Dechoker: An Overview
Choking on food and small parts remains one of the most devastating events that can occur to infants and young children.
The majority of these events occur in children ages 10 to 36 months. Approximately 10,000 children are seen in emergency departments each year for choking accidents.
Many require surgery to remove the object, followed by hospital stays.
Some do not survive: one child dies every five days in this country alone from choking on food or other objects.
The important thing is to know how to react, and act, in the face of a sudden tragic event.
Parents and caregivers of infants and young children are encouraged to learn CPR, which is offered in many hospitals, schools, and through the American Red Cross.
It is also recommended that those caring for infants and children learn how to assess and treat a choking incident.
If a caregiver notices a child has choked and is not breathing, they or someone nearby should immediately call 911, and, for children ages one to eight years, they should stand behind the child, wrap arms around the child’s waist, and grasp one hand around the fist.
Then inward and upward abdominal thrusts should begin.
For infants under one year, the infant should be placed face down on the adult’s knee, and back blows should be attempted, followed by having the infant on the back, giving abdominal thrusts.
But sometimes, despite best efforts, these maneuvers don’t work.
Therefore we recently performed a review of Dechoker – Anti Choking Device.
We found that the amount of pressure generated by this Dechoker device was more than double that of the pressure generated by previously well-established maneuvers such as back blows and abdominal thrusts.
Let’s know more about this best anti choking device.
What is the Dechoker?
The Dechoker is an FDA registered anti-choking life-saving medical device which can be used for choking first aid on anyone, regardless of age, illness, disorder, or other other health-related condition. It is lightweight, easy to use, and engineered to save lives in a choking emergency.
With little training, a parent can use a Dechoker on their child to prevent an accidental choking death.
It comes with easy step-by-step guidelines for use.
- Dechoker For Adults – It is an airway clearing device small enough to keep with a first-aid kit. The adult-sized unit is designed for ages 12 and up.
- Dechoker for Children – It is designed for growing children from 3 years to 12 years old. It has a nose piece small enough to fit on a small child’s face but is powerful enough to dislodge debris from the airway.
- Dechoker for Toddlers – It is designed for toddlers 12 months to 3 years of age. It has a nose piece specifically modeled for small faces as well as a shortened tube for the perfect sizing.
Respiratory Mask – Placed over nose and mouth for up to 3 seconds and creates a seal to help dislodge foreign object.
Tongue Depressor – Only raches back of tongue. Prevents mouth cavity from obvious collapse.
Device Reference Guide – Quick instruction on use readily available for reference.
Backflow Release Value – Prevents fluid or debris from re-entering the oral cavity.
Pull Handle – Enginnered to be smooth and light that even a child can operate.
Cylinder Body – Provides optimal amount of suction to dislodge foreign object from the airway.
How Does Dechoker Work?
The Dechoker uses powerful suction to remove fluid and materials from the airway.
It works in seconds and is easy to use on yourself or someone else.
Registered as an FDA Class I medical device, the Dechoker is manufactured ISO13485 compliant.
Dechoker can be used for up to two years in a home. It is designed for single use in public spaces or places of business.
To know more about this see the video below:
How To Use Dechoker?
Caution: Do not wait for the patient to become unconscious before using the dechoker device.
Follow these simple instructions on how to use dechoker.
- Remove dechoker from the package and pull the handling once or twice.
- Tilt up the head, lifting the chin for access to airway.
- Insert the tube into the mouth by navigating around the tongue, respirator face mask covering the mouth and nose for no longer than 3 second intervals.
- Apply thumb at the bottom of the chin, index finger on one side of respirator, and middle finger on the other side of the respirator.
- Apply light pressure on the respirator while pulling the plunger upward. Repeat steps 4 and 5 if necessary.
- Caution: Never leave respirator covering the mouth and nose over 3 seconds at any point in time. Countdown 3…2..1.
- Roll individual over on side to allow debris out of mouth.
Why Should You Buy Dechoker And Save a Life?
Saving a life has never been easier. It’s basically a vacuum pump that you place over a person’s mouth, while they’re on their back; you pull the plunger and dislodge their blockage in the process.
It takes just seconds. You then place them on the side until they recover.
It’s a brilliant tool to keep in your first aid kit at every VA Hospital as well as all other government agencies, restaurants, hospitality, transit and more, including homes.
The Dechoker uses powerful suction to remove food from the airway. It works in seconds and is easy to use on yourself or someone else.
Who Should Buy The Dechoker?
