Coughing is very important. Coughing helps!
• What would the child do if there was a piece of hot dog blocking the child’s airway? (The child would start to cough.)
• What do the ribs do? (Protect the lungs. Muscles between the ribs help with breathing.)
• What muscles help with coughing? (Diaphragm and muscles between the ribs.) [Point out diaphragm on graphic or slide.]
• Put your hand in front of your mouth and cough. What do you feel on your hand? (Air.) Where does the air come from? (Lungs.)
• Note that when you cough it is quick and forceful. Firm and quick squeezes work. Slow and gentle squeezes don’t work. Abdominal thrusts must be quick and forceful to work. If the force of the air pushing on the object is strong enough, the object will be pushed out of the airway and the airway will be cleared.
• Abdominal thrusts are “substitute coughs” used to rescue a victim when the victim’s cough fails.
• Where does air come from when you use abdominal thrusts to “cough out” the obstruction in a child with an obstructed airway? (There is air trapped in the lungs below the obstruction.)
Remember: Coughing helps! If a child you are with starts coughing, stay with them and encourage them to cough.
Fall down stairs that are not protected by a safety gate? (Toddlers.) Chew on medication thinking it is candy? (Preschoolers.)
VIDEO: POISONING
Poisoning is a danger for three of the four age groups. Let’s watch this Babysitter Boss video to learn more about poisoning.
We’re going to start by watching the Choking Child Rescue video. Then, we’ll go through the steps as a group. [Play the Safe Sitter® Choking Child Rescue Video.]
Do any of you have an allergy or know someone who is allergic to something? Allergies are very common, and it’s important to be aware of the allergies of those around you, including friends, neighbors, and children you are babysitting. Why would you want to be aware that a friend, neighbor, or child you babysit has an allergy?
PRACTICE [Students practice on child manikin.]
[So that you can help them avoid the allergen, and therefore prevent an allergic reaction.]
• Students should be in groups of no more than 8 students per group. • Students should be on their knees with the manikin in front of them. Be sure to check hand and arm position.
PAGE 36 | SAFE SITTER® INSTRUCTOR MANUAL What does an allergic reaction look like? UPDATED 2023
However, if a child is choking, then that child needs your help! Look at your Student Handbook on page 36. According to your Student Handbook, 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.
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