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How to Perform the Heimlich Maneuver: Life-Saving Information for Choking Emergencies

The second day of the Lunar New Year is supposed to be a day for family reunion, but a man in Kaohsiung was suspected of choking while taking Huazhiwan and died in the hospital. The emergency department doctor pointed out that others can use the Heimlich maneuver to provide first aid; when no one is around, you can move the center between the navel and the xiphoid process downward against the back of a chair or the edge of the table, and increase the pressure in the abdominal cavity to eject the food. . After vomiting, it is still recommended to go to the hospital for medical treatment to find out whether the choking was caused by factors such as heart problems or epilepsy.

A 47-year-old man surnamed Lin from Kaohsiung City went back to his parents’ house for a dinner with his family yesterday. He was suspected of choking for unknown reasons while taking Huazhiwan. He was in great pain on the spot. He lost breathing and heartbeat after a few minutes. He was then rushed to the National Army. He was rescued at the General Hospital, but unfortunately he was pronounced dead in the end. The police are still clarifying the detailed cause of death.

Regarding emergency treatment when choking occurs, Gao Weifeng, founding director of the Large Event Emergency Rescue Association of the Republic of China, said that if the patient still coughs, it means that the respiratory tract is not completely blocked, and coughing is encouraged because the vocal cords are on the upper side of the respiratory tract. Once completely blocked, the patient will There is no way to make a sound, so there is no sound, which means there is no airflow through the respiratory tract.

Gao Weifeng pointed out that the most important thing to deal with when choking is the Heimlich maneuver. If the patient is still conscious and an adult, others can make a fist with the left hand, hold the left fist with the right hand, and stand behind the patient, and then From the navel to the sternum, push back and up with one hand holding the fist of the other hand, hoping that by increasing the pressure in the abdominal cavity, the diaphragm will move upward and the force will be transferred to the chest cavity, so that the pressure in the chest cavity will increase and the things stuck in the respiratory tract will be removed. Stuff squirted out.

Gao Weifeng said that if the patient has fallen to the ground, others can help to turn the patient’s head upward and sit on both sides of the patient’s abdomen. With his hands clasped, he should press the patient’s chest between the xiphoid process of the sternum and the navel. The pressure in the abdominal cavity increases and spreads to the chest cavity, ejecting the things stuck in the respiratory tract. At the same time, you should avoid digging before you see the food, otherwise the food may be pushed further inside.

If there is no one around to help yourself, Gao Weifeng said that you can lean the middle of the navel and the xiphoid process under the sternum against the back of a chair or the edge of a table, move down and lean against it, hoping that the pressure in the abdominal cavity will increase and the pressure will be transferred to the Something squirted out of the chest.

For special groups such as obese people or pregnant women, Gao Weifeng said that they can increase pressure transmission by pressing the chest, such as cardiopulmonary resuscitation (CPR) movements, so that things blocking the respiratory tract can be ejected; infants and young children can use the palms of their hands in two places Pat the back between the shoulder blades. The smaller the child, the easier it is to use the back patting method, especially for infants under 1 year old and under 6 years old, depending on the size of the child.

Gao Weifeng reminded that even if the food has been spit out smoothly, it is best to go to the hospital for further confirmation. There may still be food left, because some patients choke because of physical problems first, such as irregular heartbeats and heart attacks. Things, bystanders thought the patient was choking, but in fact it may be due to factors such as arrhythmia first, or an epileptic seizure, and then choking later.

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2024-02-11 23:54:52
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