What is the correct position for maintaining the airway in a child with decreased consciousness?

The correct position for maintaining the airway in a child with decreased consciousness is achieved by placing the child in a neutral position with support under the shoulders. This position helps keep the airway open without causing any obstruction, as it can prevent the tongue from falling back and blocking the airway.

In this neutral position, the child’s head is aligned with the spine, allowing for optimal airflow. This is particularly important in children, as their anatomy is slightly different than adults, and they are more prone to airway obstruction if not properly positioned.

The other options may hinder proper airflow or create complications. An aggressive head tilt can lead to hyperextension of the neck and cause further airway obstruction, especially in smaller children. A side-lying position, while it can be appropriate in some scenarios, does not provide a definitive way to maintain an open airway in cases of decreased consciousness where the risk of aspiration is present. Sitting upright with the head tilted forward may not be stable for a child with decreased responsiveness, making it difficult to ensure an open airway. Thus, ensuring a neutral position with support under the shoulders is the best practice.