Dear Little Red Riding Hood, when my father first started to work as an attending physician in the hospital, there was a steak house near the hospital. I heard that the steak was big and delicious, and the queue was always endless. However, my father first learned about this steak house, but it was because they called 1 19 and delivered a patient at a holiday dinner time.
When he arrived at the hospital, the 50-year-old gentleman had lost his breath and his whole face swelled into pig liver color. When dad was intubating, he caught a large piece of beef with oil flowers in his throat, which was very deadly. Fortunately, the steakhouse is very close, and the time to the hospital is very short. After intubation and CPR, the patient recovered his heartbeat.
Before the patient was pushed to the intensive care unit, the patient's wife told me with a runny nose and tears that today was Mr. Wang's birthday, and the family happily celebrated his birthday at the steak house, and also helped Mr. Wang order his favorite rib eye steak!
"Oh my god? "I sigh.
"Almost died? . "The wife is really outspoken, continue to say.
Thinking of the gentleman lying in the hospital bed, who was so happy to eat steak a few minutes ago, but now he is unconscious with a breathing tube inserted and ready to be pushed to the intensive care unit, dad can't help but think that if there was a person who knew Hamlik method in the restaurant at that time, maybe the story would be very different.
If the scene goes back to a few minutes ago, Mr. Shouxing was blessed by his family, laughing heartily and eating the meat with oily flowers contentedly. "Cough-cough. That's right, anyone who chokes will react like this. First, Mr. Wang coughed and wanted to cough up the beef stuck in his throat. But it happened that this piece of beef with oily flowers was not only large, but also tender, and it took a lot of effort. Even if the whole person stood up and coughed, he still couldn't cough.
Situation 1
Don't panic when your husband is conscious and can cough, breathe or make a slight noise! Pat his back gently and encourage him to cough up hard!
Situation 2
When the beef is completely stuck in the throat, because the air can't flow at all, Mr. Wang can't breathe or cough, and his face will swell to the color of pig liver. At this time, although I can't breathe, I still hold my breath. If the wife has learned the Hamlick method, when the husband is conscious but can't cough or breathe, he can be rescued immediately!
A gesture of foreign body obstruction
People who are stuck by foreign objects always make a gesture of pinching their necks! Because something is stuck in his throat, you can even hear a whistling sound every time he breathes hard.
How to deal with it?
If you are conscious, but you can't cough or breathe, immediately perform the Hamlick method.
Adult hamlick method
1. Stand behind the patient and put one foot against his * * * to prevent him from falling down and being injured.
2. Then put your arms around the patient's belly and touch his navel, then make a fist with one hand and hold the fist with the other hand against the upper edge of his navel, and squeeze it quickly and forcefully for five times.
How about yourself, Hamlik method?
If you have studied the Hamlik method, you can find a chair with a proper height, put the upper edge of your navel against the side post protruding from the back of the chair, hold the chair and press it down with your body weight instantly, and you can also push out the foreign body in your throat.
You can imagine that there is a bag filled with life-saving air at the position of the stomach. Hard and rapid squeezing can squeeze out the air in the bag and push out the foreign body stuck in the throat. Therefore, it is necessary to push inward and upward, suddenly and quickly for five times, and this ejected airflow has strength.
If the patient is still conscious, this action can be repeated until he can successfully cough on his own. If you are unlucky enough to faint, you should turn into the following "cardiopulmonary resuscitation CPR"!
If you are unconscious, immediately call 1 19 to start CPR.
Even if Mr. Wang's tone is long enough, it probably won't last for a few minutes. Within a few minutes, people who are blocked by foreign objects will lose consciousness and fall down. The wife who has learned the Hamlik method will know that the patient who can't breathe will be unconscious in a few minutes, so she has held her husband with a lunge, carefully laid him down, directed the onlookers or waiters to call 1 19, and started CPR immediately!
At this time, you may ask dad, will the patient still have a heartbeat? Don't you have to do CPR without a heartbeat? At this time, the advantage of CPR is to help push away foreign bodies by squeezing out the air in the lungs when pressing the chest. You can observe your husband's reaction while CPR.
If, after several CPR sessions, Mr. Wang starts to * * * and can breathe on his own, it means that CPR with your waist and horse in one is strong enough! Has washed away the deadly foreign body. If you can see the foreign body, you can try to catch it out; If you don't see a foreign object, don't dig blindly, but you may push it down your throat again.
If Mr. Wang's breathing is steady, but he hasn't regained consciousness, he can be put in a resuscitation posture and wait for the ambulance man to arrive. If there is no improvement after CPR, the heartbeat will gradually stop in a few minutes. Of course, we should continue CPR, and cooperate with the 30: 2 ratio of "CPR" (press the chest 30 times, press the forehead and lift the chin 2 times, and blow to 1 sec every time) until someone can change hands or 1 19.
