ʻO Choking - makua a keiki paha ma mua o 1 makahiki

ʻO Choking ke paʻakikī loa ka hanu ʻana o kekahi no ka mea ʻo ka meaʻai, mea pāʻani, a mea ʻē aʻe paha e keʻakeʻa nei i ka ʻāʻī a i ʻole ka puhi makani (ala ea).

Hiki ke ālai ʻia ke ala ʻāpana o ke kanaka choking i lawa ʻole ka oxygen i loko o nā akemāmā. Me ka ʻole o oxygen, hiki i ka lolo ke hana ma kahi o 4 a 6 mau minuke. Hiki i ke kōkua mua wikiwiki no ka choking ke hoʻopakele i ke ola o ke kanaka.

ʻO Choking ke kumu o kekahi o kēia mau mea:

• ʻO ka wikiwiki o ka ʻai ʻana, ʻaʻole nū maikaʻi ʻana i ka meaʻai, a i ʻole ka ʻai ʻana me nā niho pono ʻole ʻole
• ʻO ka inu ʻana i ka waiʻona (ʻoiai ka ʻāpana liʻiliʻi o ka waiʻona e pili ana i ka ʻike)
• Ka noʻonoʻo ʻole a me ka hanu ʻana i ka luaʻi
• Ka hanuʻana i nā mea liʻiliʻi (keiki liʻiliʻi)
• ʻO ka hōʻeha i ke poʻo a me ka maka (e laʻa me ka pehu ʻana, ke kahe ʻana o ke koko, a i ʻole ke deformity hiki ke hoʻoʻauʻa ʻia)
• ʻO ka ale ʻana i nā pilikia ma hope o ka hahau
• Ke hoʻonui nei i nā tonsil a i ʻole nā ​​tumors o ka ʻāʻī a me ka puʻu
• Nā pilikia me ka esophagus (ka paipu ʻai a i ʻole ka ʻānai moni)

Ke peke ke keiki makua a makua paha, lālau pinepine lākou i ko lākou puʻu me ka lima. Inā ʻaʻole hana kēia kanaka, e nānā i kēia mau hōʻailona weliweli.

• ʻAʻole hiki ke ʻōlelo
• Hanu paʻakikī
• Hū ka hanu a me nā kani kiʻekiʻe i ka wā e hanu ana
• Nawaliwali, miko maikaʻi ʻole
• Waihoʻoluʻu ʻōniʻoniʻo
• Ka nalowale o ka ʻike (unresponsiveness) inā ʻaʻole holoi ʻia ka palaka
  

E nīnau mua, "E ʻokaʻina paha ʻoe? Hiki iā ʻoe ke ʻōlelo?" Mai hana i ke kōkua mua inā e ʻāha ikaika ana ke kanaka a hiki iā ia ke ʻōlelo. Hiki i kahi batukū ikaika ke kipaku aku i ka mea. Paipai i ke kanaka e hoʻomau i ka ʻūlū e kāpae i ka mea.

Inā ʻaʻole hiki i ke kanaka ke ʻōlelo a paʻakikī paha i ka hanu ʻana, pono ʻoe e hana wikiwiki e kōkua i ke kanaka. Hiki iā ʻoe ke hana i nā ʻōpū o ka ʻōpū, hahau i hope, a i ʻole ʻelua.

E hana i nā pahu ʻōpū (Heimlich maneuver):

1. Kū i hope o ke kanaka a kāwili i kou mau lima i ka pūhaka o ke kanaka. No kahi keiki, pono ʻoe e kukuli.
2. Hana i kahi lima me ka lima hoʻokahi. E kau i ka ʻaoʻao manamana nui o kou lima ma luna pono o ka piko o ke kanaka, ma lalo pono o ka umauma.
3. E hoʻopaʻa paʻa i ka lima me kou lima ʻē aʻe.
4. E hana i kahi kuʻi wikiwiki, i luna a i loko me kāu pūlima.
5. E hōʻoia inā kuhi ʻia ka mea.
6. E hoʻomau i kēia mau pahu a hiki i ka wā e hemo ai ka mea a i ʻole e nalo ka ʻike o ke kanaka (ʻike ma lalo).

E hana i nā hahau hou:

1. Kū i hope o ke kanaka. No ke keiki, pono ʻoe e kukuli.
2. E wahī i hoʻokahi lima e kākoʻo i ke kino o luna o ke kanaka. E hoʻomoe i ke kanaka i mua a hiki i ka umauma e pili ana i ka honua.
3. E hoʻohana i ka heʻe o kou lima ʻē aʻe e hāʻawi i kahi kuʻi paʻa ma waena o nā poʻohiwi o ke kanaka.
4. E hōʻoia inā kuhi ʻia ka mea.
5. E hoʻomau i nā hahau a hiki i ka wā e hoʻopau ʻia ai ka mea a i ʻole e nalo ka ʻike o ke kanaka (e ʻike ma lalo).

E hana i nā ʻōpū o ka ʻōpū A me nā hahau i hope (5-a-5 hoʻokokoke):

1. E hāʻawi i nā hahau hou he 5, e like me ka mea i hōʻike ʻia ma luna.
2. Inā ʻaʻole kipaku ʻia ka mea, hāʻawi i nā pahu ʻōpū he 5.
3. E hoʻomau i ka hana ʻana i ka 5-a-5 a hiki i ka wā e hemo ai ka mea a i ʻole e nalo ka ʻike o ke kanaka (ʻike ma lalo).

