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Choking Emergencies

Babies will put anything and everything in their mouth, and this poses a huge risk for choking. If your child is suddenly unable to cry, cough or speak, she probably has something blocking her airway. If she's coughing or gagging, her airway is only partially blocked. Allow her to try to cough it out - it's the best way to free the obstruction. If your child is conscious, but cannot breathe or cough, hold her face down lengthwise on your forearm. Support her head with your hand and position her so her head is lower than the rest of her body, bracing your forearm against your thigh. If your baby is too big for your arm, lay her face down on your lap, making sure her head is lower than the rest of her body. Deliver five firm back blows between her shoulder blades, using the palm of your hand. If she begins coughing or crying, stop and allow her to try to cough up the object. However, if you get no response, you'll need to administer the Heimlich maneuver (these instructions are for children younger than one year old).
1. Lay your child face up on the ground or on your arm and locate her sternum (imagine a line between her nipples, and measure one finger-width down from the middle of that line).
2. Position two fingers on the lower part of her sternum and give five upward chest thrusts, each about 1/2 to one inch deep.
3. Continue to alternate between the back blows and chest thrusts until the object is dislodged, your baby begins to breathe on her own, she loses consciousness, or medical help arrives.
If your child is unconscious, you'll need to administer cardiopulmonary resuscitation (CPR). If you haven't yet, sign up for a child CPR class to learn everything you need to know.