\”Aspiration\” is also commonly referred to as: choking or choking. Almost everyone has been around someone who has aspirated, or even aspirated himself. The editor himself once choked on half an egg to the point of tears due to his bad habit of eating too fast… Every year, there are always several cases of children \”accidentally aspirating\”. The news reports about \”sucking\” are heart-wrenching. Behind every news are the passing of fresh little lives. While people are heart-wrenching, they can\’t help but ask, why do similar incidents happen again? Today, we will discuss with you how to prevent children from aspiration. 1. Ms. Su from Foshan City, Guangdong Province kindly gave a few bananas to the girl Xiaoqin to eat. Xiaoqin then gave one of the bananas to her friend Tingting. Tingting accidentally inhaled the banana into her trachea while eating the banana. Resulting in death from suffocation. 2. There was a 3-year-old baby in Cixi Andong who suddenly choked while eating steamed buns. The mother just thought the steamed buns were too dry, so she gave the baby water. After feeding several times, the mother realized that the baby might have choked when she saw that the baby was unresponsive and turned blue. She sent the baby to the hospital, but the baby never woke up. 3. A 5-year-old girl studying at the Taipei City Pok Ai Development Center started vomiting again after finishing lunch due to physical discomfort. She was suspected of choking on filth. The center staff quickly called 119 for help, but the police arrived. At that time, the girl had no breathing or heartbeat. Although she was sent to the hospital for emergency treatment, she still died. After each report, there will be an upsurge in learning how to give first aid when a child chokes, but soon after, the same incident happens again and again. Choking or suffocation caused by inhalation of foreign objects is one of the main causes of fatal accidental injuries to infants and young children. When the airway is blocked by food, toys or other swallowed foreign objects, breathing is affected and choking occurs. How to judge that aspiration has occurred and timely identification of respiratory obstruction caused by inhalation of foreign bodies in the airway are crucial for first aid. The most common and characteristic sign is the \”V\” sign, which involves grabbing one\’s throat with one or both hands. Mild airway obstruction usually involves coughing, and there may be wheezing sounds between coughs, but there is still good gas exchange. Symptoms and signs of severe airway obstruction include: scratching the throat with hands or waving arms, being unable to speak, crying or coughing with a weak sound, or being unable to cough in a high-pitched voice when inhaling, progressive dyspnea, or even being unable to breathe, which seems very difficult. What to do after aspiration, panic, face turning blue 1. Clean visible places After a child has aspirated, the most important thing to do is to clean the mouth. Many times, the child chokes when eating or vomiting. You can clean the visible areas in the mouth. Remove visible food first to prevent further aspiration. Never use the method of patting the baby on the back to comfort the baby, and do not directly pick up foreign objects with your hands, because these two behaviors will only make the foreign objects fall deeper. Don\’t rush to give water. Giving water has no effect on aspiration that occurs in the airway. Even if the choked food is in the esophagus, many foods will expand after absorbing water, and the food will not be flushed down with water as parents hope. . Therefore, as soon as possible, parents should help their children change their posture, lean forward, face the floor, open their mouth, and cough hard. At the same time, parents should help their children clean the visible places in their mouth and throat. 2. Determine whether the baby is angryMild airway obstruction: Performance: The patient can cough loudly, talk, and cry. First aid measures: Accompany, monitor, and encourage the patient to try to cough forcefully to expel the foreign body. Severe airway obstruction: Performance: \”V\” gesture, clear consciousness, but unable to speak or cry, weak breathing, weak cough, high-pitched inhalation , or have difficulty breathing and turn blue. First aid measures: Perform the Heimlich maneuver until the foreign body is expelled. If relief is not achieved and the patient becomes unconscious, begin cardiopulmonary resuscitation. The name of the first aid Heimlich maneuver is the abdominal thrust method, which is one of the standard first aid methods in the 2015 edition of the American Heart Association\’s first aid guide for airway foreign body obstruction. The principle is to use abdominal impact and squeezing to drive the remaining air in the lungs to form a rapid upward airflow, thereby flushing out the foreign matter blocking the trachea. The traditional Heimlich maneuver is usually performed on conscious children and adults over 1 year old, usually by someone else, but it can also be used as a self-rescue in some situations. In the American Heart Association Basic Life Support 2015 Guidelines, the abdominal impact method is described as follows: The rescuer stands behind the patient, wraps his arms around the patient\’s waist, makes a fist with one hand, and places the thumb side of the fist under the patient\’s chest and Grasp the clenched fist with the other hand on the abdomen slightly above the navel, and quickly and forcefully impact the patient\’s abdomen inward and upward. Repeat until