Online CPR Certification Blog
How Do I Recognize If Someone Is Choking and What Should I Do?
Date: March 9th, 2024
We’ve all been there. You’re at a fun dinner, laughing at a joke, when suddenly someone’s face turns a shade of panic. Time seems to freeze, and the room goes silent. Choking – it’s one of those unexpected events that can turn an ordinary meal into a heart-stopping moment.
But what if you could be the family member who jumps in and saves the day? With a dash of knowledge and a sprinkle of confidence, you can. Dive in, and let’s unravel the mystery behind recognizing and reacting when someone’s in a tight spot.
Spotting the Silent Scream: Recognizing a Choking Victim
You know, it’s often not as dramatic as in the movies. It can be subtle, and that’s what makes it dangerous.
The Universal Sign:
You’ve probably seen it before, even if just on TV. Someone’s grabbing their throat, and it’s like they’re screaming silently. This is the most common sign of choking.
Facial Expressions:
Remember that time someone told a joke and you laughed so hard you almost choked on your drink? That surprised look on your face? Now, imagine that without the laughing part – just sheer panic.
Breathing Difficulties:
They might try to cough but can’t, producing high-pitched sounds or even wheezing. It’s like trying to breathe through a straw that’s been pinched.
Changing Colors:
From red to blue, it’s a race against time. That’s because blue means they’re not getting the oxygen they need.
First Steps: Stay Calm and Ask
I get it. Panic sets in. But remember, your calmness can be their lifeline.
- The Important Question:
Before going full superhero, ask them, “Hey, are you choking?” If they nod or can’t answer, it’s game time.
- Call for Help:
If you’re not alone, pick someone specific to call 911. Delegate, because in chaos, specificity is key.
- Helping the Mildly Choking
It’s like when food goes down the wrong pipe. Uncomfortable, but they can handle it, with a little cheerleading from you.
- Encourage Them:
Ever had a coach or a friend cheer you on? Be that for them now. “Come on, you got this. Big cough!”
- Stay Close:
It’s reassuring to know someone’s got your back, right? Be that someone for them.
Alright, let’s talk about the real nitty-gritty, when someone’s airway is blocked so completely that they can’t make any sound or get any air. Terrifying, I know. It’s a bit like trying to get water from a tap that’s been turned off.
Image alt text: How to Spot and Help a Choking Person
Author credit: By aebopleidingen – https://pixabay.com/en/first-aid-children-child-bicycle-1882049/ archive copy, CC0, https://commons.wikimedia.org/w/index.php?curid=63751791
The Famous Heimlich Maneuver
When I was in college, I attended a first-aid workshop. They brought in these dummies for us to practice on, but believe me, doing it on a real person? Totally different. Here’s the breakdown:
- Position: Stand behind them, feet apart for balance. Think of it like getting ready for a tug-of-war.
- Hand placement: Ball one hand into a fist, thumb side in. Place it just above their navel. Your other hand? That should cover the first, gripping it.
- Give it all you’ve got: With both hands, push inwards and upwards, as if you’re trying to lift them off their feet. Imagine you’re trying to make them cough out whatever’s blocking them – which, well, you are.
- Repeat: Sometimes it takes more than one try. Don’t get discouraged. Keep going.
For Pregnant Women or Obese Individuals
Here’s a thing not many people know: standard Heimlich Maneuver might not be the best bet for everyone. For pregnant women or larger individuals, you want to avoid the belly area.
- Hand placement: Instead of the navel, you’re aiming for the base of the breastbone. Still use the same grip – one fist, covered by the other hand.
- Thrust: It’s the same upward and inward motion. Be gentle but firm.
Table: Choking First Aid Procedures by Age Group
Age Group | Initial Response | Technique | Hand Placement | Notes |
Adults | Encourage coughing | Heimlich Maneuver | Above the navel, below ribcage | Use strong inward-upward thrusts |
Children (1-12 years) | Ask if they can speak or cough | Heimlich Maneuver | Same as adults, but may need to kneel | Use less force than for adults |
Infants (under 1 year) | Never try to make them cough | Back blows & chest thrusts | Back: Between shoulder blades; Chest: Middle of breastbone | Alternate between 5 back blows and 5 chest thrusts |
When The Person Falls Unconscious
This part? Probably the hardest emotionally. It’s the nightmare scenario, but even then, you’re not out of options.
Lay Them Down Carefully:
Think about every time you’ve settled someone onto a couch or bed. This is the same but with a bit more urgency.
- Head-tilt-chin-lift: It sounds fancy, but it’s really just ensuring their airway is as open as possible. Tilt their head back slightly, lifting their chin.
Begin CPR:
Maybe you’ve taken a class, maybe you’ve only seen it in movies. Either way, any attempt at CPR is better than none.
- Compressions: Interlock your fingers, keep your arms straight, and push hard and fast in the center of the chest. Aim for 100-120 compressions a minute – that’s almost two per second.
- Mouth-to-mouth resuscitation: If you’re comfortable and know the technique, give it a go. Pinch the person’s nose, cover their mouth with yours, and give a big breath. Make their chest rise.
Continue Until Help Arrives:
You might feel alone in this, but you’re not. Emergency services are on their way. Your job? Keep going until they take over.
After the Ordeal: Post-Choking Care
The immediate danger might have passed, but there’s an aftermath to handle, both physically and emotionally.
Seek Medical Attention:
I can’t stress this enough. Even if the person feels fine, internal injuries can happen. It’s like when you think you’ve fixed a glitchy computer but the issue crops up again later. Better let an expert – in this case, a doctor – give the all-clear.
Give Them Comfort (and Yourself Too!):
Talk it out. It’s natural to replay things in your mind or wonder about the “what ifs”. Grab a drink, find a quiet corner, and let it out. Emotional healing is just as vital as physical recovery.
FAQs
Q: Can I hurt someone with the Heimlich maneuver?
A: Yes, there’s a risk of injury like broken ribs, but it’s often outweighed by the need to save a life.
Q: Is mouth-to-mouth necessary during CPR?
A: No, if you’re uncomfortable, hands-only CPR focusing on chest compressions works too.
Q: Can you choke on liquids?
A: Not in the true sense, but liquids can enter the windpipe, causing a coughing fit.
Q: After a choking incident, is a doctor’s visit necessary?
A: Yes, it’s best to check for any potential internal injuries or complications.
Q: How do I prevent kids from choking?
A: Supervise their eating, cut food into small pieces, and keep small items out of reach.
Conclusion
In summary, recognizing the signs of choking and knowing how to promptly and effectively intervene can save lives. A choking person may exhibit symptoms like gasping for air, holding their throat, or turning blue, which require immediate attention. Familiarity with life-saving techniques like the Heimlich maneuver is crucial for anyone, not just medical professionals.
In some situations, seeking emergency medical help is essential, especially if initial efforts to clear the airway are unsuccessful. By being observant, knowledgeable, and prepared, you can potentially make a life-altering difference for someone in distress.