EMT Lesson Plans

Choking 4

Choking 3

Choking 2

Choking 1

The patient is a 3 year old who is clutching his throat. He was at a birthday party when he suddenly began choking. The patient will stay conscious for 1 minute of obstructed airway maneuvers. He will then go unconscious, and will NOT be relieved by unconscious FBAO/CPR. After 2 minutes of CPR, ALS will arrive and remove a latex balloon from the airway via direct laryngoscopy and intubate the patient. The patient will be in cardiac arrest, and the students should perform intubated CPR for the next 3 minutes and transport. The patient will be pronounced at the ER.

The patient is a 6 month old who comes to you at the supermarket when you’re shopping while on duty (the truck is in the parking lot). She states she gave her daughter a grape and she is choking. The patient will become unresponsive after 4 sets of backblows/chest thrusts. The object will be relieved after 1 minute of CPR. The patient will immediately start breathing at 24 per minute with visible chest rises and require blow- by oxygen. Encourage the blow-by with an SPO2 of 89% if they seem confused about what to do next.

The patient is 42 year old who is collapsed. The family thinks he took a heart attack during dinner.

The patient is 72 year old who is wide-eyed and clutching her throat. Her family insists she is choking on her daughter’s meatloaf. The patient will clutch her throat for another minute until she collapses unresponsive. The patient will expel one object after one round of unconscious obstructed airway maneuvers / CPR, but continue to be obstructed. The patient will expel a second object during the 2 nd round of maneuvers/CPR. The patient will have a brief period of apnea, for which the students must ventilate her. After about 30 seconds of rescue breathing, the patient will become responsive to verbal stimulus and breathe at 14 bpm and transition to a NRB mask. Does not perform Heimlich maneuver Does not perform unc FBAO / CPR Places oxygen on patient before clearing airway Fails to identify open airway Fails to ventilate patient @ 1 breath / 5-6 seconds Unable to create visible chest rise Does not connect device to oxygen Does not transition patient to NRB mask Critical Criteria

The patient is unresponsive will be obstructed at the first attempt to give breaths. One round of airway maneuvers will remove a large piece of beef from the airway. The patient will then vomit and need suctioning. The patient will then remain apneic and require an airway adjunct and continuous ventilation.

Critical Criteria

Does not perform unc FBAO / CPR Places oxygen on patient before clearing airway Fails to identify open airway Fails to ventilate patient @ 1 breath / 5-6 seconds Unable to create visible chest rise Does not connect device to oxygen

Critical Criteria

Critical Criteria

Does not perform unc FBAO / CPR Places oxygen on patient before clearing airway Fails to identify open airway Fails to provide supplemental oxygen in some fashion Does not connect device to oxygen

Does not appropriately set up oxygen Does not monitor SPO2 Selects inappropriate ventilation device Fails to ventilate at 1 breath / 5-6 seconds Unable to create visible chest rise Does not connect device to oxygen

Debriefing Points:

Were choking maneuvers performed promptly? Why did the patient vomit after the object was relieved? Why was the patient not breathing after the choking was relieved?

Debriefing Points:

Debriefing Points:

Were choking maneuvers performed promptly? Why did the patient breathe after obstruction was relieved? What risk factor(s) for choking were present in this scenario?

Were choking maneuvers performed promptly? Why was the airway obstruction not relieved in this patient? What risk factor(s) for choking were present in this scenario?

Debriefing Points:

Were choking maneuvers performed promptly? Why didn’t breaths go in when the object came out? Why was the patient not breathing after the choking was relieved?

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