Inhaled foreign body

Question 1

Clinical presentation

Answer 1

Variable, usually has a story behind it
>6 months old
Food or toys
Sudden onset of symptoms
May have a stridor or wheeze
Mild: able to breathe, cough effectively, responsive/crying and coughing
Severe: Victim unable to speak/breathe, wheeze, quiet/silent coughing, cyanosis, reduced consciousness level

Question 2

Management

Answer 2

Encourage to cough
5 back blows and 5 chest thrusts (1)
If unconscious, look for objects - finger sweep if seen, and CPR

Question 3

Investigations

Answer 3

CXR

Bronchoscopy