Airway obstructions are a common emergency, especially among pediatric and geriatric patients. Choking is a common hazard and a prominent cause of childhood death and injury among children under age four, claiming at least one child’s life every few days. In the case of geriatric patients, the risk of airway obstructions due to chronic obstructive pulmonary disease (COPD), pneumonia, and airway injuries greatly increases with age. The airway also becomes more fragile as a person gets older, making it more difficult to treat airway issues. Several techniques can open an obstructed airway, but the right technique depends on the reason for the obstruction. 

Age, weak muscle tone, chronic illnesses, and changes in the throat and esophagus increase the rate of airway obstructions in the elderly. A recent study that used spirometry measures as a clinical indicator of airway obstructions in patients aged 60-93 found an obstruction rate of 22.5%.

You’re responding to a choking involving an obstruction. As you know, obstructions can be mild, making breathing difficult or painful, or they can be urgent and life-threatening, as is the case with a choking child.

Upper airway obstructions affect the trachea, pharynx, or larynx. While partial obstructions can be painful, complete obstructions can be life-threatening. Without treatment, they can quickly prove fatal.

It’s a dramatic plot twist in movies, medical dramas, and even the occasional sitcom (think MacGyver): A character is choking or in respiratory distress and standard interventions like the Heimlich maneuver just aren’t cutting it. So a heroic bystander takes things into their own hands and jams a pen into the victim’s throat, much to everyone’s horror. But then, to everyone’s shock and relief, doing so clears the airway, allowing the survivor to breathe until help arrives. But can you really do this?

Airway obstructions are common. The prevalence and type of airway obstruction varies with age. Children younger than four are more vulnerable to choking-related upper airway obstructions, while adults commonly experience airway obstruction caused by complications from smoking. First responders will inevitably encounter a wide variety of airway obstructions and must be prepared to promptly respond to each with appropriate medical care. Here are the most common causes of upper airway obstruction.

COVID-19 fundamentally changed everything about how many people live. Choices that once seemed innocuous, such as going to the dentist or the grocery store, can now expose people to a lethal virus.

When patients die during or after an aspiration event, it’s often because of the exposure to airway contaminants, not hypoxia. The risk of death increases with the volume of fluid inhaled. This is why diligent, intelligent suction can prove life-saving, especially in someone with limited mobility who is actively aspirating or vomiting. The right suction device quickly clears airway obstructions with a high flow rate and powerful suction.

When we think of summer, we associate it with fun activities like barbecues, swimming and sunbathing. But what we don’t usually think of are the hazardous airway scenarios that can occur during these happy times – especially with children. Educating yourself on the potential risks can help save your life and your summer!