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131
EMR
EMT
AEMT
Paramedic
Extended
Foreign Body Airway Obstruction
Steps
Performed?
Yes No
Conscious Patient
1.
If respirations are present but compromised, provide supportive care.
Encourage patient to cough forcefully
Consider oxygenation, IV, ECG
Transport
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2.
If respirations are absent, or patient is increasingly hypoxic:
Administer abdominal thrusts until foreign body expelled or patient loses consciousness
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3.
If airway is cleared:
Reassess ABC’s
Oxygenate, titrate SpO2 to 94%
Initiate IV and ECG
Transport
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Unconscious Patient
1.
Attempt ventilation, reposition head and try to ventilate
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2.
Attempt visualization of object. If the object can be seen, perform a finger sweep to
remove it. If visualization is performed via laryngoscopy, remove with Magill forceps.
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3.
If object cannot be visualized, initiate chest compressions. If object is dislodged, repeat
step 2.
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4.
If object is not becoming dislodged via BLS means or unable to remove object with
Magill Forceps, consider advanced airway.
Orotracheal Intubation
Melker Cricothyrotomy
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4.
If airway is cleared:
Reassess ABC’s
Oxygenate, titrate SpO2 to 94%
Initiate IV and ECG
Transport
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Foreign Body Airway Obstruction