(Airway Obstruction)PEDS Protocol

Question 1

For inadequate air exchange

Answer 1

Airway maneuvers (AHA)

• Abdominal thrusts
• Use chest thrusts in the obese or pregnant patients

NOTE: for infants

Question 2

If patient becomes UNCONSCIOUS or is found UNCONSCIOUS

Answer 2

Begin CPR

Question 3

Once obstruction is removed

Answer 3

O2 Saturation prn
High flow O2, ventilate prn

NOTE: If suspected epiglottitis

• Place patient in sitting position
• Do not visualize the oropharynx
• STAT transport
• Treat as per Respiratory Distress Protocol S-167

Question 4

If patient becomes unconscious or has a decreased LOC

Answer 4

Direct laryngoscopy and Magill forceps SO, MR prn SO

Question 5

Once obstruction is removed

Answer 5

Monitor EKG

IV/IO SO adjust prn

Question 6

For a conscious patient

Answer 6

• Reassurance, encourage coughing

- O2 prn