What is your reason in giving chest compression to an unconscious choking victim and not abdominal thrust after the chest did not rise in giving 2 rescue breathe?

[We have two differnet opinions here -- give us a couple of days to work this out. In the mean time find more info in the DISCUSSION section.] [[User:Cjonb|Cjonb]] 02:34, 11 Aug 2008 (UTC)~ Whoa! Not sure where this question comes from, but you don't administer chest compressions to a patient who has a pulse. Period. This is regardless of state of consciousness. With a choking victim who can make no noise, don't start rescue breathing them if you KNOW it's choking -- go straight into Heimlich Manuver (which can include abdominal thrust). If they can't breathe, you can't breathe them usually. FIRST clear the obstruction. Note that, if the victim is choking due to an obstruction, you won't be able to get air into them, and that would be why the chest did not rise. If you aren't giving them air, rescue breathing is not working. Move on to another strategy right smartly. -------- the American heart ass. states in an unconsciousness adult that is unable o be ventilated (despite 2 attempts to reposition the airway) begin chest comprestions to force out the obstruction. as to why.... got me --------- If you aren't getting air into the victim, the heartbeat doesn't matter -- there's no oxygen in the bloodstream to circulate. Also, compressing a beating heart induces an arrythmia, and may stop the heart. The focus of the rescue has to be to open that airway and get some oxygen in. Abdominal thrust is all about that; chest compressions are not. I can't find any posting on the AHA site or anywhere else that states what you mention. Please note link. Also, note that I mean no personal offense. If I sound vehement it's because this kind of misunderstanding can at times turn lethal. If you did find such a link, please let me know the URL and I'll be glad to call AHA and let them know their mistake, so they can correct it. but you are quite offensive. i make my living as a paramedic. i am beyond quailfied in forigen body airway obstruction. and good luck with your phone calls. here is the link and most notably the following exerpt: If the adult victim with FBAO becomes unresponsive, the rescuer should carefully support the patient to the ground, immediately activate EMS, and then begin CPR. A randomized trial of maneuvers to open the airway in cadavers273 and 2 prospective studies in anesthetized volunteers274,275 show that higher sustained airway pressures can be generated using the chest thrust rather than the abdominal thrust (LOE 7). Each time the airway is opened during CPR, the rescuer should look for an object in the victim's mouth and remove it. Simply looking into the mouth should not increase the time it takes to attempt the ventilations and proceed to the 30 chest compressions. http://circ.ahajournals.org/cgi/content/full/112/24_suppl/IV-19