Foreign Body Obstruction(Complete/Partial) Date Last Search Run: Aug 01, 2024 Table last updated: Feb 19, 2023 Data last added: Feb 18, 2023

Recommendation		RECOMMENDATION FOR INTERVENTION
STRENGTH OF EVIDENCE FOR INTERVENTION		SUPPORTIVE (Green)	NEUTRAL (Yellow)	AGAINST (Red)	NOT YET GRADED (White)
	1 (strong evidence exists)				Back Blows Chest Thrusts Cricothyrotomy
	2 (fair evidence exists)	Suction
	3 (weak evidence exists)	Abdominal Thrusts Direct Laryngoscopy and Magill forceps Oxygen

Interventions

Abdominal Thrusts

Level	Direction	Primary Outcome	Patient/Process	Setting	Reference
III	Supportive (Green)	Patient improvement	Patient	PH-Paramedic	Soroudi A., Shipp HE., Stepanski BM., Ray LU., Murrin PA., Chan TC., et al. Adult foreign body airway obstruction in the prehospital setting. Prehosp Emerg Care 2007; 11(1):25-29. Medline

Back Blows

Level

Direction

Primary Outcome

Patient/Process

Setting

Reference

Chest Thrusts

Level

Direction

Primary Outcome

Patient/Process

Setting

Reference

Cricothyrotomy

Level

Direction

Primary Outcome

Patient/Process

Setting

Reference

Direct Laryngoscopy and Magill forceps

Level	Direction	Primary Outcome	Patient/Process	Setting	Reference
III	Supportive (Green)	Patient improvement	Patient	PH-Paramedic	Soroudi A., Shipp HE., Stepanski BM., Ray LU., Murrin PA., Chan TC., et al. Adult foreign body airway obstruction in the prehospital setting. Prehosp Emerg Care 2007; 11(1):25-29. Medline

Oxygen

Level

Direction

Primary Outcome

Patient/Process

Setting

Reference

Suction

Level	Direction	Primary Outcome	Patient/Process	Setting	Reference
II	Supportive (Green)	Airway clearance	Patient	PH-Bystander	Dunne CL, Osman S, Viguers K, Queiroga AC, Szpilman D, Peden AE. Phase One of a Global Evaluation of Suction-Based Airway Clearance Devices in Foreign Body Airway Obstructions: A Retrospective Descriptive Analysis. Int J Environ Res Public Health. 2022 Mar 24;19(7):3846. doi: 10.3390/ijerph19073846. PMID: 35409529; PMCID: PMC8998090. Medline