Choking Flashcard 1
Rationale
A. Rationale: The most common causes of choking from organic substances in children are seeds and nuts.
Question
Which of the following organic substances is most likely to cause choking in children?
a. Peanuts
b. Needles
c. Meat
d. Their tongue
Answer
a. Peanuts
Rationale
C. Rationale: There are potentially fatal complications that may arise after a choking episode. It is recommended that the patient take nothing by mouth until they are evaluated in the emergency department. Hence, the responder should wait for paramedics to arrive to transport the patient to the hospital.
Question
After a responder removes the foreign body from a patient who was choking, what should be their next intervention?
a. Give mouth-to-mouth resuscitation.
b. Have the patient vomit.
c. Wait for the paramedics to arrive.
d. Let the patient go about their business.
Answer
c. Wait for the paramedics to arrive.
Rationale
A. Rationale: Following 5 back slaps and 5 chest thrusts, a quick check of the infant’s mouth is recommended to see if the foreign body has been dislodged. Only if you see that the object is quite visible in the patient’s mouth should you gently remove it using your fingers. Never do a blind sweep as this might push the foreign body further into the infant’s mouth, and never perform CPR unless the patient is unresponsive.
Question
After doing 5 back slaps and 5 chest thrusts on a choking infant, she is still conscious and responsive. You check the infant’s mouth to see if the object causing the obstruction has been dislodged. Which statement is correct?
a. The object causing the obstruction is dislodged and visible in the patient’s mouth, so you gently remove it using your fingers.
b. The object causing the obstruction is dislodged and visible in the patient’s mouth, but you should not try to remove it.
c. You do a blind sweep with your fingers since the object causing the obstruction is still lodged and is not visible inside the patient’s mouth.
d. You perform high-quality CPR.
Answer
a. The object causing the obstruction is dislodged and visible in the patient’s mouth, so you gently remove it using your fingers.
Rationale
C. Rationale: Stay with the patient and wait for EMS to arrive. Do not manipulate or remove the foreign body, as it may promote more injury to the chest and vital organs in the mediastinum (middle of the chest where the heart, lungs, and other vital organs reside).
Question
An explosion in a plant has caused a foreign body to puncture a person’s chest. You are tending to his injury. There is oozing of blood around the foreign body. What will you do next?
a. Apply pressure around the foreign object, and wait for EMS to arrive.
b. Remove the foreign object, apply pressure on the injured site, and wait for EMS to arrive.
c. Stay with the patient and wait for EMS to arrive.
d. Apply an antiseptic solution to the injured area and wait for EMS to arrive.
Answer
c. Stay with the patient and wait for EMS to arrive.
Rationale
A. Rationale: Back slaps and chest thrusts are recommended for infant choking patients less than 1 year old.
Question
Backslaps are recommended for choking patients in which age group?
a. Less than 1 year old
b. 1 to 12 years old
c. More than 12 years old
d. All age groups
Answer
a. Less than 1 year old
Rationale
A. Rationale: The rescuer performs a modified Heimlich maneuver where the hand and arm positioning are around the patient’s thorax instead of the abdomen.
Question
How do you relieve a foreign body from a choking but responsive pregnant patient?
a. Position your fist on the center of the chest and arms around the thorax, then thrust the fist inwards and squeeze with the arms
b. Perform the conventional Heimlich maneuver
c. Stand behind the patient and perform 5 blows in between the patient’s shoulder blades using the palm
d. Perform CPR
Answer
a. Position your fist on the center of the chest and arms around the thorax, then thrust the fist inwards and squeeze with the arms
Rationale
C. Rationale: It is recommended that an unresponsive infant be treated as a cardiac arrest patient, and CPR should be initiated immediately.
Question
How will you manage a choking infant that becomes unresponsive while you are giving first aid?
a. Repeat the first aid protocol for choking infants.
b. Observe and wait for EMS.
c. Perform CPR.
d. Use your finger to do a blind sweep in the mouth.
Answer
c. Perform CPR.
Rationale
B. Rationale: In performing the Heimlich maneuver, the rescuer stands behind the patient and makes a fist with their thumb against the patient’s abdomen (3 finger lengths from the xiphoid process). The other hand supports the fisted hand, and the rescuer compresses the patient’s abdomen upwards toward the direction of the diaphragm.
Question
In what direction does the rescuer perform the abdominal thrusts on a choking patient?
a. Compressing the abdomen horizontally toward the spine
b. Compressing the abdomen upwards toward the direction of the diaphragm
c. Compressing the abdomen sideways
d. Compressing the abdomen downward toward the direction of the feet
Answer
b. Compressing the abdomen upwards toward the direction of the diaphragm
Rationale
D. Rationale: Most foreign bodies are located inside the eyes, ears, nose, or skin. If they remain, they lead to inflammation and can be a source of infection as the body tries to expel them.
Question
In which of the following anatomical areas are foreign bodies commonly seen?
a. Eyes
b. Ears
c. Nose
d. All of the above areas are commonly affected by foreign bodies
Answer
d. All of the above areas are commonly affected by foreign bodies
Rationale
True. Rationale: Using other methods to manipulate a foreign object inside the nose can push it further inside, causing more harm. Therefore, it is necessary to have the proper training and instrumentation when removing foreign bodies from the nose.
Question
Only a physician with the proper instrumentation should remove foreign bodies from the nose.
a. True
b. False
Answer
a. True