Answer :
When performing CPR on an unresponsive choking victim, you should incorporate a modification to address the choking situation before starting chest compressions. Here's what should do:
- Call for Help
- Perform the Heimlich Maneuver
- Chest Compressions
1. Call for Help: The first step is to call for emergency medical assistance immediately. If there are other people around, ask someone to call for help while you attend to the victim.
2. Perform the Heimlich Maneuver (Abdominal Thrusts): Before starting chest compressions, check the victim's airway for any visible obstructions. If you see an object blocking the airway, perform the Heimlich maneuver to try to dislodge the object. To perform abdominal thrusts, stand behind the victim and wrap your arms around their waist. Make a fist with one hand and place it just above the navel and below the ribcage. Grasp your fist with your other hand and perform inward and upward thrusts until the object is expelled or the victim becomes unresponsive.
3. Open the Airway and Check Breathing: If the victim becomes unresponsive during or after the Heimlich maneuver, gently lay them on their back on a firm surface and open their airway by tilting their head backward and lifting their chin. Check for breathing for no more than 10 seconds. If the victim is not breathing or only gasping, start CPR.
4. Chest Compressions: If the victim is not breathing or only gasping, begin chest compressions. For an adult, place the heel of one hand on the center of the victim's chest, just below the nipple line. Place the other hand on top of the first hand and interlock the fingers. Position yourself with your shoulders directly above your hands and keep your elbows straight. Use your full body weight to compress the chest at least 2 inches (5 cm) deep and allow the chest to fully recoil between compressions. Perform compressions at a rate of 100-120 compressions per minute.
5. CPR with Chest Compressions and Rescue Breaths: If you are trained in CPR and comfortable providing rescue breaths, after 30 compressions, give two rescue breaths by opening the victim's airway, pinching their nose shut, and giving a breath that makes the chest rise visibly. Each breath should last about one second.
6. Continue CPR: Continue with cycles of 30 chest compressions followed by two rescue breaths until emergency medical help arrives or the victim starts breathing normally.
It's essential to remember that CPR is a critical life-saving skill, and if you are not trained in CPR or uncertain about what to do, call for help and follow the instructions of the emergency dispatcher until professional help arrives.
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Each time you open the airway, you should look for an obstructing object
