OBJECTIVES:

• Identify patient with obstructed airway.
• Identify failure to remove F.B by standard method of abdominal thrust.

INDICATION:

Adult or pediatric patient in the following settings.

• Upper airway obstruction due to F.B that has not resolved with abdominal thrusts (pediatric chest blows).
• Patient must be unconscious.
• Patient must be placed supine.

PROCEDURE:

• Undertake universal precautions.
• Check responsiveness, if conscious
• Try Heimlich maneuver (pediatric back blows), if unsucceful and patient become unconscious.
• Place patient in supine position.
• Start CPR with C-A-B sequence, 30: 2 5 cycles 2 minutes ventilate with BVM.
• If Foreign Body Obstruction is not resolved.
  • Open mouth and insert laryngoscope.
  • Try to remove Foreign Body under direct vision with Magill forceps or suction devices.
  • If not able to remove Foreign Body and not able to ventilate patient by bag-valve mask, then refer to needle or surgical cricothyroitomy protocols.

MEDICAL DIRECTOR:

Contact medical control as soon as possible.

COMPLICATIONS.

Trauma to the oral pharynx, vocal cords, esophagus or trachea.

PRECAUTIONS

It is important to distinguish between F.B and portions of patient anatomy.