RELIEF OF FOREIGN BODY AIRWAY OBSTRUCTION (FBAO)
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 an 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 looks for an object in the pharynx; if an object is visible, performs a finger sweep to remove the object; DOES NOT perform a blind finger sweep | 1 |
|
Repeats the sequence of attempts (and reattempts) to ventilate, Heimlich maneuver, and tongue-jaw lift, visualize, and finger sweep if appropriate, 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 victims airway and reattempts to provide rescue breaths
_____ Did not perform the Heimlich maneuver
_____ Performed a blind finger sweep
_____ Did not look for an object in the pharynx after abdominal thrusts but before attempting
ventilation
_____ Did not follow the correct sequence
_____ Did not assess breathing or circulation after relieving the FBAO
_____ Did not provide rescue breathing or CPR as necessary after relieving the FBAO