Foreign-Body Airway

Obstruction
(Choking)
Abdul Qodir

Introduction
FBAO is an uncommon, but preventable,

cause of death
Most reported cases of FBAO occur in adults
while they are eating.
Most reported episodes of choking in infants
and children occur during eating or play when
parents or childcare providers are present.
Treatment is usually successful, and survival
rates can exceed 95%.

Recognition of Foreign-Body
Airway Obstruction
Recognition of FBAO is the key to successful

outcome.
important to distinguish this emergency from
fainting, heart attack, seizure, or other
conditions that may cause sudden respiratory
distress, cyanosis, or loss of consciousness.

Signs of Airway Obstruction

(choking)
poor air exchange and increased breathing

difficulty, such as a silent cough, cyanosis

inability to speak or breathe
The victim may clutch the neck,
demonstrating the universal choking sign.
Quickly ask, Are you choking?
If the victim indicates yes by nodding his
head without speaking, this will verify that the
victim has severe airway obstruction.

Management Airway
Obstruction (choking)
CONSCIOUS CHOKING
(Cannot Cough, Speak, Cry or Breathe)
After checking the scene for safety and the injured
or ill person, have someone CALL 1-1-8 and get
consent. For children and infants, get consent from
the parent
GIVE 5 BACK BLOWS
GIVE 5 ABDOMINAL THRUSTS (chest thrusts for infant )
REPEAT STEPS 1 AND 2 UNTIL THE:
Object is forced out.
Person can cough forcefully or breathe.
Person becomes unconscious.

Adult Back Blows

Child Back Blows

Infant Back Blows

Adult ABDOMINAL THRUSTS

Child ABDOMINAL THRUSTS

Infant: (chest thrusts for infant)

TIP: For infants, support the head

and neck securely. Keep the head

Infant: (chest thrusts for infant)

Abdominal thrusts are not recommended for

infants because they may damage the infants

relatively large and unprotected liver.

Management Airway
Obstruction (choking)
Although chest thrusts, back slaps, and

abdominal thrusts are feasible and effective

for relieving severe FBAO in conscious
(responsive) adults and children1 year of age,
for simplicity in training it is recommended
that abdominal thrusts be applied in rapid
sequence until the obstruction is relieved
(Class IIb, LOE B).
If abdominal thrusts are not effective, the
rescuer may consider chest thrusts (Class IIb,
LOE B)

Management Airway
Obstruction (choking)
Chest thrusts should be used for obese

patients if the rescuer is unable to encircle the

victims abdomen.
If the choking victim is in the late stages of
pregnancy, the rescuer should use chest
thrusts instead of abdominal thrusts.

Management Airway
Obstruction (choking)
If the adult victim with FBAO becomes

unresponsive, the rescuer should carefully

support the patient to the ground,
immediately activate (or send someone to
activate) EMS, and then begin CPR.
do not perform a pulse check
After 30 chest compressions, open the airway.
If you see a foreign body, remove it but do not
perform blind finger sweeps because they
may push obstructing objects farther into the
pharynx and may damage the oropharynx

THANK YOU