Care & Husbandry: Performing XXT – A Safer Approach to Choking Emergencies in Dogs

Choking incidents, characterized by airway obstruction, can pose a serious threat to our furry companions. Current treatments, such as the Heimlich maneuver, forceps removal, finger sweep, or rescue breathing, are established practices. However, a revolutionary technique known as the eXternal eXtraction Technique (XXT) is gaining attention as a safer and more effective intervention, especially for unconscious dogs facing a full airway obstruction caused by objects like balls.

 The eXternal eXtraction Technique (XXT): A Game-Changing Approach

While true choking incidents are relatively rare, reports of fatal airway obstructions during play sessions highlight the importance of effective interventions. The XXT is specifically designed for unconscious dogs facing complete airway obstruction from objects like balls. This technique proves especially valuable for working dogs with high drive and intense focus during training or play.

Indications for XXT

  1. Full Airway Obstruction
  2. Ball or Similar Hazard
  3. Unconscious Patient

 Step-by-Step Procedure

1. Positioning the Dog

  • Place the unconscious dog on its back, bracing it against the floor.
  • Straddle the dog, adjusting your position based on its size.
  • Ensure the head is in an "in-line position" with the airway parallel to the floor.

2. Identifying Landmarks

  • Identify key landmarks, including the trachea (ringed tube), ball location, and mandible (v-shaped jaw bone).
  • Form an open diamond shape with your hands, placing thumbs on either side of the trachea below the object.
  • Grip the "V" of the jaw, utilizing lip/cheek to protect fingers.

3. Executing the Technique

  • Employ a J-stroke motion, pushing down and out against the ball until it ejects from the mouth.

4. Post-Extraction Actions

  • Provide two rescue breaths.
  • If the patient remains unresponsive, initiate CPR.

 Preventative Measures to Avoid Choking Incidents

Evaluate Toy Size and Shape

  • Prioritize toys and ball rewards that align with the size and capabilities of your pet.
  • Regularly check balls, Kongs, and chews for damage or cracks.

Supervision is Key

Exercise caution and supervision, especially during play sessions involving balls, Kongs, and chews.

The eXternal eXtraction Technique (XXT) represents a groundbreaking advancement in addressing choking emergencies in dogs. While traditional methods remain valuable, the XXT offers a safer alternative, particularly in situations involving unconscious patients with a complete airway obstruction. Awareness, proper training, and preventive measures are key to ensuring the well-being of our beloved pets during play and training activities.

Don't have a vet in your area yet? We can help you find a local veterinarian.

If you have more questions, the GeniusVets Telehealth platform will give you unlimited access to text and/or video calls with board-certified veterinarians! To learn more click here.