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Positional Asphyxia
Zac Offline
#1 Posted : 09 August 2012 08:52:56(UTC)
Zac


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At a first aid course for trainee prison officers the above topic arose. Afterwards I Googled  Positional asphyxia and amongst others came across the following.

Positional asphyxia, also known as postural asphyxia, is a form of asphyxia which occurs when someone's position prevents them from breathing adequately


Restraint Asphyxia – Silent Killer, Part ONE


www.charlydmiller.com/RA/restrasphyx01.html


My thoughts are that the information would be a help in increasing  depth of knowledge for trainers and first aiders to explain the rationale behind the importance of the recovery position.

 Zac

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Wiccan Offline
#2 Posted : 09 August 2012 11:52:38(UTC)
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Oooh Zac, I wouldn't start that one again!  There was a bit of a debate on here a few days ago about the recovery position.



I am not sure the two are related though.  The recovery position is to help preserve the airway incase the casualty vomits or is bleeding and aspirates it, positional asphyxia happens when a person can't breath because they are being held in such a position that their ribs or diaphragm cannot move and so are prevented from breathing.  For example being forceabley bent double or sat on.
speckles Offline
#3 Posted : 09 August 2012 21:02:16(UTC)
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There may be some confusion when talking about Positional Asphyxia. It depends from what "industry" you come from, whilst for Prison officers & security guards etc it is about the dangers of being "held" in certain positions. It is also used in the construction industry to describe what can happen when someone ends up being suspended from a safety harness. Whilst the first is mainly about prevention (certainly in my limited experience of being taught it, whilst the second is more about what to do after it has happened. 
Zac Offline
#4 Posted : 09 August 2012 21:47:46(UTC)
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The point of my post was to direct  persons interested in furthering their knowledge to an article that is not just about the dangers of physical restraint but also explains in layman’s terms how respiration works and reasons why it doesn’t 

• “ASPHYXIATING” POSITIONS RANGE FROM

o a position that obstructs the mouth and nose (“upper airway”); or

o a position that causes hyper flexion (extreme bending-forward) of the neck,

so as to obstruct the trachea (the largest “lower airway” passage); or

o a position that causes restriction of the chest or diaphragm –

i.e.a position that impedes or prevents the MECHANICAL means of breathing;

o OR a combination of any of the above-described asphyxiating positions.

e.g. An unconscious obese drunk lying face down(prone)?  

My understanding of the recovery position is ,not only protects the airway but allows the chest and diaphragm to work efficiently.



norfolkpolice Offline
#5 Posted : 10 August 2012 12:38:56(UTC)
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Interesting. We talk about this in class daily as for what our students are involved it is very important.
We teach it primarily from the perspective of patients/customers being restrained due to non complience or restraint to minimise potential danger to others.
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