PERFORMANCE CHECKLIST

ADMINISTER ABDOMINAL THRUSTS TO A STANDING OR SITTING CASUALTY

Situation: A person in a restaurant suddenly gets up and gives the sign for choking. You are the nearest person to the casualty. You decide to administer abdominal thrusts.

GO NO GO

Question: When are chest thrusts preferred to abdominal thrusts?

Answer:

Stands behind the casualty.

Inserts arms under the casualty's arms and around the casualty's waist.

Makes fist and places thumb side of fist on midline slightly above the casualty's navel.

Covers fist with other hand.

Presses fists into abdomen using quick inward, upward motion [simulate, do not use full force]; then relaxes the hold.

Administers abdominal thrusts at a rate of one thrust every 4 or 5 seconds until the blockage is expelled or the casualty becomes unconscious.

Question: What should you do if the casualty loses consciousness before the obstruction is expelled?

Answer:

OVERALL EVALUATION GO NO GO

(A no-go on any step gives an over all evaluation of no-go.)

PERFORMANCE CHECKLIST

ADMINISTER CHEST THRUSTS TO A STANDING OR SITTING CASUALTY

Situation: A person in a restaurant suddenly gets up and gives the sign for choking. You are the nearest person to the casualty. You decide to administer chest thrusts.

GO NO GO

Question: When are chest thrusts preferred to abdominal thrusts?

Answer:

Stands behind the casualty.

Inserts arms under the casualty's armpits and around the casualty's chest.

Makes fist and places thumb side of fist on center of the casualty's breastbone.

Covers fist with other hand.

Depresses sternum [simulate, do not use full force]; then relaxes the hold.

Administers abdominal thrusts at a rate of one thrust every 4 or 5 seconds until the blockage is expelled or the casualty becomes unconscious.

Question: How far should the sternum be depressed if the casualty is an adult?

Answer:

Question: What should you do if the casualty loses consciousness before the obstruction is expelled?

Answer:

OVERALL EVALUATION GO NO GO

(A no-go on any step gives an overall evaluation of no-go.)