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Choking – Infant (<1 year)
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Choking occurs when a solid object, such as a piece of food, a small toy, or a balloon, blocks the passage that allows air to the lungs. Young children are particularly at risk for choking because of the small size of their air passages, inexperience with chewing, and a natural tendency to put objects in their mouths. With a mild blockage, an infant can make loud noises, cough, and gag. A mild blockage can typically be cleared by coughing. Stay close and be ready to take action if things worsen. If blockage continues, activate EMS. When a severe blockage occurs, an infant cannot pull in outside air to create a cough forceful enough to dislodge the object. Help from a bystander is required to save the infant’s life.

Symptoms

Steps
1   If infant is unable to cough, or cry – act quickly!
2   Straddle the infant on your forearm with the head lower than the chest. Support the infant’s head by holding the jaw.
3   Using the heel of your hand, give 5 back blows between the shoulder blades.
4   Sandwich the infant between your forearms and turn the infant onto back with legs and arms straddling your arm.
5   Place 2 fingers on the breastbone just below the nipple line and give 5 chest thrusts to the chest.
6   Repeat back blows and chest thrusts until the object is expelled and the infant can breathe normally.
7   If the infant becomes unresponsive, carefully place the infant on a firm surface and immediately activate EMS.
8   Tilt head and lift chin to open airway. Remove foreign material if you see it.
9   Begin CPR. Each time the airway is opened for rescue breaths, look for foreign material in the throat. If visible, remove it.
10   Continue until infant shows signs of life, another provider takes over, or EMS providers tell you to stop.
Warnings
DO NOT perform abdominal thrusts on an infant. Internal injury may occur.
Back blows and chest thrusts can cause internal injury. An infant treated with back blows and thrusts should be evaluated by medical professionals to be sure no injury resulted.
Large pieces of food are the most common cause of choking.
Most choking occurs in children under 5 years old.
Tips
Always give thrusts with enough force to expel the object.

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Suggestions
Choking – Adult (8+ years)
Choking - Child (1-8 years)
Choking – Infant (<1 year)