RELIEF OF FOREIGN BODY AIRWAY OBSTRUCTION (FBAO)

Adult Victim Found Unresponsive

 

Candidate’s Name: _______________________________________

Evaluator’s Name: ________________________________________

Start Time: _______________Stop Time: _______________ Date: ______________________

 

Possible

Points

Points

Awarded

Takes or verbalizes body substance isolation precautions

1

 

Establishes unresponsiveness

1

 

Opens the airway and attempts to provide rescue breaths

1

 

If unable to make the chest rise, repositions the victim’s head (reopens the airway) and tries to ventilate again

1

 

If the victim cannot be ventilated even after attempt to reposition the airway, straddles the victim’s knees and performs the Heimlich maneuver

(up to 5 times)

1

 

After 5 abdominal thrusts, opens the victim’s airway using a tongue-jaw lift and performs a finger sweep to remove the object

1

 

Repeats the sequence of attempts (and reattempts) to ventilate, Heimlich

maneuver, and tongue-jaw lift and finger sweep until the obstruction is

cleared or advanced procedures are available to establish a patent airway

1

 

If the FBAO is removed and the airway is cleared, checks breathing

1

 

If the victim is not breathing, provides rescue breaths; then checks for signs of circulation (pulse check and evidence of breathing, coughing, or

movement); if there are no signs of circulation, begins chest compression

1

 

If the victim is breathing or resumes effective breathing, places victim

in recovery position

1

 

10

 

 

 

Critical Criteria

_____ Did not take, or verbalize, body substance isolation precautions

_____ Did not establish unresponsiveness

_____ Did not open the victim’s airway

_____ Did not establish that the victim was not breathing

_____ Did not attempt to provide rescue breaths

_____ Did not reposition the victim’s airway and reattempt to provide rescue breaths

_____ Did not perform the Heimlich maneuver (up to 5 times)

_____ Did not follow the correct sequence

_____ Did not repeat the sequence of attempts (and reattempts) to ventilate, Heimlich maneuver,

and tongue-jaw lift and finger sweep until the obstruction was cleared

_____ Did not assess breathing or circulation after relieving the FBAO

_____ Did not provide rescue breathing or CPR as necessary after relieving the FBAO