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if my 2 year old got something caught in her throwt like a toy or food or whatever and I 've tried everything and her life is in danger can I perform emergancy treakeotomy

2007-11-08 11:51:32 · 9 answers · asked by mylilzoo@rogers.com 1 in Health General Health Care First Aid

ok you know what she is choking on you could actually see it in the back of her throwt but she can;t bring it up on her own.You call 911,I read with a toddler/young child you put them chest down with their chin uppward.It's not working! by now a disbatcher is gathering info for EMS and explaining how to perform CPR accordingly.It's still not working!the child is turnig blue her chest is trying to pull oxygen in but her airway is still blocked! It's been over 2 minutes EMS still hasn't arrived! Your instinc tells you this child's life is about to expire! What do you do?

2007-11-08 13:04:34 · update #1

9 answers

wow...that is a situation that nobody wants to be in...as a paramedic belive me we are trying our best to get there as fast as possiable, and when its your child i know it seems like hours before we get there, as far as what u can do until we arrive. keep doing the back blows and abdominal thrust, then give the child a breath or two, even if the airway is blocked the childs trach is flexable and some air will pass. and as far as the tracheotomy, DONT...if youve not been trained and you miss the land mark needed to do it. the child will drown in its own blood, i know thats probably not the answer you was looking for....but i have done two of them in my career, and you cant imagine the blood that follows the first cut.....i hope this helped some

2007-11-08 20:09:22 · answer #1 · answered by medic327little 2 · 0 1

First off, it's very difficult to perform this procedure without proper training and equipment. In paramedic school, we learned this on mannequins and practiced for several hours. There are a few very effective ways to get an object removed from a person's throat (Heimlich maneuver) without causing the damage that a cricothyroidotomy will cause. If you do perform this procedure without the proper training (an on duty paramedic in a state that allows the procedure, or a doctor) then you can and probably will be sued for medical malpractice. The "Good Samaritan" Law which protects first responders from getting sued for helping, would not apply in this situation, because performing a procedure such as this without proper credentials would be considered gross negligence. There's a space in the throat between the thyroid cartilage and the cricoid cartilage that one can make a small incision in and insert an airway into. Without the specialized airway, the incision is useless (and unlike in the movies, a pen or straw does not work!). If you want to be able to help your buddies in case they start to choke on something, take a CPR class at your local fire department or community college. Hope this helps!

2016-04-03 02:49:01 · answer #2 · answered by Anonymous · 0 0

Well as the childs parent, you "legally" could do it. But could you actually do it without having previous training in how to do it... Yeah most likely not. In all honesty most Paramedics while certainly trained how to do it, have never actually done it for real in the field. This is because like 99 out of 100 times, abdominal thrusts get the foreign body out. Plus it is a pretty scary precedure. Even if done correctly the person still bleeds like a stuck pig! Also you really need specialized equipment to do it correctly. So to answer the question more simply, No you could to do a crycothryrodamy yourself. You would probley end up doing more harm than good.

2007-11-08 15:00:41 · answer #3 · answered by "McRib" NREMT-P 6 · 0 0

I would leave that to the paramedics. Honestly it's a better idea to just do thrusts until an ambulance arrives. You are risking cutting many major blood vessels, cutting too deep, causing a huge infection, and the list goes on and on.

You will cause more harm than good.

What you can try is something called a finger sweep. You insert a finger as far back into her throat as possible in an attempt to remove the object lodged in her throat. Finger sweep combined with your abdominal thrusts are a great combination.

2007-11-08 13:12:45 · answer #4 · answered by flashpoint145 4 · 0 0

You should definitely try the Heimlich maneuver first. Learn the technique. Perhaps you can contact your local Red Cross or community hospital regarding classes to become certified in CPR.

Another alternative: I assume you are a lay person with no medical training. In a life or death situation, you might have better success with a crico-thyrostomy, cutting thru the crico-thyroid membrane. You could use the empty barrel of a ball point pen as a cannula until the paramedics arrive.

But with a tracheostomy or a crico-thryrostomy, you won't be successful if the obstruction is further down. That's another reason to learn the Heimlich.

2007-11-08 12:01:20 · answer #5 · answered by greydoc6 7 · 1 1

I also am concerned that you would want to do a tracheotomy on a child without any training. As other responses have stated, call 911 immediately, begin doing the Heimlich maneuver. NEVER do a blind finger sweep (NEVER reach into the child's mouth if you cannot visualize what the child is choking on. This could lodge the item further.

2007-11-08 16:09:26 · answer #6 · answered by artsyfartsy08 3 · 0 0

Im kinda worried on why you would ask this question.

A medicaly trained person, like a paramedic is trained on how remove foreign bodies using hemlich manuever or devices like mgill forceps. Additionaly, in the presence of complete obstructions unrelieved by the above procedures they can do cricothotomy and deliver some life prolonging treatment.

Flight nurses and doctors might also do trachetomies.

If your not one of the above professional medical trained people, stick with calling 911 and hemlich manievers.

2007-11-08 12:47:27 · answer #7 · answered by Alex 6 · 0 0

Not Reccomended, however, yes...it is called a cricothyrotomy.

Keep in mind...call 911 first with a child injury...they can last longer initially. AND...by the time EMS gets there, the first few rounds of CPR/FBAO should be completed. Anyway...

2007-11-08 12:01:31 · answer #8 · answered by Doug 4 · 0 0

is that where you cut on the throat and insert a straw? if it is...i learned that it is possible in health class but you need to know exactly how to do it... ask the kid's doctor

2007-11-08 12:00:41 · answer #9 · answered by nicksilvestri 3 · 0 1

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