FOREIGN BODY AIRWAY OBSTUCTION (FBAO) MANAGEMENT

HEALTHCARE PROVIDER LAY RESCUER

ADULT INFANT ADULT INFANT
EMERGENCY ACTION PRINCIPLES
PPE ON (Mask and Gloves on)
Introduce self
Are you choking? What happened? Are you choking? What happened?
Can you cough? Can I borrow the baby? Can you cough? Can I borrow the baby?

5 back slaps 5 back slaps & 5 chest thrusts 5 back slaps 5 back slaps & 5 chest thrusts
(Alternately until the baby (Alternately until the baby looses
5 abdominal thrusts until looses consciousness) 5 abdominal thrusts until consciousness)
patient looses conciousness Place in flat surface / table patient looses conciousness Place in flat surface / table
FACILITATOR: patient is UNCONSCIOUS.
Activate EMS
30 chest compressions (require participants to demonstrate 2x until foreign object is visible)
Head tilt - chin lift maneuver Neutral / Sniffing position Head tilt - chin lift maneuver Neutral / Sniffing position

Finger sweep - forefinger Finger sweep - little finger Finger sweep - forefinger Finger sweep - little finger
Change gloves

Check for pulse & breathing Check for pulse & breathing Check for ROSC (return of spontaneous circulation) & breathing
(+) Pulse / (-) Breathing (+) Pulse / (-) Breathing (rise and fall of chest)
Facilitator: No visible chest rise
Follow up for help (AED & BVM) Follow up for help (AED only)
240 chest compressions until 2nd rescuer arrives
2nd Rescuer arrives with AED and BVM 2nd Rescuer arrives with AED only
PPE already on / Survey the scene (Facilitator: Scene is safe) / Introduce self
PAAS (Facilitator as AED):
2nd rescuer: Power On!
Attach pads at the patient's bare chest
Analyzing hearth rhythm
Do not touch the patient
(2nd rescuer: CLEAR!! - with hand gestures)
No shock advised
2nd Rescuer: Check v/s 2nd Rescuer: Check ROSC & breathing
(+) Pulse / (-) Breathing Facilitator: No visible chest rise
RB 5-6 seconds RB 2-3 seconds
Breathe 1002…1024 Breathe Breathe 1001…1060 Breathe 240 chest compressions
2 hand encircling technique
Analyzing hearth rhythm
Do not touch the patient
(2nd rescuer: CLEAR!! - with hand gestures)
No shock advised
2nd Rescuer: Check v/s 2nd Rescuer: Check ROSC & breathing
(+) Pulse / (-) Breathing Facilitator: No visible chest rise
RB 5-6 seconds RB 2-3 seconds
Breathe 1002…1024 Breathe Breathe 1001…1060 Breathe 240 chest compressions
2 hand encircling technique
Analyzing hearth rhythm
Do not touch the patient
(2nd rescuer: CLEAR!! - with hand gestures)
No shock advised
2nd Rescuer: Check v/s 2nd Rescuer: Check ROSC & breathing
(+) Pulse / (+) Breathing Facilitator: WITH VISIBLE CHEST RISE / with breathing
Recovery Position
Secondary Assessment
Check for Breathing
DCAP BTLS:
Deformities
Contusions
Walang pagdurugo,
Abrasions
walang galos,
Punctures/Penetrations
walang bukol,
Burns
walang pamamaga
Tenderness
Lacerations
Swelling
Endorsement
- expelled obstruction
- reiterate referral to nearest healthcare facility for further assessment and management
 CARDIOPULMONARY RESCUCITATION (CPR)
HEALTHCARE PROVIDER LAY RESCUER
ADULT INFANT ADULT INFANT
EMERGENCY ACTION PRINCIPLES
PPE ON (Mask and Gloves on)
Introduce self
What happened? What happened? What happened? What happened?
(quickly kneel at the patient's Can I borrow the baby? (quickly kneel at the patient's Can I borrow the baby?
side and firmly tap shoulders) Place in flat surface / table side and firmly tap shoulders) Place in flat surface / table

Hey, hey! Are you okay? Baby, baby, are you okay? Hey, hey! Are you okay? Baby, baby, are you okay?
(firmly tap both soles of feet) (firmly tap both soles of feet)
FACILITATOR: patient is unresponsive!
Activate EMS
Put face mask / cloth on the victim's mouth and nose
240 chest compressions
Check for pulse & breathing Check for pulse & breathing Check for ROSC (return of spontaneous circulation) & breathing
(-) Pulse / (-) Breathing (-) Pulse / (-) Breathing (rise and fall of chest)
Facilitator: No visible chest rise
Follow up for help (AED & BVM) Follow up for help (AED only)

Continue 240 chest compressions until 2nd rescuer arrives

2nd Rescuer arrives with AED and BVM 2nd Rescuer arrives with AED only
PPE already on / Survey the scene (Facilitator: Scene is safe) / Introduce self
PAAS (Facilitator as AED):
2nd rescuer: Power On!
Attach pads at the patient's bare chest
Analyzing hearth rhythm
Do not touch the patient
(2nd rescuer: CLEAR!! - with hand gestures)
SHOCK advised
Press the SHOCK button now
(2nd rescuer: shock)
SHOCK delivered / Begin CPR

30:2:5 cycles 15:2:10 cycles 240 compressions by the 2nd rescuer

1…29 - 1 / 1… 29 - 2 / 1…29 -3 Two hands encircling technique 2 hand encircling technique
… 1…29 - 4 / 1… 29 - 5 1…14-1 / 1…14-2 / 1…14-10
Analyzing hearth rhythm
Do not touch the patient
(2nd rescuer: CLEAR!! - with hand gestures)
SHOCK advised
Press the SHOCK button now
(2nd rescuer: shock)
SHOCK delivered / Begin CPR
30:2:5 cycles 15:2:10 cycles 240 compressions by the 1st rescuer
1…29 - 1 / 1… 29 - 2 / 1…29 -3 Two hands encircling techique 2 hand encircling technique
… 1…29 - 4 / 1… 29 - 5 1…14-1 / 1…14-2 / 1…14-10
Analyzing hearth rhythm
Do not touch the patient
(2nd rescuer: CLEAR!! - with hand gestures)
NO SHOCK advised / NO SHOCK advised

2nd Rescuer: Check v/s 2nd Rescuer: Check v/s 2nd Rescuer: Check ROSC & breathing
(+) Pulse / (+) Breathing (+) Pulse / (+) Breathing Facilitator: WITH VISIBLE CHEST RISE / responsive

Recovery Position
Secondary Assessment
Check for Breathing
DCAP BTLS:
Deformities
Contusions
Walang pagdurugo,
Abrasions
walang galos,
Punctures/Penetrations
walang bukol,
Burns
walang pamamaga
Tenderness
Lacerations
Swelling
Endorsement
- reiterate referral to nearest healthcare facility for further assessment and management