However, if a child is choking, then that child needs your help! Look at your booklet on page 32. According to your booklet, you prepare to give abdominal thrusts if…? (If the child is unable to breathe or make any noise; is making a gagging sound or high-pitched noise; is turning pale, blue, or gray; or is making the choking sign – clutching the neck.)
Stay calm so you can think more clearly and remember what to do.
We’re going to start by watching the Choking Child Rescue video. Then, we’ll go through the steps as a group. [Play the Choking Child Rescue section of the Safe Sitter®
Rescue Skills Video.]
DEMONSTRATION AND PRACTICE
Before we practice, let’s find the correct location for abdominal thrusts and make a fist.
• Have all participants locate on themselves the lower end of the sternum by pressing along the breastbone and then moving down toward the abdomen and above the belly button.
• Instructor demonstrates making a fist with thumb outside and puts thumb side of fist slightly above belly button with base knuckles (large knuckles where fingers join hand) facing up towards ceiling.
• Have all participants practice making a fist. Instructor should check hand position for correctness.
Now I’m going to go through the steps on how to rescue a child who is choking. Follow along with me using your own manikin. [Read each step below as participants practice on their manikins. Emphasize the bulleted points as you discuss. Refer to graphics on page 33 if needed.]
Note to Instructor
To avoid injury, participants should NOT practice abdominal thrusts on each other.
Step 1. Encourage the child to cough. Ask an older child, “Are you choking?” Do not pat or slap the child on the back.
• Coughing is not choking. Coughing is the body’s defense against airway trespassers like solids or liquids. Choking occurs when coughing fails to remove the blockage and air cannot move past the blockage into or out of the lungs. The body cannot get rid of the blockage without help.
• Choking is a THREAT TO LIFE that requires immediate action.
• Patting or slapping on the back while child is upright may cause the object to go further down into the airway.
PAGE 18 | GRANDPARENTS: GETTING STARTED INSTRUCTOR MANUAL
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