INA E HELE KE KANAKA A NALOHE OLE I KA HIKI

• E hoʻohaʻahaʻa i ke kanaka i ka papahele.
• Kāhea iā 911 a i ʻole ka helu kūloko kūloko a i ʻole e haʻi i kekahi e hana pēlā.
• Hoʻomaka ka CPR. Hiki i nā kaomi ʻana o ka pahu ke kōkua i ka hemo ʻana o ka mea.
• Inā ʻoe e ʻike i kahi mea e ālai ana i ke ala ākea a ua hoʻokuʻu ʻia, e hoʻāʻo e hemo. Inā waiho ʻia ka mea i ka ʻāʻī o ke kanaka, MAI HOA e hoʻāʻo. Hiki i kēia ke pahu i ka mea i mamao loa i ke alaloa.

NO NA HANA HANA A I OLE O NA POE OBESE

1. E hoʻopili i kou mau lima a puni ka CHEST o ke kanaka.
2. E kau i kou lima ma ka MIDDLE o ka umauma ma waena o nā nipples.
3. E hoʻokūpaʻa, e pahu i hope.

Ma hope o ka hemo ʻana o ka mea i kumu mai ai ke choking, e hoʻomau i ke kanaka a loaʻa ke kōkua lapaʻau. ʻO kēlā me kēia mea ʻāʻā e pono ke nānā kino. ʻAʻole hiki i nā kūpilikiʻi ke kū wale mai ke kole ʻana, akā, mai nā hana kōkua mua i lawe ʻia.

• Mai hoʻopilikia inā e kahe ikaika ana ke kanaka, hiki iā ia ke ʻōlelo, a i ʻole hiki ke hanu i loko a puka i waho. Akā, mākaukau e hana koke inā ʻoi aku ka maikaʻi o nā ʻōuli o ke kanaka.
• Mai hoʻoikaika i ka waha o ke kanaka e hoʻāʻo e hopu a huki i ka mea inā e ʻike ke kanaka. Hana i nā ʻōpū o ka ʻōpū a me / a i ʻole nā ​​kuʻi hope e hoʻāʻo ai e kipaku i kēia mea.

E ʻimi koke i ke kōkua lapaʻau inā ʻike ʻoe i kekahi e ʻike ʻole ana.

Ke ʻakaʻaka ke kanaka:

• E haʻi i kekahi e kāhea iā 911 a i ʻole ka helu kūloko kūloko ʻoiai ʻoe e hoʻomaka ai i ke kōkua mua / CPR.
• Inā ʻo ʻoe wale nō, e ʻuwā no ke kōkua a hoʻomaka i ke kōkua mua / CPR.

Ma hope o ka hemo maikaʻi ʻana o ka mea, pono ke kanaka e ʻike i ke kauka no ka mea hiki i nā pilikia ke ala aʻe.

I nā lā ma hope o kahi ʻāpala choking, e hoʻopili koke i ke kauka inā ulu ke kanaka.

• Kahi uha hele ʻole
• Fiva
• Pilikia i ka ale ʻana a i ʻole ka ʻōlelo ʻana
• Pokole o ka hanu
• ʻUhihi

Hōʻike paha nā hōʻailona ma luna:

• Ua komo ka mea i ka lung ma kahi o ka kipaku ʻia
• Ka ʻeha i ka pahu leo ​​(larynx)

I pale aku choking:

• ʻAi mālie a nau pono i ka meaʻai.
• E nānā pono i nā niho pono.
• Mai inu i ka waiʻona nui ma mua a i ʻole ma ka wā e ʻai ai.
• E mālama i nā mea liʻiliʻi mai nā keiki ʻōpio.

Hoʻokomo ka ʻōpū - makua a keiki paha ma mua o 1 makahiki; Heimlich maneuver - makua a keiki paha ma mua o 1 makahiki; Pākuʻi - hahau i hope - makua a keiki paha ma mua o 1 makahiki

• Kokoke kōkua mua - makua a keiki paha ma mua o 1 makahiki - moʻo

Keʻa ʻĀina ʻAmelika. ʻO ka papa kuhikuhi mua o ka mea kōkua / CPR / AED. ʻElua ed. Dallas, TX: Ke Kaiʻulaʻula ʻAmelika; 2016.

Atkins DL, Berger S, Duff JP, et al. Mahele 11: Kākoʻo ola ola pilikino Pediatric a me ka maikaʻi o ka hoʻōla cardiopulmonary: 2015 Alakaʻi ʻAmelika Hui Pū ʻIa i hoʻohou no ka resuscitation cardiopulmonary a me ka mālama maʻi maʻi maʻi maʻi. Kaapuni. 2015; 132 (18 Hōʻuluʻulu 2): S519-S525. PMID: 26472999 www.ncbi.nlm.nih.gov/pubmed/26472999.

Easter JS, Scott HF. Hoola hou keiki. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 163.

Kleinman ME, Brennan EE, Goldberger ZD, et al. Mahele 5: Kākoʻo ola kumu makua a me ka maikaʻi o ka hoʻōla cardiopulmonary: 2015 Alakaʻi ʻAmelika Hui Pū ʻIa alakaʻi no ka hoʻōla hou ʻana i ka cardiopulmonary a me ka mālama maʻi maʻi maʻi maʻi. Kaapuni. 2015; 132 (18 Hōʻuluʻulu 2): S414-S435. PMID: 26472993 www.ncbi.nlm.nih.gov/pubmed/26472993.

Kurz MC, Neumar RW. Hoola hou makua. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 8.

ʻO Thomas SH, Goodloe JM. Nā kino haole. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 53.