Pediatric emergency medicine trisk 1401 1401
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Maneuvers
Indications
Heimlich maneuver Relieve upper airway
(abdominal
obstruction caused by
thrusts) for age ≥1
foreign body
yr
Back/chest blows for
age <1 yr
Manual foreignbody extraction
Head tilt/chin lift,
Relieve oropharyngeal
jaw thrust
obstruction
Nasopharyngeal
airway
Oropharyngeal
airway
Suction
Relieve nasopharyngeal
obstruction
Relieve obstruction by the
tongue
Remove excess secretions,
mucous plug
Bag-mask
Provide mechanical
ventilation
ventilation, deliver highconcentration oxygen
Noninvasive
Decreases work of
positive pressure
breathing, increases
ventilation (CPAP,
oxygenation and
BPAP)
ventilation
Endotracheal
Control ventilation for
intubation/assisted
depressed central nervous
ventilation
system
Absent pharyngeal reflexes
Mechanical support for
weak chest wall
Comments
Contraindicated if
conscious patient able to
phonate
Remove visible foreign
body in the oropharynx,
blind sweep
contraindicated
Head tilt/chin lift
contraindicated if neck
trauma
Conscious or unconscious
patient
Contraindicated if bleeding
diathesis, cerebrospinal
fluid leak, nasal
deformity
Unconscious patient
Nose, mouth, and, if
intubated, trachea
Self-inflating or anesthesia
bag
Contraindicated if
decreased level of
consciousness, apnea,
increased secretions
Relatively contraindicated
if severe midface trauma
If epiglottitis, consider
intubation in operating
room
Avoid intubation in severe
asthma if possible
