

Epilepsy

An epileptic seizure is caused by a disruption in the normal activity of the brain. Some people with epilepsy carry an identification card, or wear a warning bracelet. Very little first aid treatment is required, the main aims being to keep the person safe during a seizure and to provide after-care.

Treatment

Minor Attack

In a minor attack, the person may appear to be in a daydream, stare blankly or behave strangely.

  1. Take care of him by protecting him from dangers such as busy roads.
  2. Remain with him until you are certain he has recovered.

Major Seizure

In a major epilepsy seizure, the person usually falls to the ground, loses consciousness, followed by jerking. The seizure can last up to five minutes.

  1. If the person is falling, try to support or ease the fall and lay down gently.
  2. Clear a space around him. If possible, loosen clothing around the neck and place something soft under the head.
  3. When convulsions cease, place him in the recovery position.
  4. DO NOT move or lift unless in danger.
  5. DO NOT forcibly restrain.
  6. DO NOT put anything in his mouth or try to open
  7. DO NOT try to wake him.
  8. Seek medical aid.
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