Skill Performance Sheets

Student Name_______________________Date ____________

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

Child Foreign-Body Airway Obstruction —
Unconscious

Performance Guidelines Performed

1. Establish unresponsiveness. If second
     rescuer is available, have him or her
     activate the EMS system.

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

3. Give up to 5 abdominal thrusts.

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

5. Repeat steps 2 through 4 until effective.*

6. 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 — Unconscious
Performance Guidelines	Performed
1. Establish unresponsiveness. If second rescuer is available, have him or her activate the EMS system.
2. Open airway and try to ventilate; if still obstructed, reposition head and try to ventilate again.
3. Give up to 5 abdominal thrusts.
4. Perform a tongue-jaw lift, and if you see the object, perform a finger sweep to remove it.
5. Repeat steps 2 through 4 until effective.*
6. If airway obstruction is not relieved after about 1 minute, activate the EMS system.

Comments _________________________________________

__________________________________________________

Instructor __________________________________________

Circle one: Complete Needs more practice