Choking Flashcard
Rationale
A. Rationale: For the responsive child or adult, the rescuer should administer abdominal thrusts.
Question
The correct method for removing an airway obstruction in a responsive 3-year-old child is to administer:
a. Abdominal thrusts
b. 5 back slaps followed by 5 chest thrusts
c. CPR
d. Rescue breathing
Answer
a. Abdominal thrusts
Rationale
A. Rationale: For the responsive child or adult, the rescuer should administer abdominal thrusts (the Heimlich maneuver).
Question
The correct method for removing an airway obstruction in a responsive 8-year-old child is to administer:
a. Abdominal thrusts
b. 5 back slaps followed by 5 chest thrusts
c. CPR
d. Rescue breathing
Answer
a. Abdominal thrusts
Rationale
B. Rationale: For the responsive infant, the rescuer should deliver 5 back slaps followed by 5 chest thrusts. If the infant becomes unresponsive, CPR should be initiated.
Question
The correct method for removing an airway obstruction in a responsive infant is to administer:
a. Abdominal thrusts
b. 5 back slaps followed by 5 chest thrusts
c. CPR
d. Rescue breathing
Answer
b. 5 back slaps followed by 5 chest thrusts
Rationale
C. Rationale: The Heimlich maneuver (or abdominal thrust) is not recommended in pediatric patients less than 1 year of age.
Question
The maneuver NOT recommended to relieve choking in a 6-month old patient is:
a. Chest thrust
b. Back slaps
c. Abdominal thrust
d. All these maneuvers are recommended to relieve foreign body aspiration in this patient
Answer
c. Abdominal thrust
Rationale
A. Rationale: The Heimlich maneuver (or abdominal thrust) is not recommended in pediatric patients < 1 year of age.
Question
The maneuver NOT recommended to relieve choking in an 8-month-old patient is:
a. Abdominal thrust
b. Chest thrust
c. Back slaps
d. All of these maneuvers are recommended
Answer
a. Abdominal thrust
Rationale
B. Rationale: For the responsive infant, the rescuer should deliver 5 back slaps followed by 5 chest thrusts. If the infant becomes unresponsive, CPR should be initiated.
Question
You are working in a childcare facility and note that a 2-month-old infant is choking. The correct method for removing an airway obstruction in a responsive infant is to administer:
a. Abdominal thrusts
b. 5 back slaps followed by 5 chest thrusts
c. CPR
d. Rescue breathing
Answer
b. 5 back slaps followed by 5 chest thrusts
Rationale
B. Rationale: The patient has bradycardia likely due to significant hypoxia from the upper airway obstruction. In this instance, the responder should perform CPR with a chest compression to ventilation ratio of 30:2. CPR can also dislodge foreign bodies from the upper airway. A blind sweep should never be attempted as it may move the foreign body further into the airway. The rescuer can attempt to remove the foreign body once it has been observed if it dislodges from the upper airway during chest compressions.
Question
You arrive on the scene to find an unresponsive 5-year-old child who you were told had choked. The patient has not expelled the foreign body, but you see nothing in the patient’s mouth. The patient is not breathing and has a pulse of about 30 bpm. You give rescue breaths, but the patient is not improving. Paramedics are on their way, and a bystander has gone for an AED. What is your next course of action?
a. Wait for the paramedics to arrive.
b. Perform CPR with a compression to ventilation ratio of 30:2.
c. Give rescue breaths every 3 to 5 seconds and monitor the patient every 2 minutes.
d. Do a blind sweep to remove the foreign body.
Answer
b. Perform CPR with a compression to ventilation ratio of 30:2.