FBAO management by: CAARLA R. DARIA, RN, EMR-B

1. Foreign Body Airway Obstruction Management

2. OBJECTIVES KNOWLEDGE OBJECTIVES: 1. Identify the causes, types, and classification of obstruction. 2. Describe Heimlich maneuver.

4. CAUSES OF OBSTRUCTION Improper chewing of large pieces of food. Meatis the most common cause of obstruction in conscious adult. The tongue is the most common cause of obstruction in the casualty who is unconscious. Excessive intake of alcohol

5. The presence of loose upper and lower dentures. For children – running while eating. For smaller children of “hand-to-mouth” stage left unattended.

6. TWO TYPES OF OBSTRUCTION 1. ANATOMICAL OBSTRUCTION It happens when the tongue drops back and obstructs the throat. Other causes are acute asthma, croup, diphtheria, swelling, and cough (whooping).

7. Management OPEN AIRWAY using Head Tilt-Chin Lift Maneuver

9. 2. MECHANICAL OBSTRUCTION When foreign objects lodge in the pharynx or airways; fluids accumulate in the back of the throat.

10. CLASSIFICATION OF OBSTRUCTION In Mild FBAO, the victim can 1. speak 2. breath 3. cough effectively

11. What to do??? Encourage him or her to continue coughing in an attempt to dislodge the object. Do not interfere with the casualty's efforts to remove the obstruction.

13. Ask "Are YOU choking?" If the casualty is choking, do the following: Shout "Help"-Ask the casualty if you can help. Request medical assistance - Say "Airway is obstructed" (blocked); call (Local emergency number or medical personnel). do Abdominal thrusts (Heimlich Maneuver)

14. HEIMLICH MANEUVER

15. ADULT Management a. Stand behind the casualty. b. Place your arms around the patient’s waist. c. With your fist, place the thumb side against the middle of the abdomen, above the navel and below the tip (xiphoid process) of the (sternum) breastbone. d. Grasp your fist with your other hand. e. Keeping your elbows out, press your fist into the abdomen with a quick upward thrust. f. Repeat until the obstruction is clear or the casualty becomes unconscious Note: Feet should be in tripod position

16. If the casualty becomes unconscious, do the following.. Place the casualty on his or her back Call for HELP immediately!!! Check AIRWAY Head tilt-Chin Lift maneuver Use "hooking" motion to dislodge object for removal (FINGER SWEEP) if VISIBLE Object only..

17. Tongue-jaw lift/Finger sweep

19. If No Breathing Step 1: Attempt to breathe into their mouth -if the chest doesn’t rise, Step 2- REPOSITION and RE- attempt ventilation -if still no air going in,

20. If No Breathing Step 3: BEGIN CHEST COMPRESSION -Give 30 chest Compression s then 2 breaths “The only difference here from normal CPR is the you must check for the obstruction at the back of the throat as you open airway after every 30 compressions and before giving 2 rescue breaths.” Step 4: If the obstruction is visible, REMOVE it with a finger sweep

21. After every 30 compressions, repeat the previous steps (1-3) in an attempt to relieve obstruction. If the obstruction persists, continue this modified CPR sequence until help arrives

22. Actions for Relieve of FBAO for Pregnant victim

23. Actions for Relieve of FBAO for unconscious infant

24. Thank you!!!