the foreign body is expelled or the patient loses consciousness. ps: For pregnant women and particularly obese people, the impact site is the center of the lower half of the chest, vertically inward, chest presses, back slaps and chest impact methods, which are suitable for conscious babies under 1 year old. The specific operation method is as follows: turn the baby face down and place it on one of your forearms in a straddle position, with the head slightly lower than the chest. The palm of the same side supports the baby\’s head and chin, and the arms can be placed on the same side. on the thigh. Use the heel of your other hand to tap the area between the baby\’s shoulder blades and give 5 consecutive powerful back slaps. Fix the baby\’s back neck, turn it to a supine position and lie on one of your forearms. Support the head and neck with the palm of the same side so that the head is slightly lower than the torso; the arm can be placed on the thigh of the same side. Use the index finger and middle finger of the other hand to press the sternum at the lower edge of the midpoint of the nipple line, and give 5 consecutive powerful chest impacts, inward and upward, once every second. Repeat 5 back slaps and 5 chest thrusts in sequence until the foreign body is expelled or the baby loses consciousness. First Aid for Loss of Consciousness If you find that a child with airway obstruction has lost consciousness, call 120 immediately and gently put the child on the ground. Tap and call again, that is, tap the person lightly on the shoulder and ask loudly what\’s wrong? Or call your name and check to see if you are breathing. If there is no response, breathing, or crying, begin CPR and perform chest compressions. The compression and ventilation ratio is 30:2, and the compression frequency is 100-120 times per minute. The impulse generated by chest compressions will be at least as much as the pressure of abdominal thrusts, so it will also help to expel foreign bodies. Every time before opening the airway and giving artificial respiration, open the mouth and check whether there is any foreign body. If a foreign body is seen and it is easy to remove, useFinger removal. If no foreign object is seen, continue CPR. Repeat until the foreign body is expelled and the patient regains consciousness or emergency personnel arrive. How to prevent aspiration. Even adults will occasionally choke on food, not to mention that children’s esophagus is more slender than ours. As parents, we must pay more attention to take good care of our children, reserve a wealth of parenting knowledge, and hope that this tragedy will not happen. Happens again. Pay attention to storing small items at home, educate children not to put everything in their mouths, observe and accompany children when they play alone, and do not allow children to play with dangerous toys containing small parts. Families with two children should also pay attention. Parents should educate their eldest child not to give toys and food that may cause aspiration risks to their second child. When your baby starts to eat strips or pieces of food, the length of the food should be no longer than half an inch (about 1.25 cm). Teach the child to chew slowly and slowly. There is no need to force the food to be soft and rotten, but do not force the child to eat all at once. many. Develop a good habit for your baby to sit down and eat properly. They are not allowed to walk, run, or play when there is food in their mouths, and they are not allowed to lie down to eat. In addition, parents should also be careful not to interrupt and force-feed their children when they are walking or playing with toys. When eating, be careful not to rush your children, let alone reprimand and educate them at the table. In this way, the children will not be able to concentrate and are forced to eat quickly. Children with smaller esophagus than adults will easily choke. Some children will gorge themselves on something they like to eat, eat too fast, or laugh and fight at the dinner table, which can also lead to choking. For children who are sick and vomiting, someone should accompany the child when resting at home. They should lie on their side or turn their head to one side when lying flat to prevent aspiration caused by sudden vomiting. For babies who are still drinking milk, they must stand upright and burp after each drink to prevent the child from vomiting up milk in the middle of the night and causing aspiration after falling asleep after drinking milk. Attached is a list of items and foods that are prone to foreign body inhalation for parents’ reference: List of items: coins, buttons, small balloons, small marbles, small ball pen cases, button batteries, small refrigerator magnets, small hair accessories, hair accessories Clips, hair ties, rubber bands, small toy parts, small toys that can be put in the mouth Food list: jelly, popcorn, chewing gum Long noodles and vermicelli (need to be cut into small pieces) Sticky food, such as: glutinous rice dumplings, rice cakes and nuts and seeds, such as: peanuts, melon seeds, pumpkin seed hard candies, gummy candies, jelly candies, gummies, marshmallows, any large food, including: meat, potatoes, cheese, peanut butter, vegetables and fruits ( Need to be cut into small pieces, small pieces) small pieces of hot dog sausage (unless cut into quarters lengthwise before cutting into slices) small fruits with stones, such as grapes, cherries, longans, cherry tomatoes (need to be pitted and then cut into pieces) four petals)
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