What do you do if a child is choking with a spinal ijury, conscious AND unconscious?

January 31st, 2009

I have to do my lifeguard renewal exam at the end of the week, and am filling in loads of revision sheets at the mo, but coz all the rules (like CPR) have changed since 2 yrs ago I can't remember some of the stuff!

What do you do if you have a (ALL SPINAL INJURY)
Child choking conscious and unconscious
Baby choking conscious and unconscious
Adult choking conscious and unconscious?!

Please help, it will really be appreciated!

Breathing takes precedence over any injury including spinal injury.

If unconscious and breathing the victim must be put on to their side (lateral/recovery position). Taking care not to bend or twist the spine and neck. Have someone assist you to roll the victim into lateral/recovery position, with you supporting the head and neck, with a lateral head clamp. Turning the victim on your count not the person helping.

If the airways have become completely blocked, and the victim is unconscious, you will need to commence CPR immediately. Because they are in respiratory arrest.

As for a conscious victim who is strapped to a spinal board, you will need to be keep them calm, encourage them to cough. It has been some time since I did my last Lifeguard qualifications update, so this may part have changed.

Other wise treat as normal chocking victim.

I did try to find some links for you, but could only find a few which may or may not help.

Good luck with you exam

Leave a Reply

5 Responses to “What do you do if a child is choking with a spinal ijury, conscious AND unconscious?”

  1. Comment by houghton weaver

    im a first aider at work..the vast majority of it is just the same

    try these two sites they will help you

    keep up the good work

    http://www.sja.org.uk/sja/first-aid-advice.aspx
    http://www.bbc.co.uk/health/first_aid/index.shtml
    References :

  2. Comment by jason m

    As far as I remember….ABC comes first ..so if the choking is compromising their breathing to hell with the spinal injury and treat as a normal choking……clear obstruction using fingers…if still choking…back slaps or abdominal thrusts.

    ps..dont quote me on this..Im not a dr
    References :

  3. Comment by Dennis R

    the answer to all is chest compressions while maintaining cervical alignment of the head/neck.
    References :

  4. Comment by Regan C

    its always life over limb….so for concious you would either do chest compressions if they are laying down (if they have a spinal then they will probably be on a backboard
    and if they are unconcious you do the same (both adult and child)
    Infant you would do the back blows and two finger compressions

    so yeah you treat the choking not the spinal
    References :
    Ellis Lifeguard

  5. Comment by Georgie

    Breathing takes precedence over any injury including spinal injury.

    If unconscious and breathing the victim must be put on to their side (lateral/recovery position). Taking care not to bend or twist the spine and neck. Have someone assist you to roll the victim into lateral/recovery position, with you supporting the head and neck, with a lateral head clamp. Turning the victim on your count not the person helping.

    If the airways have become completely blocked, and the victim is unconscious, you will need to commence CPR immediately. Because they are in respiratory arrest.

    As for a conscious victim who is strapped to a spinal board, you will need to be keep them calm, encourage them to cough. It has been some time since I did my last Lifeguard qualifications update, so this may part have changed.

    Other wise treat as normal chocking victim.

    I did try to find some links for you, but could only find a few which may or may not help.

    Good luck with you exam
    References :
    Ex Lifeguard and now a teacher of First Aid (not specific to Lifeguarding)

    CPR and drowning victim
    http://circ.ahajournals.org/cgi/content/full/112/24_suppl/IV-133
    http://circ.ahajournals.org/cgi/content/full/112/24_suppl/IV-196
    http://www.mayoclinic.com/health/first-aid-choking/FA00025
    http://www.infomat.net/infomat/focus/health/first_aid/choking.htm
    Lifesaving Resources inc USA
    http://www.lifesaving.com/