Cardiopulmonary Resuscitation Lesson 7: Remove an Airway Obstruction in a Child or Infant
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7-3. REMOVE UPPER AIRWAY OBSTRUCTION IN A CONSCIOUS INFANT
If a head or spinal injury is suspected, place the infant on a firm surface and administer chest thrusts and finger sweeps (no backblows) as needed. If a head or spinal injury is not suspected (for example, the infant is choking on something he just swallowed), use the procedures given below to remove the obstruction. The rescuer should be in a kneeling or sitting position. (Note that backblows are administered to infants, but not to children or adults.)
a. Call for Help. Call for help, but do not leave the casualty or delay administering chest thrusts in order to seek help. You may need someone to take you and the infant to a medical facility while you continue to perform lifesaving measures.
b. Position Infant for Backblows.
Figure 7-1. Administering backblows to a small infant.
c. Administer Backblows. Administer five glancing backblows (figure 7-1). A backblow is administered by striking the infant on the spine between his shoulder blades with the heel of your free hand. The five blows should be delivered within 5 seconds.
d. Position Infant for Chest Thrusts. Chest thrusts are used instead of abdominal thrust because the force of abdominal thrusts could injury the abdominal organs of an infant.
e. Administer Chest Thrusts. Chest thrusts are used rather than abdominal thrusts due to the danger of injury to abdominal organs from abdominal thrusts. The chest thrusts are performed in the same manner as are CPR chest compressions for infants (paragraph 6-6) except the thrusts are delivered at a somewhat slower rate.
f. Repeat Backblows and Chest Thrusts. Repeat the series of five backblows and five chest thrusts until the obstruction is expelled or until the infant looses consciousness.
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