Date Published

May 5, 2020

Updated For

ALS PCS Version ALS PCS Version 5.2


When dealing with a patient who is VSA due to a complete foreign body airway obstruction, what is recommended in regards to ventilations and OPA use (during this COIVD-19 pandemic) since inability to clear the airway is a contraindication of SGA use.


The contraindications for SGA remain, including that of inability to clear the airway.  However, the latest OBHG Considerations for Paramedics Managing Patients during the COVID-19 Pandemic recommendations (here) state CONSIDER withholding manual ventilation in any spontaneously breathing patient.  If your patient has a complete foreign body airway obstruction they would not be able to spontaneously breathe and therefore you can provide manual ventilation if there is a contraindication to SGA insertion.




Additional Resources

No additional resources are available for this SWORBHP Tip.