# daily medical service talks about #
"Doctor, doctor, quickly, quickly, my daughter was gone to by choke... "
On April 1 13 when 30 minutes, emergency call division transmits a mother to cry for help helplessly sound.
The condition is critical female baby is entered by earthnut choke tracheal
Ms. Wang (alias) live in Chang De urban district, taking a daughter to have a meal in grandma home midday, the daughter with 18 big months is on the side of dining table amuse oneself.
Abrupt originally lively good the daughter that use sits on the ground, breath is hurried, coughed a few times however whats cough not to come out, the grimace is shown on the face.
"Also did not notice the child filled in in past mouth at that time what, but the earthnut case that sees the remain side the desk, the likelihood is earthnut card is in throat. " Ms. Wang memory, the likelihood is a respectful form of address for an old person amuses child laugh, what earthnut choke entered the child is tracheal.
Ms. Wang and domestic person take a taxi to send constant heart city hospital of the 4th people the child hastily, this had that one act of begin.
Hospital open up " green passageway " 20 minutes of successes take out a foreign matter
Liu Jiong of vice director of emergency call division, when Ma Yi of class doctor Li Jiang, paediatrics doctor labour hears the news arrive, see the girl breathes difficulty only, give out in the mouth " hoarse neighs " sound, little face is gotten by hold back aglow, canthus is hanging teardrop.
Nurse instantly scattered surround view masses, the doctor sends the child toward rescue room to undertake rescue.
Heart report guards style of the life that monitor to ask for, children breathes gasbag to give oxygen and division of announcement breath internal medicine, facial features, anaesthetic division is urgent consultation.
Rescue is indoor, time the past of one second, everybody is nervous and orderly business is worn.
After 20 minutes, ring as child canorous cry, the eyewinker inside childish canal is taken out by the success. Rescue room transmits good news, the child already take a turn to be out of danger!
The doctor reminds: The parent should strengthen guardLiu Jiong of vice director of emergency call division warns broad parent, do not give the child the food with hard, slick surface, be like earthnut or unripe vegetable.
The child can chew till the ability when 4 years old food, before this they are easy whole get down goes to a food.
If give child edible hard, round food, be like carrot piece, objective size must every edge length is less than 1.3 centimeters.
The adult when having a meal wants to supervise, cannot play with the edge or the edge runs, the edge eats.
Chewing gum is insecure, do not give the child.
Be far from the toy that has small part, be far from batteries of the balloon that did not aerate, talcum powder, brooch, coin, marbles, the cap of a pen, lodestone, button to wait.
Be far from hard candy, grape, vitamin piece, popcorn.
If be in the home to produce an eyewinker to block larynx, how should be the parent handled?
Here instructs everybody a few court:
Because the child is lesser, still cannot be conveyed sometimes with the language. Parents can pass observation, whether does judgement child have risk. Appear when choking, be sure to call first please call an ambulance (or nearby sends toward the hospital) .
In the process that awaits ambulance arrival, parents can take kind of the following emergency treatment:
The first pace: The baby pats a back
Adopt the child immediately rise, a hand holds the child zygomatic two side, the arm is sticking the child's prothorax, after another hand holds the child in the palm cervical, make its face gadarene, bend over to go up in knee of person of relieve a sick or injured person.
Arsis 1~5 is carried on the back in the child second, observe whether the child spits the eyewinker.
The children of 1 year old of above, abdomen is carried pressure.
A few bigger child, if return conscious, can stand in child back, the arm that uses you the waist round him.
fist of a hand first, support position of child abdomen central line with big toe, be in a little navel above, sternal and the following.
Another hand captures this fist, quickness exerts oneself to do sth. to in press up pressure; Carry out repeatedly, till block content is spat till.
Careful fist does not come up against sternal extreme or rib.
The 2nd pace: Infantile bust is pressed pressure
If darling is in,the eyewinker has not been spat after implementing the first step, turn him come over, the body is built go up in your ham or make a little patient smooth lie, face on, lie on solid the earth's surface or table.
Rescue person fall on one's knees or stand at its sufficient side, in darling thorax fast and effectively is pressed press 5 times.
The baby presses control the seat: Two tits mix even the line one finger beam is in below sternal crossing. By press a method:
Press quickly with 3 two finger press breastbone, fast up the bang is oppressive, by press deepness to be 1.5~2.5 centimeter.
Every are pressed after be being pressed, beardless and mobile finger, let restoration of sternal proper motion.
The child of 1 year old of above, abdomen is pressed pressure.
Can put on navel and central line of sternal handle endmost with ministry of root of a palm, another hand is folded it is above this hand, successive, apace is pressed press 5 times.
If eyewinker still not eduction, can repeat above measure (pass an imperial examination of the first pace 2 paces) , till eyewinker eduction.
The 3rd pace: Drive up chin and tongue, search the eyewinker inside oral cavity
If the child still cannot breathe, check is looked up whether to have visible foreign body.
Pin darling tongue with big toe, hold darling tongue and the lower jaw with big toe and forefinger, raise chin, open the mouth, those who examine darling throat is hind.
May let a tongue leave throat so hind, make an eyewinker loose.
If you saw a foreign body, circling with a finger sweep its all round the eyewinker come out, but not blind chaos is done, otherwise the eyewinker continues to be blocked up more greatly.
The 4th pace: If the child still does not have own breath and heartbeat to need to enter heart lungs,anabiosis (CPR) program
(editor Anne. Picture origin network, offer reference only)
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