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Instructions for helping yourself

Choking in a baby under 1 year

What to do

  1. Get help. If unable to cough effectively or breathe, call emergency services on speaker.
  2. If coughing strongly, let them cough and stay close.
  3. Support head and neck when turning baby. Do not shake or hang by the feet. Strong cough or crying/breathing returns: stop blows and watch.
  4. Sit. Baby face down on your forearm supported on your thigh. Support head and neck. Up to 5 blows between shoulder blades, checking each time.
  5. Keep the head lower than the chest, without pressing the throat.
  6. If unsuccessful, turn face up on your legs. Encircle the chest with both hands, thumbs on the lower half of the breastbone. Up to 5 sharp thrusts.
  7. While awake and still blocked, alternate up to 5 blows and up to 5 thrusts. Stop when strong cough or breathing returns.
  8. If unresponsive, start child CPR with 5 initial breaths. Open the CPR guide and follow the dispatcher.
  9. Even after the object comes out, get medical assessment after thrusts.

What to avoid

  1. No blind fingers. Remove only an easily grasped visible object.
  2. No abdominal thrusts in babies under 1 year.
Unresponsive: open child CPROther age: choose child or baby