1. Foreign Body Airway Obstruction FO1 Marko D Mission, EMT-B Bureau of Fire Protection Panabo City Fire Station Davao del Norte

2. Airway Obstruction Obstruction may result from the position of head, the tongue, aspiration of vomitus, or a foreign body.Obstruction may result from the position of head, the tongue, aspiration of vomitus, or a foreign body. Resulting to difficulty of breathing (dyspnea) or respiratory arrest (apnea).Resulting to difficulty of breathing (dyspnea) or respiratory arrest (apnea). Airway obstruction is an immediate life threatening emergency.Airway obstruction is an immediate life threatening emergency. Be prepared to treat it quickly.Be prepared to treat it quickly.

3. Types of Obstruction AnatomicalAnatomical –Ex:tongue, epiglottis or inflammation of airway MechanicalMechanical –Ex:coins, food, toy or any foreign object

4. FBAO - Adult Can be the cause of cardiac arrest Can be the result of cardiac arrest

5. Mild Airway Obstruction Good air exchange. May be able to speak. Signs Responsive & can cough forcefully. May be wheeze between coughs.

6. Severe Airway Obstruction Poor or no air exchange. Weak, ineffective cough or no cough at all. Signs Increased respiratory difficulty. High-pitched noise while inhaling or no noise at all. Possible cyanosis (turning blue).

7. Severe Airway Obstruction Patient will be unable to speak, breathe, or cough. Patient may clutch the neck with thumb and fingers. Death will follow rapidly if prompt action is not taken.

8. Universal Signal

9. Mild Airway Obstruction As long as good air exchange continues, encourage the victim to continue spontaneous coughing and breathing efforts. Rescuer Actions Do not interfere with the victim’s own attempts to expel the foreign body, but stay with the victim and monitor his/her condition.

10. Mild Airway Obstruction If mild airway obstruction persists, activate the emergency response system. Rescuer Actions

11. Severe Airway Obstruction Ask the victim if he/she is choking. If the victim nods yes and cannot talk, sever airway obstruction is present and you must activate the emergency response system Rescuer Actions

12. Abdominal Thrusts

13. Abdominal Thrusts (continued)

14. Chest Thrusts (pregnant patient)

15. If unconscious, Finger Sweep only if you see the object

16. Attempt to ventilate.

17. Proceed to CPR

18. FBAO - Infants/Children “More than 80% of childhood deaths from FBAO are in children below age 5. 65% are infants.”

19. FBAO - Infants/Children Airway obstructions can be caused by infections. Blind finger sweeps are not done in infants and children.

20. Determine responsiveness.

21. Open airway.

22. Attempt to ventilate.

23. Deliver five back-blows.

24. Deliver five chest-thrusts.

25. Inspect airway.

26. Repeat...