In life, we can always see all kinds of peculiar news, such as: on July 27, 2004, a 19-year-old talented student from Peking University and a science champion in the college entrance examination of Gansu Province died suddenly at home. The cause of death was food stuck in the trachea; 2005 On March 15, 2005, Xiao Ruoning, who was only 1 year and 7 months old, died of suffocation due to smoking jelly; on December 9, 2003, well-known artist Ke Shouliang choked his trachea due to vomit… The main cause of death caused by injury is accidental suffocation. Foreign bodies in the airway account for 90% of the accidental deaths of infants, which shows the danger.
Blockage of airway with foreign body, serious consequences
Airway foreign body, clinically generally refers to foreign bodies that have entered the larynx, trachea, and bronchus. Suddenly awake patients are unable to speak, cough, and have symptoms of suffocation, or after head tilting or three-step airway opening (head up, opening, and jaw support), they still cannot perform effective positive pressure ventilation, breathing resistance or thoracic If it cannot be lifted, it should be considered that the airway is blocked by foreign bodies or secretions, which mostly occur in children aged 3 to 5 years. In general, airway foreign bodies can be divided into endogenous foreign bodies and exogenous foreign bodies. The endogenous foreign body is the airway obstruction caused by the body’s own organs and secretions; the exogenous foreign body is the foreign body obstruction caused by external factors, such as: plant, animal, chemical products, etc. are all exogenous foreign bodies.
In life, when a foreign body in the airway causes sudden coughing, vomiting, difficulty breathing, and hoarseness, and the patient often unconsciously puts a V-shaped hand close to the neck to ask for help, the patient can basically be judged It is a mechanical obstruction of the respiratory airway. When the patient has cough, wheezing, weakness, difficulty breathing, pale complexion, cyanosis, and a V-shaped hand, it can be judged that the airway is partially blocked. If the patient is unable to speak, cough, breathe, and has a dull complexion, cyanosis of the lips, etc., the respiratory tract is completely blocked. At this time, the patient is in danger of losing consciousness and shock at any time, or even death directly.
Learn 3 tricks to save lives at critical moments
Blockage of foreign bodies in the airway has the characteristics of sudden onset and emergency. Learning how to remove foreign bodies from the patient’s respiratory tract scientifically and reasonably can save their lives.
Pre-hospital first aid is very important when the patient has a foreign body obstruction in the airway and cannot reach the hospital in the first time. The following 3 methods are recommended: (1) Pushing the abdomen. Lie the patient supine on the ground or on the table. The emergency responder puts his hands between the belly button and the xiphoid process of his abdomen, presses the abdomen and pushes it upwards, thereby increasing the pressure between the abdomen and the thoracic cavity. (2) Paida back method. Make the patient stand with the emergency responder standing behind his side, one arm is placed in front of the patient’s chest, encircling the patient, and the other arm is continuously patted above the spine of the patient’s scapula to facilitate the removal of foreign objects. (3) Inverted beat back method. This method is suitable for infants and young children. Lift the child’s feet upside down, suspend the body, rush the head down, gently pat the back with the palm of the hand, or rotate the child gently, using the gravity of the foreign body or the centrifugal force and breathing. The impulse to remove foreign objects.
In-hospital emergency If the patient enters the hospital at the first time, the emergency department should take emergency measures immediately. First, determine the type of foreign body in the patient’s airway, take corresponding on-site emergency measures, and quickly prepare oxygen, sputum, tracheotomy, etc., and closely observe the patient’s breathing and mental state. Secondly, the foreign body has not been removed. After fully understanding the type, size and shape of the foreign body and the patient’s last meal time, surgery should be performed immediately for rescue. The trachea or the foreign body can be taken directly under the laryngoscopy. Finally, for patients undergoing surgical rescue, their breathing should be closely observed, and oxygen inhalation and blood oxygen saturation should be checked. If necessary, patients can be given aerosol inhalation to prevent inflammation and infection.
It should be reminded that blockage of foreign bodies in the airway is completely preventable. For minors, parents should be educated from an early age, such as not laughing and playing when eating, and not putting small objects in the mouth. In the usual care, the method of preventing airway foreign bodies should also be delivered to minors at all times. Adults should know how to protect themselves, be attentive and not careless at all times, and at the same time set an example and set a good example for their children