The resuscitation guidelines are legacy standard of care and are not always current with the updated standard of care. The Dechoker/dechoking devices or anti-choking devices are fairly new. Therefore, it is likely that the resuscitation guidelines were developed before dechoking devices came about.
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.
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 backslaps and abdominal thrusts are delivered promptly. Once available, Dechoker can be used almost instantaneously once the current manual protocols (backslaps and abdominal thrusts) have failed. Training on the Dechoker devices is easy and “Train the Trainer” programs are available.
Dechoker has an available wall mount for commercial use.
Dechoker device is not recommended for neonatal (or infant) use. Devices are available in three sizes (adult, child, and toddler).
No. Dechoker is an FDA and CE registered product for sale and use in the appropriate countries where registrations are obtained.
Dechoker is made as a single use device due to regulatory requirements around sanitation.
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.
No. Dechoker is shipped not sterile. While the device is manufactured in a clean environment it is not sterilized.
Yes. The Dechoker has a 27-month shelf life.
Yes. The Dechoker is CE marked.
The Dechoker is designed such that it does not hurt the patient. In addition, with appropriate training, use of Dechoker is proficient.
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.
Yes. The Dechoker can be self-administered.
Yes. The Dechoker can absolutely be used on a conscious patient.
Effort is underway to make Dechoker the standard of care. Due to the interest in the Dechoker device, it is widely anticipated that the Dechoker will be used in ambulances and other care channels.
Yes. The Dechoker is suitable for any patient that has a swallowing issue or disorder. For patients with dementia, it is recommended that the Dechoker device is administered to them (not self-administered) since it is required for users to review and understand the instructions for use.
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.
The suction tube of the Dechoker 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.