Choking Child Rescue Checklist 1 YEAR OR OLDER
COUGHING HELPS! Stay with the child, encourage coughing, and be ready to rescue if the child:
• puts food or other object in mouth and begins to cough. • has sudden difficulty breathing—especially if the child is coughing.
CHOKING REQUIRES HELP! Act immediately if the child:
• is unable to breathe. • is unable to make a noise when trying to cough, cry, or talk and looks frightened. • has high-pitched, noisy breathing or is making gagging sound. • has bluish lips or skin is pale, blue, or grayish. • makes the choking sign—clutching neck.
1. Encourage the child to cough. Do not pat or slap the child on the back. Ask an older child, “Are you choking?”
2. Prepare to give abdominal thrusts if the child nods “yes,” is unable to cough or talk, or if cough becomes very weak. Tell the child you are going to help.
3. Ask anyone who can to call 9-1-1 for help. If you are alone, do not delay rescue attempts to make the call.
4. Get in position to give abdominal thrusts. Kneel or stand behind the child and put your arms around the child’s body making sure your arms are under child’s arms and below child’s ribs.
5. Give up to 5 abdominal thrusts. Make a fist with one hand. Place thumb of your fist slightly above the child’s belly button and well below the lower tip of breastbone. Grasp your fist with your other hand and “cough” for the child by giving up to 5 quick, forceful, upward abdominal thrusts. Say out loud, “Cough! Cough! Cough! Cough! Cough!”
6. After every 5 abdominal thrusts:
• Check your hands to be sure they are in the correct position—slightly above the belly button and well below the lower tip of the breastbone.
• Check your arms to be sure they are in the correct position under the child’s arms and below the child’s ribs.
• Check the condition of the child.
7. Don’t give up. Continue giving abdominal thrusts until the object is “coughed out” and the child can breathe, cough or talk, or until the child stops responding or loses consciousness.
8. If the child loses consciousness, lower the child to the ground face-up and call 9-1-1 for further instructions.
9. If the child begins to breathe, cough, or talk, stop giving abdominal thrusts. 10. Always call employer after 9-1-1 arrives or if you have given abdominal thrusts.
PAGE 60 | SAFE SITTER®
INSTRUCTOR MANUAL
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