P606
Alert and not choking
- Begin transport with patient as comfortable as possible
- If wheezing, albuterol nebulized treatment
Alert and choking
- <1 y.o., give 5 back slaps and 5 chest thrusts; repeat as necessary
- >1 y.o., give abdominal thrusts (Heimlich maneuver)
- Unconscious
- Begin CPR/BVM
- With laryngoscope, look for foreign body and remove with Magill forceps
- If no foreign body, intubate
- If still no chest rise, consider pushing tube in right mainstem or needle cric
- Contact medical command and transport to the closest appropriate facility