Paediatric foreign body airway — DipIMC MCQ

Correct answer: D — Give age-appropriate back blows and abdominal thrusts for severe airway obstruction

Give age-appropriate back blows and abdominal thrusts for severe airway obstruction is the best answer because severe conscious choking requires immediate manoeuvres to relieve obstruction. Delay intervention until arrival at hospital is less appropriate because delay is unsafe when a reversible pre-hospital threat is present; Give a large crystalloid bolus before controlling the injury is less appropriate because fluid cannot replace early control of bleeding or ventilation problems. Perform a full secondary survey before treating the abnormality and Wait for imaging before intervening are also suboptimal because they move attention away from the key pre-hospital priority.. The key DipIMC principle is to treat immediate reversible threats, communicate clearly and move the patient toward the right definitive care.

Reference: Resuscitation Council UK Guidelines; JRCALC Guidelines