A child with an obstructed airway becomes unresponsive. What should you do first?

In the scenario where a child with an obstructed airway becomes unresponsive, the first action should be to gently lower the child to the ground and immediately begin CPR. This is critical because when a child becomes unresponsive due to an airway obstruction, their heart may also stop beating, and initiating CPR can help maintain blood flow and oxygenation to vital organs. During CPR, chest compressions can help clear the obstruction by creating pressure changes that might dislodge the object, all while also addressing any potential cardiac issues.

Starting CPR in this situation is vital since the child's unresponsiveness indicates a life-threatening emergency. Following the correct CPR protocol—30 chest compressions followed by 2 rescue breaths—ensures that emergency care is provided effectively until advanced help arrives or the obstruction is cleared. This immediate action can be the difference between life and death for the child.

While other options recognize the need to address the obstruction, they may delay essential life-saving care. Looking for the object, performing back blows and abdominal thrusts, or placing the child in a recovery position do not address the risk of cardiac arrest that may already be in play.