Which of the following describes the observer requirement during prone or supine holds?

• A. The observer must be trained to identify risks associated with positional, compression, or restraint asphyxia
• B. The observer must be a licensed clinician
• C. The observer must be a parent
• D. The observer must hold a higher rank

Answer: (A)

The essential idea is that the observer for prone or supine holds must be trained to recognize and respond to risks that could lead to positional, compression, or restraint asphyxia. This means the person watching knows the warning signs—breathing changes, color alterations, unresponsiveness, or any airway compromise—and is prepared to intervene immediately by adjusting the position, releasing the hold, or summoning help. The emphasis is on the observer’s ability to identify danger and act quickly to protect the child, rather than on who they are by credential, relation, or rank.