- Home – Home is where we spend most of our time. And it’s not just small children who choke (a child dies from choking every 5 days), or the elderly (according to the CDC’s most recent data, there were 463 choking deaths related to food among people aged 65 to 85+ years old last year), even ordinary adults choke far to often.
- Government – With a lightweight pull handle and directions that are easy to follow, anyone at any army base, VA Hospital or government office can use this device. For local government, it’s an EMS must have.
- Education – Daycares. Cafeterias. Dining Halls. Dormitories. Make sure that you’re prepared if a choking emergency occurs.
- Transportation – From airports to cruise ships to commuter trains, this functional and lightweight product is not arbitrary, it’s necessary.
- Corporate – It’s important that your employees feel safe while they’re at work. Save a spot for this device in every break room at your company.
- Medical – Whether you work at a nursing home or a hospital or in the EMS world, choking is always a concern. You provide the constant care, let us provide the extra comfort.
- Hospitality – You strive to anticipate your guests’ needs. And in a restaurant the Dechoker is a must-have. Let us support your mission with a device that assists in a choking emergency.
Where to Buy the Dechoker?
If you have made a (good) decision to purchase one of the least expensive life-saving medical devices, then you need to know that it is available at best prices. The price of dechoker is only $69.95.
Tips on helping a choking child
- If you can see the object, try to remove it. Don’t poke blindly or repeatedly with your fingers. You could make things worse by pushing the object further in and making it harder to remove.
- If your child’s coughing loudly, encourage them to carry on coughing to bring up what they’re choking on and don’t leave them.
- If your child’s coughing isn’t effective (it’s silent or they can’t breathe in properly), shout for help immediately and decide whether they’re still conscious.
- If your child’s still conscious, but they’re either not coughing or their coughing isn’t effective, use back blows.
Back blows for babies under 1 year
- Sit down and lay your baby face down along your thighs, supporting their head with your hand.
- Give up to 5 sharp back blows with the heel of 1 hand in the middle of the back between the shoulder blades.
Back blows for children over 1 year
- Lay a small child face down on your lap as you would a baby.
- If this isn’t possible, support your child in a forward-leaning position and give 5 back blows from behind.
If back blows don’t relieve the choking and your baby or child is still conscious, give chest thrusts to infants under 1 year or abdominal thrusts to children over 1 year.
This will create an artificial cough, increasing pressure in the chest and helping to dislodge the object.
Chest thrusts for children under 1 year
- Lay your baby face up along the length of your thighs.
- Find the breastbone and place 2 fingers in the middle.
- Give 5 sharp chest thrusts (pushes), compressing the chest by about a third.
Abdominal thrusts for children over 1 year
- Stand or kneel behind your child. Place your arms under the child’s arms and around their upper abdomen.
- Clench your fist and place it between the navel and ribs.
- Grasp this hand with your other hand and pull sharply inwards and upwards.
- Repeat up to 5 times.
- Make sure you don’t apply pressure to the lower ribcage, as this may cause damage.
Following chest or abdominal thrusts, reassess your child as follows
- If the object still isn’t dislodged and your child’s still conscious, continue the sequence of back blows and either chest or abdominal thrusts.
- Call out or send for help, if you’re still on your own.
- Don’t leave the child.
Call 911 if the blockage doesn’t come out after trying back blows and either chest or abdominal thrusts. Keep trying this cycle until help arrives.
Even if the object has come out, get medical help. Part of the object might have been left behind, or your child might have been hurt by the procedure.
Unconscious child with choking
- If a choking child is, or becomes, unconscious, put them on a firm, flat surface and shout for help.
- Call 911, putting the phone on speakerphone so your hands are free.
- Don’t leave the child at any stage.
- Open the child’s mouth. If the object’s clearly visible and you can grasp it easily, remove it.
1. Why do the resuscitation guidelines not mention Dechoking devices?
The resuscitation guidelines are legacy standard of care and are not always current with the updated standard of care. The dechoking devices or anti-choking devices are fairly new. Therefore, it is likely that the resuscitation guidelines were developed before dechoking devices came about.
2. The resuscitation guidelines say to deliver back slaps and abdominal thrusts then when not conscious start CPR. When in this cycle is the Dechoker used?
The resuscitation guidelines support a legacy standard of care. Dechoker is to be used when current protocol standards have failed. Due to the request for Dechoker devices in care homes and first aid kits worldwide, the Dechoker is bound to become a standard of care.
