The danger signs of true choking are:
1. 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.
2. 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.
3. Give up to 5 quick, forceful blows between the infant’s shoulder blades. Use the heel of your free hand.
IF OBJECT ISN’T FREE AFTER 5 BLOWS
1. Turn the infant face up. Use your thigh or lap for support. Support the head.
2. Place 2 fingers on the middle of his breastbone just below the nipples.
3. Give up to 5 quick thrusts down, compressing the chest 1/3 to 1/2 the depth of the chest.
4. Continue this series of 5 back blows and 5 chest thrusts until the object is dislodged or the infant loses consciousness.
IF THE INFANT LOSES CONSCIOUSNESS
If the child becomes unresponsive, stops breathing, or turns blue:
Reviewed By: Jacob L. Heller, MD, MHA, Emergency Medicine, Virginia Mason Medical Center, Seattle, Washington. Also reviewed by David Zieve, MD, MHA, Bethanne Black, and the A.D.A.M. Editorial team.