Foreign Body Airway Obstruction

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Section 3 - RESPIRATORY

3.03 FOREIGN BODY AIRWAY OBSTRUCTION


IF OBSTRUCTED AND CONSCIOUS:

  • Cannot breathe:
    • Abdominal thrusts as necessary or until patient becomes unconscious.
    • Chest thrusts if patient pregnant or obese as necessary or until patient becomes unconscious.
    • 5 back blows and 5 chest thrusts for infants under 1 year of age. Repeat as necessary or until patient becomes unconscious.


IF OBSTRUCTED AND UNCONSCIOUS:

  • Clear airway by visualizing with laryngoscope using Magill forceps and / or suction.
  • If still obstructed and unconscious:
    • 5 Chest thrusts.
    • 5 Back blows and 5 chest thrusts in infants under 1 year of age.
    • Look for foreign body.
  • Repeat steps above.
  • If unable to obtain airway after above attempts, perform Cricothyrotomy.


Monitor for cardiac arrhythmias and / or arrest.

If airway opened, support ventilations as required and transport ASAP.