Breathing Emergencies

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					Breathing Emergencies

          Breathing Emergencies
• Victim has difficulty/stops
• Caused by:
  Obstructed airway (choking)
  Heart attack
  Emotional distress
  Allergic reactions
  Injury to head/lungs/abdomen
Breathing Emergencies
           • A victim who is having
             trouble breathing is in
             Respiratory Distress
              – Slow/rapid breathing
              – Deep/shallow breathing
              – Increased heart rate
              – Flushed/pale/ashen skin
              – Moist/pale skin
              – Tingling in hands/feet
              – Gasping for breath
              *Can turn into respiratory
    How to Care for Respiratory
• Summon EMS personnel
• Help victim rest in a comfortable position
• Reassure/comfort the victim
• Administer emergency oxygen, if trained to
  do so.
• Keep victim from getting chilled/overheated
           Rescue Breathing
• When do I do rescue
  A victim has a pulse,
  but is NOT breathing!
DVD Segment: Rescue
        Rescue Breathing
• When do I STOP rescue breathing?
    - Victim begins to breath on his own
    - Another trained rescuer arrives and
         takes over
    - The victim loses his pulse (start CPR)
    - Scene becomes unsafe
Rescue Breathing
        • How do I perform
          rescue breathing?
        Position rescue mask
        Tilt head/lift the chin to
          open airway
        Each breath should last
          one second, make the
          chest clearly rise!
      Rescue Breathing
Adult: One breath every 5 seconds

Child: One breath every 3 seconds

Infant: One breath every 3 seconds
           Rescue Breathing
• Continue rescue
  breathing for 2
• Remove mask and
  look for movement
  and recheck breathing
  for no more than 10
DVD Segment: Bag-Valve-Mask
            Airway Obstruction
• Most common cause of respiratory emergencies
• Can be anatomical (tongue, swollen tissue) or mechanical
  (foreign object)
• Can be partially obstructed (wheezing sounds) or
  completely obstructed (can’t make any sound at all
• Conscious victim who is clutching his throat with one or
  both hands is usually choking (universal sign of choking)
• Make sure you get consent
 Obstructed Airway - Conscious
• How do I do this?
   – Get consent
   – Encourage them to
     continue coughing
   – If they stop talking,
     call EMS.
      Conscious Choking Infant
• If infant cannot cough, cry or breath, call EMS
• Carefully position infant face-down along your forearm
• Give 5 back blows with the heel of your hand
• Turn infant over and give 5 chest thrusts
        Place 2 to 3 fingers on the center of the chest
        Compress chest ½ to 1 inch
• Keep going until:
        1. Object comes out
        2. Infant begins to cough/cry/breathe
        3. . Becomes unconscious
 Obstructed Airway - Conscious
• Lean victim forward
• Give 5 back blows
  with the heal of you
• Give 5 abdominal
• Continue until object
  comes out or they pass
         Airway Obstruction –
        Unconscious Adult/Child
• If you initial two breaths do not go in, re-tilt the head and
  try two more breaths.
• If they still do not go in (make the chest clearly rise) give 5
  chest thrusts
       • Place on head on the center of the chest
       • For an adult, compress 1 ½ to 2 inches
       • For a child, compress chest 1 to 1 ½ inches
       Airway Obstruction –
      Unconscious Adult/Child
• Look inside victim’s mouth
• If you see the object, remove it with your
• Replace the mask and give 2 rescue breaths.
• If they don’t go in, repeat the cycle of chest
  thrusts, object check and breaths
     Unconscious Choking Infant
• If breaths do not go in,
  reposition and try again
• If they still don’t go in,
  begin a cycle of 5 chest
  thrusts/5 back blows
• Check for object
• Give breaths
DVD Segment: Airway

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