Choking Infant Rescue
GUIDED DISCUSSION What did we learn about coughing? (Coughing helps.)
Coughing is good; coughing helps! If an infant you are with puts something in their mouth and begins to cough, stay with them, and be ready to rescue them if they stop coughing and cannot breathe.
Choking Infant Rescue should be used on a child under one year old. Just like with Choking Child Rescue, you need to take action if the infant is unable to breathe or make any noise; is making a gagging sound or high-pitched noise; or is turning pale, blue, or gray. To rescue a choking infant, instead of doing abdominal thrusts, you are going to perform back blows and chest thrusts.
We’re going to start by watching the Choking Infant Rescue video. Then, we’ll go through the steps as a group. [Play the Choking Infant Rescue section of the Safe Sitter®
Rescue Skills Video.]
DEMONSTRATION AND PRACTICE
I’m going to go through the steps on how to rescue an infant 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 35 if needed.]
Step 1. Allow the infant to cough. Do not pat or slap the infant 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 infant is upright may cause the object to go further down into the airway.
Step 2. Prepare to give back blows and chest thrusts if the infant becomes unable to cough or talk, or if cough becomes very weak.
• Back blows and chest thrusts are safer for infants than abdominal thrusts.
• The liver, stomach, and spleen lie lower in the infant’s abdomen than they do in a child or adult. The force used with abdominal thrusts may injure these fragile organs. The infant’s lungs are also fragile, but they are protected from the force of chest thrusts by the rib cage.
GRANDPARENTS: GETTING STARTED INSTRUCTOR MANUAL | PAGE 25
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