AR385 From Mexico, joined Nov 2003, 4928 posts, RR: 27 Reply 7, posted (1 year 9 months 2 weeks 4 days 23 hours ago) and read 14297 times:
I don´t understand why this happened. Apparently, nurses and doctors came to his aid and attempted to help him. They could have performed a tracheotomy, I´m sure the plane carries the equipment for such eventualities. I think there´s more to this story. Maybe he had an anaphylactic shock, which symptoms can mask a choking. But, similarly, the remedy for that ought to have been carried on the "other" first aid kit, as the scalpel for the tracheotomy, the one only the purser or the captain can authorize to be opened.
B6JFKSEA From United States of America, joined Dec 2006, 20 posts, RR: 0 Reply 9, posted (1 year 9 months 2 weeks 4 days 21 hours ago) and read 13212 times:
Such a tragic story. I don't think people know how easy it is to choke on something. I almost choked to death on a meatball in a Subway restuarant a few weeks ago. Thank God a man came to my rescue and did the Heimlich manuvuer on me. It was VERY scary and I was beginning to pass out. After it was all over, the guy wouldn't give me his name or anything. He just walked out.
SmithAir747 From Canada, joined Jan 2004, 1605 posts, RR: 32 Reply 11, posted (1 year 9 months 2 weeks 4 days 21 hours ago) and read 12867 times:
Quoting B6JFKSEA (Reply 9): Such a tragic story. I don't think people know how easy it is to choke on something. I almost choked to death on a meatball in a Subway restuarant a few weeks ago. Thank God a man came to my rescue and did the Heimlich manuvuer on me. It was VERY scary and I was beginning to pass out. After it was all over, the guy wouldn't give me his name or anything. He just walked out.
I too have choked very easily on food, too many times, in my short life (I ended up in 2 ERs on Mother's Day 1986, and also choked nearly to death twice in another year; the Heimlich manoeuvre saved me the last time). Due to my jaw deformities and small, obstructed airway anatomy, it is a very serious, life threatening risk for me. That's why I only eat a soft diet anywhere I am at. Tracheotomies are no fun--I've had too many of them (the most recent one being in 1991, at age 16).
The worst fear I have is suddenly choking to death on a piece of food (especially when alone at home). There is no terror like that experienced when the airway is completely blocked and you cannot breathe at all. Nothing matters at all except survival (getting breath)--it has an amazing way of clearing your mind!
Be VERY careful when eating!
By the way, I have read reports in medical journals that a major cardiac event can immediately accompany a choking event (or indeed be precipitated immediately by the choking event). I just remembered that off the top of my head. If I remember rightly, choking can precipitate an immediate (autonomic?) nervous response that arrests the heart right then and there. This is called a cafe coronary by medical professionals.
[Edited 2011-09-04 21:48:42]
[Edited 2011-09-04 21:49:52]
[Edited 2011-09-04 21:53:17]
I will praise thee; for I am fearfully and wonderfully made... (Psalm 139:14)
The Australian Red Cross report this as a significant issue, if home alone I am not sure what to do( I live alone) but the ARC says if you have a choking incident stay where there are people!! Many people, apparently afraid of embarrassment head to the Rest rooms or some other isolated place... you may not be embarrassed by your situation but you may very well die quietly and alone!
If your camera sends text messages, that could explain why your photos are rubbish!
Markhkg From United States of America, joined Dec 2005, 960 posts, RR: 2 Reply 19, posted (1 year 9 months 2 weeks 3 days 21 hours ago) and read 3408 times:
Quoting Doona (Reply 17): Probably says more about me not bothering to find out whatever the hell I'm supposed to if someone starts choking... Manly slap on the back, anyone?
"To Heimlich or not to Heimlich" has been one of the strangest medical controversies in international medicine. CPR guidelines are revised every 5 years, the latest being 2010. There is an actually an international body that reviews all available evidence, provides guidance and then it's up to each national agency (e.g. American Heart Associtation, UK Resuscitation Council, Australian Resuscitation Council) to decide what's is in the guidelines for their country. Abdominal thrusts continue to be taught in the United States and in the United Kingdom. Australia has never really been a fan of abdominal thrusts and elects to teach chest thrusts and back slaps.
The latest review of the science suggests that all of these techniques (chest thrusts, back slaps and abdominal thrusts) can be used during a choking, but that doesn't stop researchers from taking shots from each other on what is best (Dr Heimlich himself rather famously started calling back blows "death blows" but the science really hasn't confirmed that these actually make things worse.) There is a lot of confusion amongst first aid/CPR trainers who may not be aware that just because their country teaches it one way does not mean it is necessarily the "absolute" way.
Ultimately, what matters most is that someone acts and does SOMETHING. Do what you have been trained to do...the jury is still out on the "best" treatment, but in the interim just get in there and do something!
Quoting AR385 (Reply 18): The best thing is to learn how to do a tracheotomy, which is not that difficult if you learn how.
This procedure is easy on paper, but in reality it is far more perilous. It must be practiced frequently to ensure competency.
Release your seat-belts and get out! Leave everything!
In the context of the aviation setting, it will be challenging. Most Emergency Medical Kits (EMKs) or Doctor's kits do not carry the required equipment for a tracheotomy due to security concerns (i.e. no scalpels), nor do they even carry advanced airway equipment such as endotrachael tubes. Even if you wanted to do a simpler needle tracheotomy, it will be a challenge because the kits do not necessarily carry the needles that are big enough to be effective.
British Airways has one of the most comprehensive medical kits I've come across, and they are somewhat renowned for a rather famous case where a chest tube was inserted into a patient using a foley catheter and a coat hanger in a patient from HKG to LHR. But BA's level of equipment far exceeds what most carriers have (or are required to have)...they are the exception rather than the rule.
Release your seat-belts and get out! Leave everything!
AR385 From Mexico, joined Nov 2003, 4928 posts, RR: 27 Reply 22, posted (1 year 9 months 2 weeks 3 days 19 hours ago) and read 3190 times:
Quoting Markhkg (Reply 21): In the context of the aviation setting, it will be challenging. Most Emergency Medical Kits (EMKs) or Doctor's kits do not carry the required equipment for a tracheotomy due to security concerns (i.e. no scalpels),
I did not know that. I assumed airlines carried the necessary equipment with which a doctor on board could perform a tracheotomy. If they don´t, there are other kitchen instruments a savy doctor could use. Granted, much much more difficult procedure and higyencally dubious. But what you are saying is that if the Heimlich maneuver does not work, perfeclty capablel medical personnel onboard will not be able to save that person´s life.