Choking, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

By Kenneth Kee

This book describes Choking, Diagnosis, Treatment and Related Conditions

Choking is a partial or complete obstruction of the airway that can be due to a foreign body (e.g., food, a bead, toy, etc.)
The respiratory distress may begin rapidly with cough.
There are frequently obvious signs in the early stage of airway obstruction such as labored, ineffective breathing until the person is not longer breathing (apneic).
Unconsciousness happens if the respiratory obstruction is not relieved
Causes
Choking results when a piece of food or object becomes blocked in the upper airway.

Many large and small objects become stuck just inside the trachea at the vocal cords.

In adults, choking frequently happens when food is not chewed properly.

While eating, talking or laughing may induce a piece of food to "go into the wrong pipe."

The normal swallowing mechanisms may be reduced if a person has been drinking alcohol or taking medicines and if the person has conditions such as Parkinson's disease.

In elderly adults, the danger factors for choking are increasing age, poor fitting dental appliances, and alcohol drinking.

In children, choking is frequently produced by chewing food incompletely, trying to eat large pieces of food or taking too much food at one time, or eating hard candy.

Children also tend to place small objects in their mouths, which may find their way lodged in their throat.

Choking hazards are nuts, pins, marbles, or coins.

Symptoms

If an adult is choking, you may see the following:

1. Coughing or gagging
2. Hand signals and panic (sometimes pointing to the throat)
3. Sudden inability to talk
4. Clutching the throat:
This response is the universal choking sign and a way of informing people around you that you are choking.
5. Wheezing
6. Passing out
7. Turning blue or cyanosis can be observed very early around the face, lips, and fingernail beds but other critical choking signs may be seen first.

The management of airway obstruction due to a foreign body is:

Adults: The Heimlich maneuver.
Children above 1 year of age: 5 abdominal thrusts (a children's version of the Heimlich maneuver
Infants under 1 year of age: 5 blows to the back (with the flat of the hand) and 5 abdominal thrusts (with 2 fingers on the upper abdomen).

1. The treatment for a choking person who begins to turn blue or stops breathing depends on the person's age.

In adults and children above one year of age, abdominal thrusts (formerly referred to as the "Heimlich maneuver") should be tried.

The Heimlich maneuver is a thrust that produces an artificial cough which may be forceful enough to clear the airway.

2. The quick, upward abdominal thrusts push the diaphragm upward very suddenly, making the chest cavity smaller resulting in rapidly pressing the lungs and forcing air out.

The rush of air out will force out any object which is causing the person to choke.

1. The child will be too small for abdominal thrusts to be successful.

2. The infant should be picked up by the legs and five back blows should be given, followed by five chest thrusts.

3. Be careful to hold the infant properly with the head angled down to let gravity help with clearing the airway.

4. Also always support the infant's head.

If the infant turns blue or does not responds, CPR should be done.

TABLE OF CONTENT
Introduction
Chapter 1 Choking
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment
Chapter 6 Prognosis
Chapter 7 Dysphagia
Chapter 8 Heimlich Maneuver
Epilogue

• Language: English
• Publisher: Kenneth Kee
• Release date: Jul 9, 2018
• ISBN: 9780463461204

Kenneth Kee

Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

Book preview

Choking,

A

Simple

Guide

To

The Condition,

Diagnosis,

Treatment

And

Related Conditions

By

Dr Kenneth Kee

M.B.,B.S. (Singapore)

Ph.D (Healthcare Administration)

Copyright Kenneth Kee 2015 Smashwords Edition

Published By Kenneth Kee at Smashwords.com

Dedication

This book is dedicated

To my wife Dorothy

And my children

Carolyn, Grace

And Kelvin

This book describes Choking, Diagnosis, Treatment and Related Conditions or in vernacular terms

(What You Need to treat Choking)

This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

Thank you for respecting the hard work of this author.

Introduction

I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Condition) for the benefit of my patients since 2007.

My purpose in writing these simple guides was for the health education of my patients.

Health Education was also my dissertation for my Ph.D (Healthcare Administration).

I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.

This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Conditions into a new Wordpress Blog A Family Doctor’s Tale on http://ken-med.com.

From which many free articles from the blog was taken and put together into 600 eBooks.

Some people have complained that the simple guides are too simple.

For their information they are made simple in order to educate the patients.

The later books go into more details of medical conditions.

The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

Since 2013, I have tried to improve my spelling and writing.

As I tried to bring you the latest information about a condition or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

I apologize if these repetitions are irritating to some readers.

Chapter 1

Choking

Choking is a partial or complete obstruction of the airway that can be due to a foreign body (e.g., food, a bead, toy, etc.)

The respiratory distress may begin rapidly with cough.

There are frequently obvious signs in the early stage of airway obstruction such as labored, ineffective breathing until the person is not longer breathing (apneic).

Unconsciousness happens if the respiratory obstruction is not relieved.

The management of airway obstruction due to a foreign body is:

Adults: The Heimlich maneuver.

Children above 1 year of