9001 ALS Airway Obstruction by Foreign Body and Respiratory Arrest.pdf

9001 - Pediatric Airway Obstruction by Foreign Body and Respiratory Arrest Blind finger sweeps shall NOT be used. Keep patient calm and in position of comfort. A. Signs and symptoms of foreign body airway obstruction (FBAO): 1. Sudden onset of respiratory distress with coughing 2. Gagging 3. Strid...

9001 - Pediatric Airway Obstruction by Foreign Body and Respiratory Arrest Blind finger sweeps shall NOT be used. Keep patient calm and in position of comfort. A. Signs and symptoms of foreign body airway obstruction (FBAO): 1. Sudden onset of respiratory distress with coughing 2. Gagging 3. Stridor 4. Wheezing B. Signs of severe obstruction: 1. Poor air exchange 2. Increased breathing difficulty 3. Silent cough 4. Cyanosis 5. Inability to speak or breath First, Assess ABCs SIGNS OF SEVERE OBSTRUCTION? If yes, patient < 1 year old: 5 back blows followed by 5 chest thrust If patient > 1 year old: Abdominal thrust in rapid sequence, If ineffective consider chest thrust Reassess airway, if still not clear repeat above steps until clear or unconscious If patient becomes unconscious: Begin chest compressions Prior to ventilating, attempt to visualize and remove any foreign bodies. Begin ventilations Transport patient along with any foreign body removed from airway If no sign of severe obstruction, Reassure patient/encourage coughing O2 as necessary to maintain SpO2 ≥ 94% Suction as needed to control secretions Transport in position of comfort VENTILATING ADEQUATELY? If yes, Maintain airway and O2 as necessary to maintain SpO2 ≥ 94% Monitor and reassess Transport If no, Visualize airway-use appropriate size laryngoscope blade and pediatric Magill forceps. Use least invasive airway management method possible to ensure adequate ventilation and oxygenation, as determined by O2 saturation and capnography monitoring (if available). Then, Begin with BVM assisted ventilation. Utilize intubation per Pediatric Airway Management Policy 8837 if BVM ventilation does not ensure adequate ventilation and oxygenation. All patients with advanced airways shall have end tidal CO2 detector or other approved confirming device. In addition, continuous waveform capnography will be utilized throughout transport and until transfer of care has occurred. BVMor Intubation successful? Then, Perform Blood Glucose determination. Treat per policy 9007- Pediatric Diabetic Emergencies Hypoglycemia (blood sugar < 60 mg/dL) Then, Initiate VASCULAR ACCESS. Titrate to a minimal Systolic Blood Pressure (SBP) for patient's age