Inadequate air exchange due to airway obstruction, which maneuver is used for obese or pregnant patients?

• A. Abdominal thrusts
• B. Back blows
• C. Chest thrusts
• D. CPR

Answer: (C)

When air is blocked and the patient is obese or pregnant, you shift from abdominal thrusts to chest thrusts. Abdominal thrusts push on the abdomen to force air out, but that can harm a pregnant uterus or large abdominal contents and is often less effective in these patients. Chest thrusts instead focus on the chest, delivering quick inward thrusts on the sternum to raise intrathoracic pressure and dislodge the object without stressing the abdomen. To perform, stand behind the patient, wrap your arms around the chest, and deliver rapid thrusts to the sternum with both hands. This approach provides a safer, more effective way to relieve the obstruction in pregnant or obese individuals. If the situation progresses to unconsciousness, follow the protocol for CPR with airway management as appropriate.