In a child with severe airway obstruction, which sequence is recommended?

• A. Perform abdominal thrusts on all ages
• B. Warn bystanders
• C. Back blows and chest thrusts
• D. Assist ventilation with a bag-mask only

Answer: (C)

Relieving the obstruction quickly is the priority. For a conscious child with a severe choking, the recommended sequence is back blows to the upper back, followed by chest thrusts, and you repeat these rounds until the object is expelled or the child becomes unresponsive. Abdominal thrusts on all ages aren’t appropriate here because they can cause injury in children and aren’t universally advised; simply warning bystanders or trying to ventilate with a bag-mask without first clearing the airway would delay relief.