FBAO: INFANT

FBAO: INFANT | Therapeutic Effects

1. To provide a patent airway for patient oxygenation

FBAO: INFANT | Indications

1. Patients with an FBAO who are unable to cough, make sounds, or breathe

FBAO: INFANT | Contraindications

1. Patients who can cough, make sounds, or breathe adequately

FBAO: INFANT | Side Effects

1. Possible broken ribs or trauma to sternum due to chest thrusts

FBAO: INFANT | 1. CONSCIOUS PATIENT:

a. Take and verbalize Standard Precautions

b. Kneel or sit with the infant in your lap

c. Expose the chest if clothing is easily removed

d. Hold the infant face down, with the head slightly lower than the chest, resting on your forearm

e. Support the infant’s head and jaw with your hand, by cupping the chin cheeks.

f. Do not compress the soft tissue of the throat or cover the mouth or eyes with your fingers

g. Deliver 5 back slaps, forcefully between the infant’s shoulder blades, using the heel of your open hand

h. Place your free hand on the infant’s back, supporting the head with the palm of your hand and turn the infant over as a unit, between your forearms. Keeping the head below the trunk

i. Provide 5 quick downward chest thrusts, with the heel of one hand in the middle of the chest,over the lower half of the sternum. Deliver about 1 per second

j. Repeat back slaps and chest thrusts until the object is expelled from the airway or the patient becomes unresponsive.

2. UNCONSCIOUS PATIENT OR PATIENT BECOMES UNCONSCIOUS:

a. Activate the emergency response system/call for ALS help

b. Lower the patient to ground and expose the torso

c. Using the 2-thumb encircling hands technique or heel of one hand, begin CPR, with chest compressions, 30:2

d. When opening the airway to give ventilations, look for the object

e. If the object is visualized, remove it with your fingers

f. In a timely manner, retrieve the BVM from airway bag

g. Properly ventilate and look for chest rise, if successful, give a second ventilation

h. If no chest rise, reposition the head and attempt to re-ventilate, looking for chest rise

i. If still no chest rise, repeat (steps “c” through “e”) until ventilations are successful

j. After 2 successful ventilations, reassess CAB and provide appropriate treatment