Cardiopulmonary Resuscitation Lesson 7: Remove an Airway Obstruction in a Child or Infant
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7-2. REMOVE UPPER AIRWAY OBSTRUCTION IN AN UNCONSCIOUS CHILD
The steps given below assume the child is conscious and lying down [paragraph 7-1b(2)] or lost consciousness while you were administering abdominal thrusts [paragraph 7-1b(1)]. If you discovered an airway obstruction while performing rescue breathing [paragraph 6-4c(2)], you will have already performed the steps given in paragraphs a through c below.
a. Call for help if you have not done so or if help has not arrived.
b. Lay the child on his back on a firm, flat surface, open his airway, and check for breathing (paragraph 6-2).
c. If the child is not breathing, attempt to administer two ventilations (paragraph 6-3). If the airway is blocked, reposition the head and attempt to administer two ventilations again.
d. If the airway is still blocked, administer modified abdominal thrusts to expel the object.
NOTE: Abdominal thrusts are preferred for clearing the airway of a child. If abdominal thrusts cannot be administered due to abdominal injuries, perform chest thrusts by locating the compression site (paragraph 4-1d) and administering thrusts with the heel of one hand sufficient to depress the lower half of the sternum 1 to 1 1/2 inches. Make each thrust separate and distinct.]
e. If the obstruction has not been expelled after five thrusts, open his mouth using jaw-tongue lift [paragraph 5-6c(3)] and look for the obstruction. If you see the obstruction, perform a finger sweep [paragraphs 5-6c(5), (6), and (7)] and remove the obstruction. Do not perform a blind finger sweep since you may push the obstruction deeper into the child's throat.
f. Attempt to administer two ventilations again (paragraph 6-3). If the airway is still blocked, perform up to five abdominal thrusts and visually check for the obstruction again. Once the obstruction is removed, perform rescue breathing or CPR (Lesson 6) as needed if the child does not begin breathing again on his own.
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