Essentially, the

change to the foreign body airway obstruction or choking protocol is just following in step with the 2025 every five-year updates that the AHA makes to all of the ACLS, PALS, and BLS protocols for life-saving measures that we all, I hope, first learned in a CPR class somewhere and still apply to all of us at whatever level of practice we are operating at in our clinical roles.

So the classic teaching for a baby with a foreign body airway obstruction, I think people feel pretty comfortable with this if you've been around the block a couple of times, is the hitting the baby on the back five times and then flipping them over from one arm to the other is how I usually do it and giving them five chest thrusts and then flipping them back over and hitting them on the back five times and then flipping them over and doing the five chest thrusts.

And you do that until the foreign body pops out.

Where for bigger kids, the standard has been that you just do the chest thrusts or the abdominal thrusts up under the xiphoid process.

That's sort of maybe a Heimlich maneuver.

If they're a toddler that's maybe a little too small for the

give the appropriate orders.