• 9-1-1 will talk you through what to do.
Step 9. If the child begins to breathe, cough, or talk, stop giving abdominal thrusts.
Remember to always call the child’s parent after 9-1-1 arrives or if you have given abdominal thrusts.
• Child should be seen by a physician. • Tell child’s parent if abdominal thrusts made the child better and specify if you saw that the object came out or not.
Note to Instructor: The case of the disappearing obstruction
If the object goes down further into one of the two major bronchi or if the child gets better but nothing is coughed up, the child will appear to have improved because although one bronchus is blocked, the other bronchus is open, and oxygen can get to one lung. However, the lung with the blocked bronchus will either collapse and/or get infected. The child will need to have the object removed surgically at some point although the problem may not be diagnosed for several days or weeks. Emphasize to participants that it is very important that they tell the child’s parent because the child will need to be seen by a physician.
ROLE-PLAY: PARTICIPANTS PRACTICE ON CHILD MANIKIN
• Participants should be in groups of no more than 8.
• Read and practice at least one scenario to the participants. Go through as many scenarios as you have time for. As participants practice, call out each step of choking child rescue (steps 1-9 listed above).
• Participants should encourage coughing and should not begin abdominal thrusts until after the Instructor announces effective coughing has stopped.
• Make sure that each scenario has a successful outcome. After each scenario is complete, ask the participants:
– When do you start and stop abdominal thrusts? – How could you have prevented this?
Scenario #1
• 2-year-old William is eating grapes his mother gave him to keep him from crying when she left, and he coughs. You are alone.
Scenario #2
• 3-year-old Mia is eating a cut-up hot dog for dinner. She coughs. Her 7-year-old sister Camilla is there.
PAGE 20 | GRANDPARENTS: GETTING STARTED INSTRUCTOR MANUAL
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