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Pediatric foreign-body airway obstruction

Educational use only. Not clinically reviewed

6-year-old boy for calm pediatric choking recognition, cough-effectiveness reassessment, qualified escalation, and active-risk handoff. About 7 simulated minutes.

What you will practise

  • Connect the abrupt eating event, current effective cough, airflow, speech, breathing, circulation, and whole-child state.
  • Preserve effective coughing and close surveillance while qualified help remains ready.
  • At the elapsed checkpoint, recognize the transition to severe responsive airway obstruction.
  • Activate qualified responsive-child foreign-body airway obstruction care without delay.
  • At the next elapsed checkpoint, activate the qualified unresponsive-child CPR and airway-check pathway.
  • Hand off the choking trajectory, active qualified pathway, unresolved obstruction, and unknown outcome.

Review and sources

Not clinically reviewed. No clinician has signed this scenario.

  • Joyner BL Jr, Dewan M, Bavare A, et al. Part 6: Pediatric Basic Life Support: 2025 AHA/AAP Guidelines for CPR and ECC. Circulation. 2025;152(suppl 2):S424-S447. doi:10.1161/CIR.0000000000001370.
  • American Heart Association and American Academy of Pediatrics. Child Foreign-Body Airway Obstruction Algorithm. 2025.
  • Djakow J, Lott C, de Lucas N, et al. European Resuscitation Council Guidelines 2025: Paediatric life support. Resuscitation. 2025;215:110767. doi:10.1016/j.resuscitation.2025.110767.
  • Resuscitation Council UK. Paediatric life support: Foreign body airway obstruction. Guidelines 2025.

Every scenario in this module

Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.