During the ‘opening’ and ‘introduction’ of our first aid courses, our first aid trainer may ask the delegates this question: ‘What would you like to learn from this training course?’
It gives us a good idea of what the delegate’s expectations are and can be used as a good discussion point to funnel the interest of everyone.
For the paediatric first aid and the one day emergency first aid training courses we deliver, the majority of the delegates attending are parents.
Not surprisingly the top answer is ‘I need to know what to do if my child is choking’.
It is a common fear for most parents and if faced with their child choking it can be a daunting experience. Although in most cases the condition will last seconds, but for the parent it may seem like eternity. If the object is firmly lodged in the airway the child/infant can turn blue due to the airways being blocked. This in turn will set the fear into the parent or childminder.
For those parents who have completed paediatric first aid training for Infants and babies, dealing with choking can be a simple process and is a matter of common sense.
For parents who have not completed paediatric first aid training it may leave them with an emotional experience which they never want to re-visit ever again.
Remove the risk of choking
The very first plan of action would be to remove the risk and understand what causes choking. If an infant or child starts coughing all of a sudden and you know that they are not ill, it is likely that they have put something in their mouth and probably choking. Reduce the risk and remove anything from their environment that is small and in reach of your child.
Common objects may include:
- Fridge Magnets
- Small batteries
- Loose toy parts
Assisting a child who is choking
- If the Child is coughing out loud – let nature takes it’s course, but do not leave the child unattended.
- If the child is struggling to cough – shout for help.
- Do not poke at the object with your fingers – you may push the object further down into the airway.
- If the child is still conscious and their coughing has no effect – use back blows (see below).
Children over one year
- Position the child’s head down and apply back blows.
- Put a small child across your lap.
- If the above can’t be carried out, position the child in a forward leaning position and apply the back blows from behind.
If you find that the back blows are not removing the object and the choking child is still conscious – give chest thrusts (as below below) to infants under one year or abdominal thrusts (as below) to children over one year.
Children under one year
- Support the child in a head downwards position. Gravity can help dislodge the object.
- Don’t compress the soft tissues under the jaw as this will make the obstruction worse.
- Apply five sharp back blows with the heel of your hand to the middle of the back between the shoulder blades.
Chest thrusts for children under one year
- Support the baby on your arm, which is placed down or across your thigh as you sit or kneel.
- Find the breastbone, and place two fingers in the middle.
- Apply five sharp chest thrusts, compressing the chest by a third.
Abdominal thrusts for children over one year
- Stand or kneel behind your child. Place your arms under the child’s arms and around their upper abdomen.
- Clench your fist and place it between the navel and ribs.
- Grasp this hand with your other hand and pull sharply inwards and upwards.
- Repeat up to five times.
- Make sure you don’t apply pressure to the lower rib cage as you do not want to cause any injury to the child.
Following chest or abdominal thrusts, assess the child as follows:
- If the object is still present and your child is still conscious, continue the back blows and either chest or abdominal thrusts.
- Ask someone to call an ambulance – do not leave the child unattended.
Unconscious child with choking
- If a choking child is unresponsive, lay the child on a flat surface.
- Ask someone to call an ambulance and bring a defibrillator (AED) – do not leave the child unattended.
- Open the child’s mouth. If the object is visible and you can access it easily with your fingers, then remove it.
- Start CPR.
For further information and guidance on what to do if your child is choking please visit the NHS Choices website section on how to help a choking child.
Our paediatric first aid training courses cover procedures in the event of choking of children, infants and babies. This course can be delivered ‘in house’ directly in your workplace for 6 to 12 delegates. Or, if you are an individual or only have a small number of delegates, we do offer the ‘Open Courses’ in Liverpool.