Hamlick method for pregnant women
The Hamlick process of pregnant women is roughly the same, but if the pregnant woman's stomach has obvious bulge (usually after three months of pregnancy), the size of the fetus will exceed the navel. At this time, it is not suitable to exert force on the upper edge of the navel for fear of crushing the baby, so the position should be higher, and the position of the heart socket (concave) below the hard bone that can touch the chest is the position of extrusion. Just like the method mentioned above, make a fist with one hand and hold it with the other hand, and squeeze 5 times quickly and forcefully inward and upward.
When pregnant women stand
1. Behind her, make a fist with one hand and hug with the other.
2. The location of extrusion is in the depression of the heart socket.
When pregnant women lie flat
If a pregnant woman can't breathe and loses consciousness, she should take something to raise her right back when CPR is started.
Fat man, what's the Hamlick method?
The definition of a fat man is that there is a big tuna belly in his stomach. If it is not easy to exert strength on his navel, he can squeeze it hard at the heart socket according to the pregnant woman.
Hamlick method for infants
Before the age of two, children often know the beauty of this world in a very special way. They grab whatever they see and stuff it in their mouths after they catch it! This is almost all parents' nightmare. Who knows what Xi Li Hu ate? Even if it is urgent to stare at people, it is inevitable that chess will be missed, and the thought will make dad's scalp numb. The news that the baby spilled milk or fell asleep suddenly on TV is heard from time to time, so Hamlick for infants should be one of the necessary skills for all new parents except feeding and changing diapers.
Children older than 1 year
Children older than 1 year-old, like adults, are all at the upper edge of the navel, quickly squeezing inward and upward for 5 times.
Infants younger than 1 year
For babies younger than 1 year, location is particularly important! Because at this time, the baby is very small, and the liver occupies a large position in the stomach. If we rashly use the Hamlick method like adults, it is easy to crush the delicate liver. In order not to make the baby's life black and white, we should avoid this position, first "hit the back" five times, and then "press the chest" five times! (don't press your stomach! )
Detailed practice of Hamlik for infants
Call 1 19 for help first! ! Before implementing the baby version of Hamlet, you should pay attention to the baby's safety and avoid falling on the baby when setting up!
Hit five times on the back
1. If the parents are right-handed, the baby lies on the plane on the right hand side in front of the parents. First, buckle the protruding cheekbones on both sides of the baby's cheek with the jaws of his left hand, and then press the baby's chest and stomach with his left arm to protect the baby's top; Lift the baby's back with your right hand and stretch it to the back of your head to protect the baby's back. At the same time, hold the baby with both arms, carefully turn the baby counterclockwise at 180 degrees to lie prone on the left arm, and support the baby's weight with the left arm.
(Keep the baby as low as possible, so that it is close to a soft plane, so as not to drop the baby at a high place. )
2. The baby leans over the left arm, so that the baby's feet are separated and straddled on both sides of the left arm.
3. Look at the center of the baby's back (you can draw four equal quadrants on the baby's back slightly to find the center point), which is the position of slapping.
4. Let the baby's head and feet tilt about 15 degrees to facilitate foreign objects falling.
5. At the same time, use the part of the right palm root, the distance from one arm, and hit back and forth 5 times quickly and slightly.
Press your chest five times.
1. Flip the baby: wrap the back of the baby's head with the palm of your right hand, and then the right hand will become the arm bearing the baby's center of gravity, so the right arm should cling to the baby's back, then hold the baby with both arms, and carefully flip it back clockwise at 180 degrees.
2.baby lies on his back on his right arm, so that his feet are separated and straddled on both sides of his right arm.
3. Look at the center of the * * * line on both sides, put the index finger and middle finger of the left hand together, and press it five times in a row quickly.
Repeat back strike 5 times → press chest 5 times until the baby starts crying or coughing. Congratulations, you have succeeded! )
If the baby loses its response, stop twisting, and continue to press the center point of the * * * line quickly with the index finger and middle finger together to perform CPR for the baby!
For infants under 5 years old, foreign body blockage is the biggest killer threatening their lives, so be sure to be familiar with Hamlick and CPR for infants in case of emergency!
This article is from the creative market "1 minute life-saving key!" You must know the new and updated edition of the first aid manual at home
Foreign body blocking gesture adult Hamlik method self-propelled Hamlik method pregnant woman stands Hamlik when lying flat, making a fist with one hand and holding Hamlik standing with the other hand. The squeezing position is in the depression of the heart socket. Backstroke 5 times in the first step, backhand 5 times in the second step, chest pressing position. Handling points of Hamlik.