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Choking SOPs

"Know what to do"
By: Ma. Jocelyn A. Niere-Quidlat, MD, FPPSChoking SOPs

What should you do with a child who is choking? Call the health emergency hotline if child is:

●  Unconscious

●  Choking, wheezing, or gasping

●  Not able to cry, talk, or make noise

●  Turning blue in the face

●  Grabbing at the throat

●  Looking panicked

If the child is unconscious, start cardiopulmonary resuscitation. Take the object out of his mouth only if you can see it.

If the child is conscious, try the following:

Younger than 1 year:

1.  Hold the child’s face down on your forearm, supported by your thigh. Keep the child’s torso higher than the head.

2.  Give forceful blows. Use the heel of your hand to thump the child on the back in between the shoulder blades up to five times.

3.  Turn the child over. Turn the child face up and keep supporting the head and neck. If the object is not out yet, go to step 4.

4.  Move the child to the floor and start CPR. Take the object out of his mouth only if you can see it. Never do a finger sweep unless you can see the object in the child’s mouth.

Older than 1 year:

1.  Stand behind the child and wrap your arms around his waist. Place a fist just above the belly button.

2.  Try to dislodge the object. Hold the fist with your free hand and quickly push in and up. Repeat until the object comes out or the child loses consciousness.

3.  Start CPR, if needed. If the child loses consciousness, move the child to the floor and start CPR. Take the object out of his mouth only if you can see it. Never do a finger sweep unless you can see the object in the child’s mouth.

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