Final answer:
In the case of an unconscious six-year-old with no gag reflex, emergency medical care should be called immediately. The care team must communicate effectively at each stage of an emergency procedure to ensure proper patient care.
Step-by-step explanation:
If your patient is an unconscious six-year-old and you have determined that there is no gag reflex, you should not attempt to dislodge an obstruction by turning the child upside down or by back slaps, as you would with an infant. In this scenario, since the child is unconscious and there is no gag reflex, it is critical to call for emergency medical care immediately.
For the care team, including nurses, surgeons, and anesthesia professionals, they must review the situation and communicate effectively before, during, and after an emergency procedure to ensure the best care for the patient. This includes a sign in before the induction of anesthesia and a time out to review key concerns before a skin incision is made.