UNCONTROLLED WHEN PRINTED
Indications
  • Clear the airway of a foreign body and maintain a patent airway in the conscious patient
Contraindications
Contraindications
Patient Factors & Considerations
Factors
Procedure

Effective cough/talking

  • Reassure patient
  • Encourage coughing

Ineffective cough / not able to talk

  • If cough is ineffective, position patient so that gravity assists in the procedure.
    • Give up to 5 back blows:
    • Back blows are between the scapulae at a 90° angle.
    • Check for dislodgement between each back blow.
  • If still obstructed:
    • Perform up to 5 chest thrusts:
    • Paediatrics and Adults can have chest thrusts performed in the sitting or standing position.
    • Chest thrusts are sharper than CPR.
    • Check for dislodgement between each chest thrust.
  • If obstruction not dislodged and patient remains conscious, alternate 5 back blows with 5 chest thrusts until object dislodges.
Advanced Care (AP)
  1. Choking1
  2.  

  3. Choking2
  4.  

  5. Choking3
  6.  

  7. Choking4
  8.  

  9. Choking5
  10.  

  11. Choking6
Success
Discontinue
  • If patient becomes unconscious/unresponsive, follow Choking Clinical Practice Guideline.
Additional Information
Additional information

References
References

Colour assist:

Document Control


Directorate
Clinical Services

Responsible Manager
Head of Clinical Services

Published Date

Review Date

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