First Responder EMS Curriculum for Training Centers in Eurasia

Skill Algorithms: AirwayForeign Body Airway Obstructionin Responsive Infant or ChildEstablishunresponsivenessIf no responseIs patientresponsive?YESContinue examPosition patientNOOpen airway,attempt toventilateCHILDIf unable toventilate andpatient is:INFANTStand or kneelbehind patient,encircle patient’storso with your armsunder their armpitsHold infant prone withhead lower thanchest, resting on yourforearmPlace flat, thumb sideof one fist againstvictim’s abdomen inthe midline above thenavel and below thesternumDeliver up to 5 backblows in the middle ofthe patient’s shoulderblades with heel ofhandGrasp the fist with theother hand and give 5inward and upwardthrusts, do not touchsternum or ribsTurn infant over,deliver 5 chestthrusts on lower thirdof the sternum atabout 1 per secondRepeat until theobject is expelledTransport victim tothe hospitalRepeat until theobject is expelledFirst Responder EMS Curriculum/AIHA, July 2002 293