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Erik Helms

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 Infant choking: Skill guide #7 Severe blockage

Emergency Action Steps

Responsive

Infant cannot cough, cry or make any sound

Rest the infant face down on your forearm. Place your forearm on your lap or thigh.

Keep the infant’s head lower than the chest. Support the head and jaw with your hand.

Give 5 back slaps between the shoulder blades with enough force to expel the object.

Support the head and neck and turn the infant over (face up) onto your lap or thigh.

Give 5 downward chest thrusts just below the nipple line with enough force to expel object.

Repeat until the object is expelled or the infant becomes unresponsive.

Unresponsive

Place the infant on a firm, flat surface.

Open the airway. Remove the object if you see it.

Begin CPR

Each time the airway is opened for rescue breaths, look for an object in the infant’s throat. If you see it, remove it.

Continue CPR for about 2 minutes (5 cycles). Alert EMS or activate your emergency action plan.

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