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Alright, so now we're on the adult, unconscious, choking victim.
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This is the person we were working with when they were conscious and choking.
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Our efforts did not get the obstruction clear. They were going unconscious, so we helped lower them
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to ground, ideally. And, as soon as they were lowered to the ground, that's our cue
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to access the emergency medical services, call 911, or call a code.
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At this point, once we lower them down to the ground, after calling 911,
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we're going to go straight to 30 chest compressions.
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We're going to do those 30 chest compressions and then open the airway.
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Look in the mouth, check for an obstruction. If we see the obstruction,
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we're actually going to reach in. Now, watch as we reach in, here.
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We're actually going to go with a hooking motion with one finger, to the side of the mouth.
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Go towards the back, grab that object, and pull it out.
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Once the object is out, we're going to go ahead and cover the mouth and nose with a mask
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and attempt one breath. We attempt one breath, it does not go in. We re-position the head.
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Attempt another breath. It still doesn't go in, so we go right back to 30 chest compressions.
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After 30 chest compressions, we put our mask back on the face, attempt the breath.
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If it doesn't go in, we re-position the head. Attempt another breath.
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If it still doesn't go in, we go right back to chest compressions.
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If, at some point, when we try the rescue breath and it goes in, we're going to deliver a second
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rescue breath and then check for a carotid pulse, no longer than 10 seconds.
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If we find that there is a good, palpable, or "feel-able", pulse -- easily "feel-able,"
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we know that this person is not in cardiac arrest. But, if they're not breathing,
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we're going to begin rescue breathing. If there's no pulse, no breathing, we're going to go
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right, straight into CPR.
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So, I just lowered him to the ground. He was conscious and choking, now he's unconscious.
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Now I'm going to call 911. Hey, you in the plaid shirt, go call 911, I've got a person who is now
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unconscious from choking. Please return and let me know that you've called them.
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At this point, I'm going to start my 30 chest compressions.
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1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13
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14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26
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27, 28, 29, 30.
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I don't see anything. I'm going to attempt a breath.
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Nothing went in, I'm going to re-position once and try another breath.
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Nothing went in. I'm going to continue with 30 more chest compressions.
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1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13
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14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26
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27, 28, 29, 30.
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Look in the mouth. Still don't see anything. Try a breath.
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Didn't go in. I'm going to re-position and try again.
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Nothing went in. I'm going to continue with 30 chest compressions.
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After 30 chest compressions, if I tried a breath and it went in, I'd give another breath,
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check for a pulse.
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If there was an easily palpable pulse, but no breathing,
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I would continue rescue breathing. If there was no pulse and no breathing, I would start CPR.
