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Most commonly caused by: Food HOW? Hot dogs, grapes, marshmallows Small toys coins
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FOREIGN BODY AIRWAY
OBSTRUCTIONJackilyn Byrd, RN, BSN
FBAO Foreign Body-something that shouldn’t
be there Airway-trachea…the pipe that takes air
from mouth/nose to lungs Obstruction—a barrier, something
blocking the way
FBAO Most commonly caused by:
Food HOW? Hot dogs, grapes, marshmallows
Small toyscoins
FBAO Partial airway obstruction
Food or object is lodged in airway but air is still able to pass through Coin turned sideways Medication
Victim is able to talk, breathe & cough
What to do?Encourage coughing to dislodge the itemDO NOT smack person on the back
Why?
FBAO Total Airway Obstruction
Food or object is completely blocking airflow to the lungs
If not treated, person will eventually become unresponsive (cardiac arrest) and CPR will be required.
To treat: Heimlich Maneuver
HOW DO YOU KNOW??
HEIMLICH MANEUVER Ask the victim if they can speak or
cough.Yes?—encourage coughing, keep victim
calm DO NOT hit victim on the back!!
No? Proceed to Heimlich
HEIMLICH MANEUVER My name is ____. I know first aid. Can I
help you? Call 911 Assist the victim to standing position. Stand behind victim with your chest
against their back. Wrap arms around torso.
Make a fist with one hand and place other hand on top of it
Between belly button and xiphoid process Careful not to squeeze rib cage or hit xiphoid
process
HEIMLICH MANEUVER Inward and upward thrusts
(like you’re trying to lift them off the floor)PURPOSE: Pushing air up through the
diaphragm to simulate strong coughingContinue thrusts until item is dislodged or
victim becomes unconscious
BIG PROBLEMS What if your arms can’t reach around
the person?PregnancyLarge personSmall/short arms
Same steps except you place arms closer to the xiphoid process. Risk: breaking bones.
Better than death
SELF HEIMLICH What if you’re alone and you begin to
choke?
Perform self Heimlich.Text someone to let them know you’re in
trouble. Thrust yourself on the back of a chair or
high table.
VIDEO CLIP https://www.youtube.com/watch?v=tEIiE
An7b-U
INFANT FBAO Call 911 5/5
5 back blows Support head Keep head lower than chest Use heel of one hand to deliver blows between
infant’s shoulder blades
5 chest thrustsmaintain firm supportturn infant place 2-3 fingers in center of chest (vertically)one inch below nipple line