In the case of a foreign body airway obstruction (FBAO) in an adult, what should be done if they can clear their own airway?

When a person is experiencing a foreign body airway obstruction but is able to clear their own airway, the most appropriate action is to monitor the patient. This is because the individual is demonstrating the ability to breathe and expel the obstruction, indicating that their respiratory status is stable at that moment. Continuous monitoring allows the responder to ensure that the person does not experience a decline in their condition.

If the situation changes and the individual becomes unable to clear their airway, then more intensive interventions would be needed. Immediate intervention, such as administering abdominal thrusts or back blows, is only warranted if the individual shows signs of severe airway obstruction where they cannot speak, cough, or breathe effectively. Thus, vigilant monitoring provides a balance of support without interfering with the patient’s capacity to handle the situation on their own.