2015 Trumbull Memorial Hospital Demo

Foreign Body Airway Obstruction

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 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. 3. If object cannot be visualized, initiate chest compressions. If object is dislodged, repeat step 2. 4. If object is not becoming dislodged via BLS means or unable to remove object with Magill Forceps, consider advanced airway.

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 Orotracheal Intubation  Melker Cricothyrotomy

4. If airway is cleared:  Reassess ABC’s

 Oxygenate, titrate SpO2 to 94%  Initiate IV and ECG  Transport

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131

EMR

EMT

AEMT

Paramedic

Extended