Foreign_Body_Inhalation_Management Flashcards
What should be done if a child is conscious and choking on a foreign body?
Encourage coughing.
What external maneuvers can be performed for a conscious child choking on a foreign body?
Perform back blows (x5) and abdominal thrusts (Heimlich) (x5) for those >1 year of age, or chest thrusts (x5) for infants.
What should not be done on infants and very young children when choking?
Abdominal thrusts (Heimlich) should not be done on infants and very young children.
What maneuvers should be done for infants who are choking?
Perform chest thrusts (x5) for infants.
What should be done if the foreign body has not been expelled and the child is still conscious?
If the object has not been expelled and the child is still conscious, continue the sequence of back blows and chest/abdominal thrusts and call out or send for help if it is still not available.
What is the first-line treatment for removal of a foreign body in a hospital setting?
The first-line treatment is flexible bronchoscopy or rigid bronchoscopy.
When is rigid bronchoscopy preferred over flexible bronchoscopy?
Rigid bronchoscopy is preferred in cases of stridor, asphyxia, radio-opaque object seen on CXR, a history of foreign body aspiration associated with unilateral decreased breath sounds, localising wheeze, obstructive hyper-inflation, or atelectasis.
What should be done if flexible bronchoscopy is not successful in removing the foreign body?
If flexible bronchoscopy is not successful, surgery or thoracotomy may be considered.
What should be done if a child is unconscious and choking on a foreign body?
Start CPR resuscitation in line with paediatric BLS guidelines and secure the airway immediately (endotracheal intubation).
How should CPR be performed for an unconscious child choking on a foreign body?
Perform rescue breaths (x5) and continue chest compressions and rescue breaths (15:2 ratio) until help arrives or the foreign body can be removed.
What should be attempted if the foreign body can be seen in the upper airway?
Attempt to remove the foreign body with a single finger sweep if it can be seen in the upper airway.
What ratio of chest compressions to rescue breaths should be used during CPR for a child choking on a foreign body?
Use a 15:2 ratio of chest compressions to rescue breaths during CPR for a child choking on a foreign body.
summarise foreign body inhalation management
