Inhaled Foreign Body Management

Abdominal thrusts using the Heimlich 
manoeuvre in older children to expel an inhaled 
foreign body. One hand is formed into a fist and 
placed against the child's abdomen above the 
umbilicus and below the xiphisternum. The other 
hand is placed over the fist. Both hands are thrust 
into the abdomen. This is repeated several times. 
The child can standing, kneeling, sitting or supine. 

In infants. back blows and chest thrusts 
are recommended to expel an inhaled foreign body. 
Abdominal thrusts are best avoided in infants as 
they may cause intra-abdominal injury. 

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