If conscious: Heimlich maneuver, chest thrusts (obese or pregnant patients), back-blow/chest thrust (infants)
If object visible, remove manually (don't push it further into airway!)
Laryngoscopy, remove visualized object with Magill forceps
If unsuccessful, bag-valve mask or intubate (may dislodge object and improve situation to partial or more distal obstruction)
If unable to intubate, may need cricothyrotomy (though will not help if obstruction distal to cricothyroid)
Supplemental O2
Allow patient to assume position of comfort
Monitor closely
May need rigid bronchoscopy to remove
Consider consulting ENT, anesthesia (inhalational induction will decrease risk of pushing foreign body into harder-to-reach area)
Post-removal: consider dexamethasone, bronchodilators and/or racemic epinephrine, and antibiotics for pneumonia
Aspirated foreign body
Larynx fracture
Parapharyngeal space infection
Tracheobronchial tear/injury
Ingested foreign body
Thyroid gland injury/trauma
Buccal space infections
Tracheal injury