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2. KNOWLEDGE OBJECTIVES:
1. Identify the causes, types, and
classification of obstruction.
2. Describe Heimlich maneuver.

3. SKILL OBJECTIVE:
• Demonstrate how to provide Heimlich
maneuver to an adult, child & infant
who have obstructed airway.

4. CAUSES OF OBSTRUCTION
• Improper chewing of large pieces of food.
• Meat is the most common cause of
obstruction in conscious adult.
• The tongue is the most common cause of
obstruction in the casualty who is
unconscious.
• Excessive intake of alcohol

5. • The presence of loose upper and
lower dentures.
• For children – running while eating.
• For smaller children of “hand-to-
mouth” stage left unattended.

6. 1.ANA
TOMICALOBSTRUCTION
It happens when the tongue drops back and
obstructs the throat. Other causes are acute
asthma, croup, diphtheria, swelling, and cough
(whooping).

7. Management
• OPEN AIRWAY using Head Tilt-Chin Lift
Maneuver

9. 2. MECHANICAL OBSTRUCTION
When foreign objects lodge in the
pharynx or airways; fluids accumulate
in the back of the throat.

10. CLASSIFICATION OF OBSTRUCTION
• In Mild FBAO, the victim can
1. speak
2. breath
3. cough effectively

11. What to do???
• Encourage him or her to continue coughing in
an attempt to dislodge the object.
• Do not interfere with the casualty's efforts to
remove the obstruction.

12. 2. SEVERE
•unabletospeak, breathe, or
coughandmayclutchtheneck
withthethumbandfingers.
Movement of air isabsent.

13. • Presents with a completely blocked
airway, and an inability to speak, cough, or
breathe.
• If the casualty is conscious, he or she may
display the universal distress signal.

14. Ask "Are YOU choking?" If the casualty
is choking, do the following:
• Shout "Help"-Ask the casualty if you can help.
• Request medical assistance - Say "Airway is
obstructed" (blocked); call (Local emergency
number or medical personnel).
• do Abdominal thrusts (Heimlich Maneuver)

15. H E I M L I C H

16. ADULT
Management
a. Stand behind the casualty.
b. Place your arms around the patient’s
waist.
c.With your fist, place the thumb side
against the middle of the abdomen, above
the navel and below the tip (xiphoid
process) of the (sternum) breastbone.
d. Grasp your fist with your other hand.
e.Keeping your elbows out, press your fist
into the abdomen with a quick upward
thrust.
f. Repeat until the obstruction is clear or
the casualty becomes unconscious
Note: Feet should be in tripod position

17. If the casualty becomes
unconscious, do the following..
• Place the casualty on his or her back
• Call for HELP immediately!!!
• Check AIRWAY
– Head tilt-Chin Lift maneuver
– Use "hooking" motion to dislodge object for
removal (FINGER SWEEP) if VISIBLE Object only..

18. Tongue-jaw lift/Finger sweep

19. •Check BREATHING
• LOOK
• LISTEN
• FEEL
– For 5-10 seconds

20. If No
Breathing
Step 1: Attempt to breathe into
their mouth
-if the chest doesn’t rise,
Step 2- REPOSITION and RE-
attempt ventilation
-if still no air going in,

21. If No
Breathing
Step 3: BEGIN CHEST COMPRESSION
-Give 30 chest Compression s
then 2 breaths
“The only difference here from
normal CPR is the you must check for
the obstruction at the back of the
throat as you open airway after every
30 compressions and before giving 2
rescue breaths.”
Step 4: If the obstruction is
visible, REMOVE it with a finger
sweep

22. After every 30
compressions, repeat the
previous steps (1-3) in an
attempt to relieve
obstruction.
If the obstruction
persists, continue this
modified CPR sequence
until help arrives

23. Actions for Relieve of FBAO for
Pregnant victim

24. Actions for Relieve of FBAO for
unconscious infant

25. Thank you!!!