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INFANT CHOKING

INFANT CHOKING. Joe Lewis, M.D. Hawaii Emergency Medicine Foundation www.hawaiiemf.org. Choking Infant Under 1 year age. Choking is when an infant can't breathe because food, a toy, or other object is blocking the airway (throat or windpipe). Considerations.

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INFANT CHOKING

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  1. INFANT CHOKING Joe Lewis, M.D. Hawaii Emergency Medicine Foundation www.hawaiiemf.org

  2. Choking Infant Under 1 year age Choking is when an infant can't breathe because food, a toy, or other object is blocking the airway (throat or windpipe).

  3. Considerations A choking infant's airway may be completely or partially blocked. A complete blockage is a medical emergency. A partial obstruction can quickly become life threatening if the infant loses the ability to breathe in and out sufficiently. Without oxygen, permanent brain damage can occur in as little as 4 minutes. Rapid first aid for choking can save a life.

  4. Causes Choking in infants is usually caused by inhaling a small object that they have placed in their mouth, such as a button, coin, balloon, toy part, or watch battery.

  5. Symptoms . The danger signs of choking in an infant are: Bluish skin color Difficulty breathing - ribs and chest pull inward Loss of consciousness if blockage is not cleared Inability to cry or make much sound Weak, ineffective coughing Soft or high-pitched sounds while inhaling

  6. Considerations A choking infant's airway may be completely or partially blocked. A complete blockage is a medical emergency. A partial obstruction can quickly become life threatening if the infant loses the ability to breathe in and out sufficiently. Without oxygen, permanent brain damage can occur in as little as 4 minutes. Rapid first aid for choking can save a life.

  7. First Aid for a choking infant If an infant is choking: Tell someone to call 911 while you begin first aid. If you are alone, shout for help and begin first aid. Even if you successfully dislodge the object and the infant seems fine, call a doctor for further instructions

  8. First Aid for a choking infant DO NOT perform these steps if the infant is coughing forcefully or has a strong cry -- either of which can dislodge the object on its own.

  9. First Aid for a choking infant 5 Back slaps 5 Chest thrusts

  10. First Aid for a choking infant Five back blows Lay the infant face down, along your forearm. Use your thigh or lap for support. Hold the infant's chest in your hand and jaw with your fingers. Point the infant's head downward, lower than the body. Give up to 5 quick, forceful blows between the infant's shoulder blades. Use the heel of your free hand.

  11. First Aid for a choking infant

  12. First Aid for a choking infant If the object isn’t free after 5 blows Do 5 chest thrusts as explained on the next slide.

  13. First Aid for a choking infant Turn the infant face up. Use your thigh or lap for support. Support the head. Place 2 fingers on the middle of his breastbone just below the nipples. Give up to 5 quick thrusts down, compressing the chest 1/3 to 1/2 the depth of the chest.

  14. First Aid for a choking infant

  15. Heimlich for Infants

  16. First Aid for a choking infant IF THE INFANT LOSES CONSCIOUSNESS If the child becomes unresponsive, stops breathing, or turns blue: Shout for help. Give infant CPR. Call 911 after one minute of CPR. If you can SEE the object blocking the airway, try to remove it with your finger. Try to remove an object ONLY if you can see it.

  17. First Aid for a choking infant REMEMBER DO NOT interfere if the infant is coughing forcefully, has a strong cry, or is breathing adequately. However, be ready to act if the symptoms worsen. DO NOT try to grasp and pull out the object if the infant is conscious. DO NOT perform back blows and chest thrusts if the infant stops breathing for other reasons, such as asthma, infection, swelling, or a blow to the head. DO give infant CPR.

  18. References http://circ.ahajournals.org/cgi/content/full/112/24_suppl/IV-167 Manno M. Pediatric respiratory emergencies: Upper airway obstruction and infections. In Marx J, ed. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 6th ed. St. Louis, Mo: Mosby; 2006:chap 166. Hauda WE II. Pediatric cardiopulmonary resuscitation. In: Tintinalli JE, Kelen GD, Stapczynski JS, Ma OJ, Cline DM, eds. Emergency Medicine: A Comprehensive Study Guide. 6th ed. New York, NY: McGraw-Hill; 2004:chap 14. Update Date: 7/8/2009 Updated by: Jacob L. Heller, MD, MHA, Emergency Medicine, Virginia Mason Medical Center, Seattle, Washington, Clinic. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

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