Chocking occurs when a foreign object becomes lodged in the airway, blocking breathing. For adults, abdominal thrusts are used - standing behind the person, placing one fist above the naval and pressing forcefully inward and upward until the obstruction is cleared. For pregnant or obese adults, chest thrusts are used instead. For infants, back slaps and chest thrusts are alternated until breathing resumes or the infant becomes unresponsive, at which point CPR is provided.

1. Chocking
Presented by –
Anushree Bhunia
Asst. prof
CON & SON R.N. Tagore
Hospital

2. What is Chocking?
When the foreign body is obstructed
or blocking in the airway which leads
to victim’s unable to speak, cough or
breath.

3. Universal sign of chocking

4. Sign/Symptoms
• Unable to speak/cry.
• Poor or no air exchange.
• Weak, ineffective cough or no cough at
all.
• High pitched noise while inhaling or no
noise at all.
• Increased respiratory difficulty.
• Possible cyanosis. ( blue lips or skin)

5. Adult Chocking

6. Abdominal Thrusts :
• Stand behind the responsive person.
Wrap your arms around their waist under
their ribcage.
• Place the thumb side
Of your fist against
the victim’s abdomen,
in the midline slightly
above the naval & well
below the breast bone.

7. • With your other hand, hold the first
fist and press forcefully into the
person’s abdomen and up toward their
chest.

8. Chocking relief for pregnant /
obese Victims
Perform chest
thrusts instead
of abdominal
thrusts.

9. How Long you should do?
Continue performing these thrusts
until the obstruction is relieved or
until the person becomes
unresponsive.

10. • If you can see a foreign
object in the individual’s mouth
and can easily remove it, then
do it.
• Watch and feel for breathing
to begin.

11. If the individual is
become
unresponsiveness
• Continue to provide CPR until
help arrives.
• Each time while opening airway,
look for the object.
• If it is easily removable then
remove it.

12. Choking In Infants
In a choking but responsive infant,
5 back slaps and 5 chest thrusts
are used and will be continue until
the infant is unresponsiveness.

13. Back Slaps
• Hold the infant in your lap.
• Put the infant with
their face down and
their head lower
than their chest.
Put your forearm
on your thigh.

14. • Support the infant’s head and neck
with your hand and be sure to avoid
putting pressure on their throat.
• Using the heel of
your free hand,
deliver five back
Slaps between the
infant’s shoulder
blades.

15. Chest thrush
• Using both hands and arms, turn the
infant face up so they are now resting
on your other arm;
• This arm should now
be resting on your
thigh.
• Make sure the
infant’s head is
lower than their chest.

16. • Using the fingers of your free hand,
provide up to five quick downward
chest thrusts over the lower half of
the breastbone.
• If the obstruction
is not relieved, turn
the infant face down
on your other forearm
and repeat the
process.

17. How Long you should do?
Continue doing these steps until
the infant begins to breathe
or becomes unresponsive.

18. If the infant is
become
unresponsiveness
• Continue to provide CPR until
help arrives.
• Each time while opening airway,
look for the object.
• If it is easily removable then
remove it.