Skill Performance Sheets

Student Name ______________________Date ____________

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

Infant Foreign-Body Airway Obstruction —
Conscious

Performance Guidelines Performed

1. Confirm complete airway obstruction.
     Check for serious breathing difficulty,
     ineffective cough, no strong cry.

2. Give up to 5 back blows and 5 chest
     thrusts.

3. Repeat step 2 until effective or victim
     becomes unconscious.

Infant 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 back blows and 5 chest
     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.
Infant Foreign-Body Airway Obstruction — Conscious
Performance Guidelines	Performed
1. Confirm complete airway obstruction. Check for serious breathing difficulty, ineffective cough, no strong cry.
2. Give up to 5 back blows and 5 chest thrusts.
3. Repeat step 2 until effective or victim becomes unconscious.
Infant 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 back blows and 5 chest 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