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Unformatted text preview: EMS SKILL AIRWAY EMERGENCY: AIRWAY OBSTRUCTION ADULT PERFORMANCE OBJECTIVES Demonstrate proficiency in recognizing and managing an airway obstruction in an adult who is choking. CONDITION Recognize and manage an airway obstruction in an adult who is found choking. Necessary equipment will be adjacent to the manikin or brought to the field setting. EQUIPMENT Adult CPR manikin, adult bag-valve-mask or barrier device, O 2 connecting tubing, oxygen source with flow regulator, goggles, various masks, gown, gloves, timing device. PERFORMANCE CRITERIA y Items designated by a diamond ( ) must be performed successfully to demonstrate skill proficiency. y Items identified by double asterisks (**) indicate actions that are required, if indicated. y Items identified by () should be practiced. y Ventilations and compressions must be performed at the minimum rate required. PREPARATION Skill Component Key Concepts Take body substance isolation precautions y Mandatory (minimal) personal protective equipment gloves Assess scene safety/scene size-up ** Consider spinal immobilization - if indicated y If unknown as to possible trauma, manage as trauma (determined by environment and information obtained from bystanders). Evaluate need for additional BSI precautions y Situational - goggles, mask, gown Approach the patient and introduce yourself to the patient/caregivers RESPONSIVE ADULT PROCEDURE Skill Component Key Concepts Establish that the person is choking: ** Call for additional resources if needed y Mild Obstruction:- adequate air exchange - coughing - gagging - wheezing y Severe Obstruction:- poor or no air exchange - increased respiratory distress - weak, ineffective cough or no cough - high-pitched noise while inhaling (stridor) or no noise - unable to speak - clutching the neck (universal sign of choking) - cyanosis - decreasing level of consciousness Attempt to remove foreign body obstruction: y Mild obstruction- Encourage patient to cough y Severe obstruction- Perform abdominal thrusts (Heimlich maneuver) Continued y DO NOT interfere if the patient has an effective cough. y If the patient is sitting or standing, place the patient in a position that allows for balance and supports the patient when performing abdominal thrusts. Continued Airway Emergency: Adult Airway Obstruction 2001, 2005, 2006, 2007, 2008 Page 1 of 5 Airway Emergency: Adult Airway Obstruction 2001, 2005, 2006, 2007, 2008 Page 2 of 5 Skill Component Key Concepts - Stand or kneel behind the victim and place thumb side of fist between the patients xiphoid and umbilicus - Grasp fist with other hand and give quick inward and upward thrusts - as many times as needed y If the patient is found supine, straddle the patient and perform abdominal thrusts....
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- Fall '08