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ROYAL AIR FORCE. COMMON CORE AND DEPLOYMENT SKILLS AIDE-MEMOIRE

CHOKING PROTOCOL FOR A CONSCIOUS ADULT

YOUR AIM

◉ To remove the obstruction and restore normal breathing.

SIGNS AND SYMPTOMS

◉ Difficulty in speaking and breathing.

◉ Blueness of the skin (cyanosis).

◉ Distressed signs from the casualty, such as pointing to the throat or grasping the neck.

YOUR ACTIONS

◉ Encourage coughing and remove any obvious obstructions from the mouth.

◉ Slightly bend the casualty over and give up to 5 sharp blows to the back, between the shoulder blades, with the flat of the hand (check mouth again).

◉ If the backslaps fail, give up to 5 abdominal thrusts. (NB this is only if backslaps have failed!)

◉ If this does not free the blockage, then keep trying, alternating 5 backslaps with 5 abdominal thrusts.

◉ If, after 3 sets of backslaps and abdominal thrusts, the obstruction does not clear, obtain medical aid. Then continue the cycle until help arrives.

If the casualty becomes unconscious open the airway, check breathing and give rescue breaths. If you can not achieve effective rescue breaths, immediately begin CPR

SHOCK

Shock results from the inadequate circulation of blood to the brain and vital organs.

YOUR AIMS

◉ To recognise shock.

◉ To treat the cause.

◉ To improve blood supply to the heart, brain and lungs.

◉ To evacuate casualty to medical aid.

SIGNS AND SYMPTOMS (not all of these may be present)

◉ Weakness, faintness or giddiness.

◉ Anxiousness, restlessness or even aggressiveness.

◉ Thirst, nausea and possible vomiting.

◉ Pale, grey skin.

◉ Sweating, cold and clammy skin.

◉ Rapid pulse (initially).

◉ A weak 'thready' pulse.

◉ Shallow and rapid breathing.

◉ Unconsciousness and heart failure in severe cases.

SHOCK CAUSES

◉ Blood loss.

◉ Dehydration (vomiting, diarrhoea and inadequate fluid intake).

◉ Heart attack.

◉ Bums.

◉ Infection.

◉ Anaphylaxia (allergic reactions).

◉ Emotional trauma.

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