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Choking - unconscious adult or child over 1 year - Overview

Alternative Names

Heimlich maneuver - adult or child over 1 year

Definition of Choking - unconscious adult or child over 1 year:

Choking is when someone cannot breathe because food, a toy, or other object is blocking the throat or windpipe (airway).

Considerations:

A choking person's airway may be completely or partially blocked so that not enough oxygen reaches the lungs. A complete blockage is a medical emergency. A partial blockage can quickly become life threatening if the person cannot properly breathe.

Without oxygen, permanent brain damage can occur in as little as 4 - 6 minutes. Rapid first aid for choking can save a life.

Occasionally an object will enter the lung. While the person may appear to improve and breathe normally, in a few days symptoms may develop, such as:

If this happens, get medical help right away.

Causes:

  • Eating too fast, failing to chew food well enough, or eating with poorly fitting dentures
  • Drinking alcohol (even a small amount of alcohol affects awareness)
  • Being unconscious (a person may breathe in vomited material)
  • Breathing in or swallowing small objects (young children)
  • Having trauma to the head and face (swelling, bleeding, or deformity can cause choking)
  • Reviewed last on: 10/1/2008
  • Jacob L. Heller, MD, Emergency Medicine, Virginia Mason Medical Center, Seattle, Washington, Clinic. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Manno M. Pediatric respiratory emergencies: upper airway obstruction and infections. In: Marx J, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 6th ed. Philadelphia, Pa: Mosby Elsevier; 2006: chap 166.

Thomas SH, Brown DFM. Foreign bodies. In: Marx J, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 6th ed. Philadelphia, Pa: Mosby Elsevier; 2006: chap 57.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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