RELIEF OF FOREIGN BODY AIRWAY OBSTRUCTION (FBAO)

Infant Victim Who Becomes Unresponsive

 

Candidate’s Name: _______________________________________

Evaluator’s Name: ________________________________________

Start Time: _______________Stop Time: _______________ Date: ______________________

 

Possible

Points

Points Awarded

Takes or verbalizes body substance isolation precautions

1

 

Performs a tongue-jaw lift and looks for an object in the pharynx; if an object

is visible, removes it using a finger sweep; DOES NOT perform a blind finger

sweep

1

 

Opens the airway and attempts to ventilate

1

 

If unable to make the victim’s chest rise, repositions the victim’s head and

tries to ventilate again

1

 

If the chest does not rise with attempted breaths, even after repositioning

the airway, performs the sequence of up to 5 back blows and up to 5 chest

thrusts

1

 

Opens the victim’s airway using a tongue-jaw lift and looks for an object in

the pharynx; if object is visible, removes it

1

 

Attempts to ventilate

1

 

Repeats the sequences of attempts (and reattempts) to ventilate, up to 5

back blows, up to 5 chest thrusts, open the airway, visualize for an object

and finger sweep if appropriate, and attempts to ventilate 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 1

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 1

recovery position

1

 

11

 

 

Critical Criteria

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

_____ Incorrect hand placement

_____ Performed a blind finger sweep

_____ Did not open the victim’s airway

_____ Did not perform a tongue-jaw lift and visualize for an object before attempting to ventilate

_____ Did not follow the correct sequence

_____ Did not perform the Heimlich maneuver until FBAO was relieved or the victim became

unresponsive

_____ Did not assess breathing or circulation after relieving the FBAO

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