Pediatric Foreign Body Obstruction(Partial/Complete) Date Last Search Run: Jan 14, 2025 Table last updated: May 02, 2021 Data last added: Jul 08, 2004

Recommendation		RECOMMENDATION FOR INTERVENTION
STRENGTH OF EVIDENCE FOR INTERVENTION		SUPPORTIVE (Green)	NEUTRAL (Yellow)	AGAINST (Red)	NOT YET GRADED (White)
	1 (strong evidence exists)
	2 (fair evidence exists)
	3 (weak evidence exists)		Abdominal Thrusts Back Blows Chest Thrusts	Finger Sweep

Interventions

Abdominal Thrusts

Level	Direction	Primary Outcome	Patient/Process	Setting	Reference
III	Neutral (Yellow)	Efficacy	Patient	ED-MD	Brama I., Fearson B. Laryngeal foreign bodies in children. International J Pediatric Otorhinolaryngology 1982; 4:259-65. Medline

Back Blows

Level	Direction	Primary Outcome	Patient/Process	Setting	Reference
III	Neutral (Yellow)	Efficacy	Patient	ED-MD	Brama I., Fearson B. Laryngeal foreign bodies in children. International J Pediatric Otorhinolaryngology 1982; 4:259-65. Medline

Chest Thrusts

Level	Direction	Primary Outcome	Patient/Process	Setting	Reference
III	Neutral (Yellow)	Efficacy	Patient	ED-MD	Brama I., Fearson B. Laryngeal foreign bodies in children. International J Pediatric Otorhinolaryngology 1982; 4:259-65. Medline

Finger Sweep

Level	Direction	Primary Outcome	Patient/Process	Setting	Reference
III	Opposes (Red)	Adverse event	Patient	PH-Paramedic	Hartrey R., Bingham RM. Pharyngeal trauma as a result of blind finger sweeps in the choking child. J Accident and Emergency Med 1995; 12:52-4. Medline