Tracheal Foreign Body First Aid Children
First aid may be required for an infant or child with an inhaled foreign body.
Infant Victim Protocol
- Establish inability to ventilate (look, listen, feel)
- Open airway and try to ventilate
- If unsuccessful, deliver 5 back blows, followed by 5 chest compressions (depressing no more than 1 inch).
- If second rescuer available, activate EMS system
- Look in mouth for foreign object, and perform a finger sweep only if you see an object.
- If no change, repeat steps 2-4 until effective
- If single rescuer, and airway obstruction is not relieved after 1 minute, activate EMS system.
Conscious Child Victim Protocol
- Ask, "Are you choking?" If child talks, then they are not choking.
- Give abdominal thrusts (Heimlich maneuver).
- Repeat thrusts until effective or victim becomes unconscious.
- Activate EMS and begin CPR if victim becomes unconscious.
Unconscious Child Victim Protocol
- Establish unresponsiveness. If second rescuer available, have them activate EMS system.
- Open airway and try to ventilate; if still obstructed, reposition head and try to ventilate again.
- Perform back, chest or abdominal thrusts based on the victim's age.
- Perform a tongue-jaw lift and perform a finger sweep only if you can see an object.
- Repeat steps 2 through 4 until effective.
- If airway obstruction is not relieved after about 1 minute, activate the EMS system.
Continue to Tracheal Foreign Body Warning Signs