Management Of Choking In The Elderly

Managing choking in the elderly must be not only quick, timely but also right, otherwise it will cause unpredictable consequences.
Causes and solutions for choking in the elderly
The elderly, the mucosa of the digestive tract atrophy, the epithelium of the oral mucosa is thinner, the gums contract, making the ability to chew down so easily choking, especially when negligent.
Causes of choking
When swallowing food, the coordination of functions in the throat of the elderly or the loss of rhythmic control, making food more likely to fall into the trachea causing coughing and choking. On the other hand, the swallowing reflex of the esophageal sphincter in the elderly is very slow.
Therefore, just a little distracted, busy thinking or eating fast, eating fast, swallowing large pieces of food will be very easy to block food in the narrow segment of the esophagus due to physiology or pathology

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Symptoms when choking
Choking food can cause a blockage in the throat, esophagus, trachea or both. If food clogs the esophagus, eating suddenly feels hard to swallow, tries to swallow, hiccups stop vomiting. The piece of food will move into the trachea by reflex, the glottis opening
At this time, people choking or choking, speechless, difficult breathing depending on the level, may choke.



If food obstructs the airway, the choking person suddenly has difficulty breathing, his face is purple and purple, he is lethargic and hiccup.
If not treated promptly and satisfactorily, in just a few minutes, this serious, acute hypoxia will lead to death. Therefore, the first management when the elderly are choking is very necessary and important.
Elderly people choking need to be handled promptly
How to handle choking?
Management of choking in the elderly should be quick and timely according to the following instructions:
In case the victim is still conscious, let him sit, lean forward slightly. Encourage them to cough hard. When coughing, it creates airflow that pushes food out of the airway or at least creates an opening for breathing.
The rescuers stood at the back, banging hard on the back with four elbows between the shoulder blades If the situation allows, the ambulance standing behind, let the victim slightly bent forward, hugging the victim's abdomen, hands locked tightly, using his thumb to squeeze the abdomen more than 4 times in the direction up to the victim's mouth.




Do several times to push the food through the trachea, at the glottis opening, or create a gap to restore respiratory function (see picture). If casualty is unconscious, lay casualty on the side. On the one hand, the victim pushed down the tongue with one finger and hit the back with one finger on the back of the shoulder between the shoulder blades.
Or maybe let the victim lie on his back, his head tilted back, the emergency responders tighten his elbows (maybe with his hands intertwined) on the victim's stomach, pushing the 4 inward directions upwards. The goal is still to create airflow from the lungs, pushing out the blockage, creating airway.
If the victim choked on a sticky, sticky food, such as a donut, cake, etc., in addition to the above-mentioned emergency measures, the victim must be on his or her side, using two fingers to hook or clamp the stuck food. Just spleen the gap can hold the victim's life.




When the above methods have been applied and the patient's condition has not improved, the chest compressions should be actively performed artificially: put the victim on his back on the floor (on a hard ground), holding the victim's hands down to the victim's chest and lift up above his shoulders, doing it repeatedly. Then quickly transfer the victim to a medical facility for timely treatment, avoiding the risk of death..

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