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Negative pressure pulmonary oedema — ACEM Fellowship MCQ

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HardRespiratory emergenciesNegative pressure pulmonary oedemaACEM Fellowship

A conscious adult suddenly cannot speak or cough after choking on food. Initial back blows do not relieve the obstruction. According to ANZCOR, what should be done next?

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Correct answer: C — Give up to five chest thrusts with interim checks

The best answer is “Give up to five chest thrusts with interim checks”. An ineffective cough indicates severe foreign-body airway obstruction. After unsuccessful back blows, ANZCOR recommends up to five chest thrusts, checking after each attempt and alternating the two techniques while the person remains responsive. Abdominal thrusts have caused serious injury and are not recommended, and blind finger sweeps may push the object deeper.

Reference: Australian and New Zealand Committee on Resuscitation: Guideline 4—Airway: https://www.anzcor.org/home/basic-life-support/guideline-4-airway