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	<id>https://www.crsguidelines.org/index.php?action=history&amp;feed=atom&amp;title=4-1_PEDIATRIC_FOREIGN_BODY-AIRWAY_OBSTRUCTION</id>
	<title>4-1 PEDIATRIC FOREIGN BODY-AIRWAY OBSTRUCTION - Revision history</title>
	<link rel="self" type="application/atom+xml" href="https://www.crsguidelines.org/index.php?action=history&amp;feed=atom&amp;title=4-1_PEDIATRIC_FOREIGN_BODY-AIRWAY_OBSTRUCTION"/>
	<link rel="alternate" type="text/html" href="https://www.crsguidelines.org/index.php?title=4-1_PEDIATRIC_FOREIGN_BODY-AIRWAY_OBSTRUCTION&amp;action=history"/>
	<updated>2026-04-20T15:28:14Z</updated>
	<subtitle>Revision history for this page on the wiki</subtitle>
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		<id>https://www.crsguidelines.org/index.php?title=4-1_PEDIATRIC_FOREIGN_BODY-AIRWAY_OBSTRUCTION&amp;diff=75&amp;oldid=prev</id>
		<title>Cgabryszek: Created page with &quot;{| class=&quot;wikitable&quot; |&#039;&#039;&#039;EMR - Emergency Medical Responder&#039;&#039;&#039; |}  # All patients will be assessed immediately as to patency of the airway and adequacy of respirations. # Aggressive airway management is indicated if any of the following exist: ## Cardiac or respiratory arrest ## Obstructed airway ## Unconscious patient ## Respiratory distress with labored, shallow, or rapid respiration # When aggressive management is indicated, the following sequence should be initiated:...&quot;</title>
		<link rel="alternate" type="text/html" href="https://www.crsguidelines.org/index.php?title=4-1_PEDIATRIC_FOREIGN_BODY-AIRWAY_OBSTRUCTION&amp;diff=75&amp;oldid=prev"/>
		<updated>2022-04-04T01:56:42Z</updated>

		<summary type="html">&lt;p&gt;Created page with &amp;quot;{| class=&amp;quot;wikitable&amp;quot; |&amp;#039;&amp;#039;&amp;#039;EMR - Emergency Medical Responder&amp;#039;&amp;#039;&amp;#039; |}  # All patients will be assessed immediately as to patency of the airway and adequacy of respirations. # Aggressive airway management is indicated if any of the following exist: ## Cardiac or respiratory arrest ## Obstructed airway ## Unconscious patient ## Respiratory distress with labored, shallow, or rapid respiration # When aggressive management is indicated, the following sequence should be initiated:...&amp;quot;&lt;/p&gt;
&lt;p&gt;&lt;b&gt;New page&lt;/b&gt;&lt;/p&gt;&lt;div&gt;{| class=&amp;quot;wikitable&amp;quot;&lt;br /&gt;
|&amp;#039;&amp;#039;&amp;#039;EMR - Emergency Medical Responder&amp;#039;&amp;#039;&amp;#039;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
# All patients will be assessed immediately as to patency of the airway and adequacy of respirations.&lt;br /&gt;
# Aggressive airway management is indicated if any of the following exist:&lt;br /&gt;
## Cardiac or respiratory arrest&lt;br /&gt;
## Obstructed airway&lt;br /&gt;
## Unconscious patient&lt;br /&gt;
## Respiratory distress with labored, shallow, or rapid respiration&lt;br /&gt;
# When aggressive management is indicated, the following sequence should be initiated:&lt;br /&gt;
## Open the airway via chin lift or modified jaw thrust.  Protect the C-spine unless no chance of trauma.&lt;br /&gt;
## Attempt assisted ventilations, using a Bag-Valve-Mask, if available.&lt;br /&gt;
## If unable to ventilate, reposition airway and attempt ventilation again.&lt;br /&gt;
## If unable, use age appropriate techniques to dislodge the obstruction utilizing back blows with chest thrusts for infants and chest compressions for children one year or older.&lt;br /&gt;
# &amp;#039;&amp;#039;&amp;#039;Call for ALS intercept&amp;#039;&amp;#039;&amp;#039;&lt;br /&gt;
# Assess circulation, perfusion and mental status.&lt;br /&gt;
# If aggressive management is not indicated and airway is intact, administer supplemental oxygen.&lt;br /&gt;
&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot;&lt;br /&gt;
|&amp;#039;&amp;#039;&amp;#039;EMT - Emergency Medical Technician&amp;#039;&amp;#039;&amp;#039;  &amp;#039;&amp;#039;Perform/Confirm All Above Interventions&amp;#039;&amp;#039;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
# Assess for adequacy of ventilation. If insufficient:&lt;br /&gt;
## Open the airway via chin lift or modified jaw thrust.  Protect the C-spine unless no chance of trauma.&lt;br /&gt;
## Attempt assisted ventilations using a BVM (Bag-Valve-Mask) device with high flow, 100% concentration oxygen.&lt;br /&gt;
## If unsuccessful, establish a direct view of the object and attempt to remove it with Magill forceps, if trained to do so and repeat step B&lt;br /&gt;
## Initiate rapid transport and Contact MEDICAL CONTROL to &amp;#039;&amp;#039;&amp;#039;request ALS intercept&amp;#039;&amp;#039;&amp;#039;.&lt;br /&gt;
&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot;&lt;br /&gt;
|&amp;#039;&amp;#039;&amp;#039;AEMT – Advanced Emergency Medicine Tech  &amp;#039;&amp;#039;&amp;#039; &amp;#039;&amp;#039;Perform/Confirm All Above Interventions&amp;#039;&amp;#039;&lt;br /&gt;
|}&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot;&lt;br /&gt;
|&amp;#039;&amp;#039;&amp;#039;Intermediate -&amp;#039;&amp;#039;&amp;#039; &amp;#039;&amp;#039;Perform/Confirm All Above Interventions&amp;#039;&amp;#039;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
# Evaluate for endotracheal intubation if trained to do so.&lt;br /&gt;
&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot;&lt;br /&gt;
|&amp;#039;&amp;#039;&amp;#039;Paramedic -&amp;#039;&amp;#039;&amp;#039; &amp;#039;&amp;#039;Perform/Confirm All Above Interventions&amp;#039;&amp;#039;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
# Contact Medical Control for further orders.&lt;/div&gt;</summary>
		<author><name>Cgabryszek</name></author>
	</entry>
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