FBAO: Adult/Child

FBAO: Adult/Child | Therapeutic Effects

1. Establish a patent airway for patient oxygenation

FBAO: Adult/Child | Indications

1. Patients with an FBAO who are unable to forcefully cough or speak

FBAO: Adult/Child | Contraindications

1. Patients who can forcefully cough or speak

FBAO: Adult/Child | Side Effects

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

FBAO: Adult/Child | 1. CONSCIOUS PATIENT

a. Take and verbalize Standard Precautions

b. General Impression: Look for Universal Sign of Choking

c. Ask the patient if they are choking. Ask if you may help

d. Perform 5 forceful back blows using the heel of your hand between their shoulder blades

e. If back blows do not relieve choking, continue to next step

f, Stand of kneel behind the patient and wrap your arms around their waist

g. Make a fist with one hand, grab it with the other hand

h. Press your fist into the person’s abdomen with a quick, forceful upward thrust

i. Continue alternating 5 back blows followed by 5 abdominal thrusts until the object is dislodged or the person becomes unresponsive

• If the patient is pregnant or obese, perform chest thrusts (Place fist between nipple line and compress straight back)

FBAO: Adult/Child | 2. UNCONSCIOUS PATIENT OR PATIENT BECOMES UNCONSCIOUS

a. Activate emergency response system/ call ALS for help

b. Lower the patient to the ground and expose the patient’s torso

c. With proper hand placement, in the center of the chest, 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 BVM from airway bag

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

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

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

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