Raven EMS Education Program ManualAirway Choking Infant Conscious Evaluation Form
Date:
Student name:
Evaluator name:
Steps:
Take BSI precautions.
Determine if the patient is choking (obvious lack of breathing, bystanders, etc).
Place the infant along your forearm with your hand on the neck and chin to support the infant.
Position the patient with the head down and perform five back blows.
Sandwich the patient between your forearms and flip the patient onto your other arm while supporting the back and neck.
Perform five chest compressions.
Repeat the sequence until the airway obstruction is relieved or the patient becomes unconscious.
Accepts evaluation and criticism professionally.
Shows willingness to learn or asks appropriate questions.
Interacts with simulated patient and other personnel in a professional manner (ie, uses appropriate name, explains procedures, maintains modesty, is courteous to crew, etc).
Passing criteria:
Pass: At least 70% (? of ?) successfully completed above. Currently at 0% completed.
Fail.
Fails to take BSI precautions prior to performing procedure.
