Skill Performance Sheets

Student Name______________________ Date ____________

*If victim is breathing or resumes effective breathing, place in recovery position.

Child Foreign-Body Airway
Obstruction — Conscious

Performance Guidelines Performed

1. Ask "Are you choking?"

2. Give abdominal thrusts.

3. Repeat thrusts until effective or victim
     becomes unconscious.

Child Foreign-Body Airway Obstruction —
Victim Becomes Unconscious

4. If second rescuer is available, have him
     or her activate the EMS system.

5. Perform a tongue-jaw lift, and if you see
     the object, perform a finger sweep to
     remove it.

6. Open airway and try to ventilate; if still
     obstructed, reposition head and try to
     ventilate again.

7. Give up to 5 abdominal thrusts.

8. Repeat steps 5 through 7 until effective.*

9. If airway obstruction is not relieved after
     about 1 minute, activate the EMS system.

*If victim is breathing or resumes effective breathing, place in recovery position.
Child Foreign-Body Airway Obstruction — Conscious
Performance Guidelines	Performed
1. Ask "Are you choking?"
2. Give abdominal thrusts.
3. Repeat thrusts until effective or victim becomes unconscious.
Child Foreign-Body Airway Obstruction — Victim Becomes Unconscious
4. If second rescuer is available, have him or her activate the EMS system.
5. Perform a tongue-jaw lift, and if you see the object, perform a finger sweep to remove it.
6. Open airway and try to ventilate; if still obstructed, reposition head and try to ventilate again.
7. Give up to 5 abdominal thrusts.
8. Repeat steps 5 through 7 until effective.*
9. If airway obstruction is not relieved after about 1 minute, activate the EMS system.

Comments _________________________________________

__________________________________________________

Instructor __________________________________________

Circle one: Complete Needs more practice