3. I am a training provider, can I add instruction on the Dechoker to my courses?
Yes. It is recommended to add Dechoker to the training due to the ease of use and due to the potential consistency of use. The training should consider availability and non-availability of Dechoker devices. If the Dechoker device is unavailable and not within reach, while it’s being retrieved from the first aid kit, it is required that the back slaps and abdominal thrusts are delivered promptly. Once available, Dechoker can be used almost instantaneously once the current manual protocols (back slaps and abdominal thrusts) have failed. Training on the Dechoker devices is easy and “Train the Trainer” programs are available.
4. Can the Dechoker be wall mounted?
Dechoker has an available wall mount for commercial use.
5. The tube on the adult Dechoker looks fine but on the infant one it looks too big, is this the case?
Dechoker device is not recommended for neonatal (or infant) use. Devices are available in three sizes (adult, child, and toddler).
6. Am I under any legal risk using the Dechoker as it goes away from the information on my last first aid class?
No. Dechoker is an FDA and CE registered product for sale and use in the appropriate countries where registrations are obtained.
7. Can I reuse the Dechoker if I clean it?
Dechoker is made as a single use device due to regulatory requirements around sanitation.
8. Do you need special training to use the Dechoker or can someone just read the instructions and use it?
The package insert or the “instructions and use” are detailed and specific and are generally sufficient to utilize the Dechoker device. For additional proficiency, a certified training course is recommended.
9. Is the Dechoker sterile?
No. Dechoker is shipped not sterile. While the device is manufactured in a clean environment it is not sterilized.
10. Is there an expiry date on the Dechoker?
Yes. The Dechoker has a 27-month shelf life.
11. Is the Dechoker CE marked?
Yes. The Dechoker is CE marked.
12. Does it hurt the patient when a Dechoker is used?
13. When you push the plunger in, does it force air into the patient?
No. The architecture of the device is such that no air is forced into the patient. The patented and proficient design ensures that air moves forward due to the cross lit valve in the unit and disallows any air from entering mouth. This tube functions like an exhaust. Air only enters the cylinder through the tube that goes into the mouth and can only go out through the cross slit valve.
14. Can the Dechoker be used on yourself if you choke?
Yes. The Dechoker can be self-administered.
15. Can you use the Dechoker on a conscious patient?
Yes. The Dechoker can absolutely be used on a conscious patient.
16. If the Dechoker is so effective, why are they not carried on ambulances?
17. Is the Dechoker suitable for patients with Dementia?
Yes. it is suitable for any patient that has a swallowing issue or disorder. For patients with dementia, it is recommended that this device is administered to them (not self-administered) since it is required for users to review and understand the instructions for use.
18. What is the possibility of barotrauma?
Barotrauma is usually associated with positive pressure, usually of the lower respiratory tract rather than the upper airway, resulting from high inflation pressures and damaging the lung parenchyma. Suction devices which generate a ‘negative’ (sub-atmospheric) pressure will not damage distal tissues beyond the larynx. Soft tissues in the oral cavity including the tongue may succumb to a poorly positioned device when suction is applied. A choking casualty has an unrelieved obstruction in the upper airway. They may vomit without stimulation, and this might even dislodge the foreign body in the laryngopharynx? Aspiration of stomach contents is most unlikely because the esophagus will collapse, unlike the adjacent trachea.
19. If sufficient negative pressure was developed by the device for it to be effective then there is a risk that it may cause mucosal injury/bleeding and or negative pressure pulmonary edema.
The suction tube of this device is in the middle of the face mask. It may injure the tongue. It occasionally touches the hard palate with the outside edge of the tube. Insertion of the tube can rub against the tongue or hard palate and cause an abrasion. This is inconsequential to the choking and dying patient. Any abrasion will heal promptly without treatment. One or two pulls of the device will not cause negative pressure pulmonary edema. It is not used long enough to cause pulmonary edema. Face mask ventilation used for prolonged periods does not cause pulmonary edema.
20. Does the Dechoker really work?
The CEO, Alan Carver says this tool has saved 17 lives and is 99 percent effective but the company did not provide information for any victims or doctors who would speak out in favor of the device’s use. Carver says he’s not trying to replace abdominal thrusts — rather he encourages people to use both as life-saving resources. Know more here.
21.When should Dechoker be used?
The DeChoker ACD (Airway Clearance Device) has been developed specifically for use in a choking emergency. When a person begins to choke, time is absolutely critical. The average person is likely to become unresponsive very quickly, with brain death expected after just 10 minutes.