BLS scenario 9 is the ninth BLS scenario within the BLS Express Study Guide. This scenario covers BLS for the choking infant.
If you have not completed part 1 and Part 2 of the BLS Express, make sure to do that. Parts 1 and 2 will prepare you for the BLS scenarios and help you achieve mastery of BLS concepts before beginning the scenarios.
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1. You are working in a pediatric clinic when you hear a mother screaming from the waiting area. She is saying "my baby is choking, please help!"
You rush out to give assistance. The scene is safe and the mother is holding her 9-month-old baby who had been playing with some toys while waiting.
You first observe for signs of choking and the need for intervention.
Choose the correct sign of a complete foreign body obstruction.CorrectIncorrect
2. The infant appears to be in distress and is unable to cry. There does not appear to be any air exchange present.
(True or False) This child requires intervention to relieve the airway obstruction.CorrectIncorrect
3. Your next intervention will be to initiate steps to relieve the airway obstruction.
(True or False) For infants, The primary intervention of choice is to perform only backslaps until the airway obstruction is relieved.CorrectIncorrect
4. (True or False) The five alternating back slaps and chest thrusts should be repeated until the object is removed or the infant becomes unresponsive.CorrectIncorrect
5. You perform two rounds of back slaps and chest thrusts and now the Infant become limp and unresponsive? What will be your intervention at this time?CorrectIncorrect
6. Someone who was nearby is now activating emergency services, and you place the infant on a firm, flat surface and begin CPR starting with chest compressions. What is the extra step that you will perform after each cycle of chest compressions in this situation?CorrectIncorrect
7. After 30 chest compressions, you open the airway and look in the infant's mouth for the obstructing object. You see a small toy and are able to remove it.
(True or False) Your next intervention will be to check for a brachial pulse.CorrectIncorrect
8. You are doing great dealing with this infant foreign body airway obstruction scenario.
(True or False) You should continue CPR until EMS arrives and takes over or the infant starts to breathe, move or otherwise respond.CorrectIncorrect
Ex excellent site
ranjan basu says
high pitched noise while inhaling or no noise at all is a sign of severe airway obstruction.
wheezing between cough is a sign of mild airway obstruction
The question was regarding “complete airway obstruction.” When the airway is completely obstructed, there will be no noise. Kind regards, Jeff
Beth Kohler says
On page 74 under actions after choking relief it says if you have successfully removed an airway obstruction in an unresponsive victim to treat as you would any unresponsive victim. Check responsiveness, check for breathing & pulse, confirm ems was activated and provide high quality cpr or rescue breathing as needed. Shouldn’t we check for responsiveness first before doing more cpr?
The BLS algorithm calls for CPR to continue until the patient becomes responsive or until emergency response arrives.
Should you not activate EMS at the start of “Back Slaps and Chest Thrusts”? You need the process of help to be initiated!
In the AHA BLS algorithm, EMS is not activated until the infant becomes unresponsive. That is the how the official algorithm operates.
That being said, I don’t think that it would be a problem to holler out for someone to activate EMS.
I think the reason why EMS Is not activated first in the algorithm is that typically, foreign body airway obstruction is easily reversible when proper techniques are used.