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How to Clear Airway Obstructions for CPR

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From Quick Guide: Adult CPR Basics

Summary: How to clear a persons airway of obstructions when you perform CPR in this free first aid video.

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By Alv Rios
eHow Presenter

Alv Rios attended the Paramedic Academy and Lansing Community College to become an EMT.read more

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on 2/11/2009 Hi Alv,

This was a good little refresher for me, but I'm a little confused about one part. You mentioned that after giving the compressions in an attempt to dislodge any foreign bodies, you would then attempt to give 2 more breaths and then if they won't go in, check for food, etc..... But wouldn't you want to check to see if your compressions dislodged any foreign material BEFORE you attempt to give breaths, for fear that attempting to give breaths might actually push the foreign material back down into the airway? This was how I had learned it and I want to make sure something hasn't changed. Thanks so much!

Kim, RN

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Video Transcript

"Hi, My name is Alv Rios and I'm a paramedic with Lansing Mercy Ambulance on behalf of Expert Village. In this clip we are going to talk about clearing the airway of any obstructions. Once you have gone to give them ventilation and you can't get it to go in you want to make sure you reposition the head. Give a second ventilation. If again you are not able to get a ventilation through and see an adequate chest rise do some diagnostics to make sure. Make sure you have a good seal. Make sure that you are actually breathing and you are giving a nice forceful breath. If you have gone through all of those and you still feel that you are not able to get ventilations to the patient what you want to do is you want to check the airway. You can do this by actually visually examining. Take a look. Make sure that you are kind of moving the tongue out of the way maybe lifting the jaw. If you can't see any food you're actually going to begin doing chest compressions just as you would with CPR finding the lower third of the sternum and giving nice deep compressions. You're going to give 30 of these compressions at a rate of about 100 times a minute. Those will look at about this speed right here. After giving about 30 compressions you want to again give your two ventilations. If you are still not able to get your ventilations in visually examine. Take a look at the airway. See if maybe by doing your chest compression you have dislodged some food. If you are not able to see anything in the way again continue with your chest compressions and do so until you're able to relieve the airway. If you keep the airway obstructed then the brain is not going to get the oxygen it needs and your compressions won't really have any benefit. The point of CPR as we talked about earlier your ventilations give you oxygen, your compressions pump your heart for you bringing the blood with the new oxygen to your brain. If you are not able to introduce oxygen into the system your compressions are of really no benefit to the patient."

eHow Article: How to Clear Airway Obstructions for CPR

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