Rescue a child with choking

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Rescue a child with choking

• ?.??.?????? ?????????

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• Emergency
• Non-emergency
• prevention

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Case 1

• ?????????????????? 8 ?????
• ??????????????????? ???????? ??????
• PE absent breath sound, both lungs

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CPR
Maneuver Adult Child Infant
Airway Head tilt-chin lift Head tilt-chin lift Head tilt-chin lift
Breaths Initial 2 breaths at 1 second/breath 2 effective breaths at 1 second/breath 2 effective breaths at 1 second/breath
Foreign-body airway obstruction Abdominal thrusts Abdominal thrusts Back slaps and chest thrusts
Circulation Compression ventilation ratio 302 (1 or 2 rescuers) 302 (single rescuer) HCP 152 (2 rescuers) 302 (single rescuer) HCP 152 (2 rescuers)
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Cardiopulmonary resuscitation
Consciousness
Unconsciousness
5BB 5CT 5BB 5CT ventilate
Heimlich Abdominal thrust
lt 1 year
gt 1 year
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?????????
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???????????????
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??????????????????? (Heimlich)
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????????????????
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• Endotracheal intubation
• Cricothyrotomy

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???????? No. 16 ?????? endotracheal tube No 3.5
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(No Transcript)
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???????? No. 16 ????????? 3 ml ??????
endotracheal tube No 7.5 (???????????)
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(No Transcript)
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???????? No. 16 ????????? 10 ml Endotracheal tube
???????
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(No Transcript)
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Emergency cricothyrotomy
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Case 2

• ?????????????????? 2 ??
• ?????????????????? 1 ????? ????????
• ???????????????????????????????,
  ????????????????????????????
• PE HEENT normal
• Lung wheezing Rt gt Lt
• CVS normal S1S2

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(No Transcript)
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• CXR
• Inspiration, Expiration
• Rt and Lt decubitus

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Management

• ????????????? Consult ENT for Rigid
  Bronchoscope
• ???????????????? Flexible Bronchoscope
• CT scan

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Foreign body on Bronchoscope
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Foreign body on CT scan
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Prevention
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Thank youfor your attention