Unconscious
Not able to breathe because something is blocking the airway or has caused it to close off
Wheezing or gasping
Not able to cry, talk, or make noise
Turning blue in the face
Grabbing at the throat
Looking panicked
Young children are prone to choking. If the child is coughing and gagging but can breathe and talk, don't do anything. But if he can't breathe, you must act quickly to stop a life-threatening situation.
While Waiting for 911
If the Child Is Unconscious
1. Start CPR
Move the child to the floor and start CPR. Take the object out of his mouth only if you can see it.
For a Child Younger Than 1 Year Who Is Conscious but Not Breathing
1. Get the Child Into Position
Hold the child 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 free hand to thump the child 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. Press the Chest
Place the child on a firm surface, which may still be your forearm.
Put two or three fingers in the center of the child's breastbone and push quickly up to five times.
Repeat the back thumping and chest pushes until the object comes out or the child loses consciousness.
If the child is still not breathing, open the airway by putting your thumb in the child's mouth and grasping the lower incisors or gums. The jaw should lift up so you can look for the object. Do not do a finger sweep.
Do not try to pull the object out unless you see it clearly. You could accidentally push the object deeper in the child's throat.
5. Start CPR, If Needed
If the child loses consciousness, perform CPR and 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.
For a Child Older Than 1 Year Who Is Conscious
1. Get the Child Into Position
Stand behind the child and wrap your arms around his waist.
Place a fist just above the child's 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.
