In the case of an unconscious patient with airway obstruction, what is the first step?

In the case of an unconscious patient with airway obstruction, the first step is to open the airway and position the head. This is critical because, with a lack of consciousness, the patient's airway is more likely to become blocked by the tongue or other obstructions. By positioning the head properly, often through the use of the head-tilt, chin-lift maneuver, you can help to clear the airway and allow for better access to any obstruction that may be present.

Once the airway is opened, it's essential to assess whether the obstruction is still present. If the airway is open and breathing resumes, no additional steps are necessary at that moment. If the airway remains obstructed, further actions, such as abdominal thrusts or CPR, may become necessary; however, these actions should follow the initial step of ensuring the airway is clear. This approach prioritizes securing the airway, which is fundamental to restoring breathing and overall patient safety.