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Choking in the Unconscious Infant
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What are the treatments for the injury?
First aid for an unconscious infant who has choked includes:
checking for signs of circulation, such as normal breathing, coughing, or
movement in response to stimulation
contacting the
emergency medical
system immediately
opening the infant's mouth by grasping the tongue and lower jaw between your
thumb and fingers and lifting. Only if you see the object should you gently
sweep your index finger in a hooking motion deeply into the infant's mouth to
remove it.
starting cardiopulmonary resuscitation, or CPR, if the infant has no signs of
circulation. Use 5 chest compressions for every 1 mouth-to-mouth rescue
breath.
placing the infant in a side-lying position if he or she starts breathing
and monitoring closely
staying with the infant until medical help arrives
What are the side effects of the treatments?
The chest compressions of CPR can cause
vomiting, injuries to internal organs, or broken ribs. Vomiting can
be a problem if the vomit is caught in the airway and inhaled into the lungs.
None of the procedures may work, and the infant may still choke, remain
unconscious, or possibly die.
What happens after treatment for the injury?
Anytime an infant chokes, medical attention should be sought since the object
may have been inhaled into the lung. This can cause wheezing, persistent
cough, or
pneumonia.
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Author: James Broomfield, MD Reviewer: Eileen McLaughlin, RN, BSN Date Reviewed: 07/05/01
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