CPR changes in 2011 – Choking changes.

The information posted in this blog is for information purposes only. If you want to learn to recognize and treat choking victims take a CPR course or CPR re-certification course with Vancouver First Aid Ltd.

The changes in 2011 pertaining to choking affects conscious victims. The treatment of a conscious partially obstructed victim, also referred to as a mild obstruction, remains unchanged. In this situation, where the victim is coughing with a mild obstruction, we are still instructed to tell the victim to continue coughing as the body’s natural response to the obstruction will hopefully remove the objects without any other aid.

The changes that are taking place occur when the victim is fully obstructed and still conscious. The victims in these scenarios are either children or adults. The previous standards involved the rescuer to landmark and begin j-thrusts on the victim. The new standards, introduced in 2011, have the rescuer doing the same j-thrusts, however, now the rescuer alternates between j-thrusts and back blows. Similar to the treatment of a conscious obstructed airway the rescuer will cycle through 5 j-thrusts and 5 back blows repeatedly until “pop or drop”. The position of the rescuer, when attempting to do back blows, is alongside the victim, with one arm underneath the victims arm reaching up to the victims opposite shoulder on the front of the victim.  When doing back blows the victim should be slightly bent over (approximately 45 to 80 degrees). The back blows are fairly forceful impacts between the shoulder blades of the victim using an open hand.

The treatment of conscious, partially or fully obstructed airways, for infants goes unchanged. The method to treat fully obstructed airways for infants is still alternating between 5 back blows and 5 chest compressions.

Some CPR course and recertification veterans might be wondering if this approach to choking victims looks familiar. The answer to that question is that it should because this is the same approach to fully obstructed choking conscious victims that were present over a decade ago. The providers have decided to bring back the old methods, likely because of its high success rate that it had in the path.

The information posted in this blog is for information purposes only. If you want to learn to treat and recognize choking victims and learn other first aid skills in a fun, no-pressure environment take a first aid and CPR course with Vancouver First Aid Ltd.

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