First aid

What to do about choking in children


There is nothing that scares a parent more than the child might choke. There are many cases of choking in children and many of them with a happy ending. Choking in children is something that can solve in an effective way by parents as long as it is done correctly.

Here are some tips to prevent the child from choking, and guidelines to follow when a child chokes.

The common choking It is called Ovace in medical slang, which acronyms mean: obstruction of the airway by a foreign body, and can be triggered by a complete or partial airway obstruction by foreign bodies that are usually food.

By performing the appropriate maneuvers, accidental death can be avoided.

The most important is Act FastAs soon as we hear the child cough, and he is still conscious.

The maneuvers that we are going to carry out will always be carried out at children older than one year, since babies cannot obey the instructions we give them in this situation.

It will act in different ways depending on how the child is:

A) If the child is aware and capable of coughing:

  1. Encourage him to cough, the more the better.
  2. Never hit him in the back.

B) If you do not react but are still conscious, but weakening or stop coughing:

  1. Apply 5 blows to the back, between the child's scapulae, with the heel of the hand, and leaning the child's body forward at the same time, and checking, after each blow, if it has been effective or not.
  2. If blows to the back are not effective, we will start with the Heimlich maneuver.

C) If it is not effective and the child loses consciousness:

  1. The first thing is to call the emergency services.
  2. We will place the child carefully on the floor.
  3. We will review again the inside the mouth, in case the object could be removed. Only if it can be easily reached with a finger, we will insert the finger into the child's mouth in the form of a hook, and we will drag it out. If we see the object inside the mouth we will never try to stick our finger down the throat, as we could introduce the object further and further obstruct the airway.
  4. We will start CPR or cardiopulmonary resuscitation (30 compressions / 2 ventilations) as quickly as possible.

It will be done in those children older than one year and that they can stand on their own.

Keep in mind that the objective is to solve the obstruction with each slap or compression, it is not necessary to give the 5 blows if it has already been solved.

The procedure is very similar in adults but with some differences:

- We will stand at one proportional height of the child.

- We will surround the child with our arms from behind and place our hands between the end of the thorax and the navel, in the area of ​​the pit of stomach.

- We will place the fist, with the thumb in, and holding it firmly with the other hand.

- For the maneuver to be effective you must slightly incline the child forward and we will apply 5 quick compressions inward and upward with your fist in a dry manner.

- You may have to repeat several times the procedure of 5 back blows / 5 abdominal thrusts.

How can we tell if he is drowning? A very characteristic choking gesture is when the child squeezes or puts his hands to his throat in the sense of suffocation.

As we have previously commented, we can meet with 2 types of obstruction: complete or partial.

  1. When you present a effective cough: this means that the child still coughs and can breathe, even if he is distressed, therefore it is a partial or slight obstruction of the airway.
  2. When you present a ineffective cough: it means that you can cough but cannot take in air, which means that there is a complete or severe airway obstruction. In this case the child will not be able to speak or breathe, and if it is not solved quickly, it can lead to loss of consciousness in a short time.

The best way to help our children is by preventing choking from occurring.

- Do not cut the sausages in a circular way, as it can get stuck in the child's windpipe.

- Prevent them from playing with toys with small parts.

- Avoid making children laugh while they eat.

- When they are very young we should not give them candies.

- Don't play with plastic bags.

- Do not let them suck or bite inflatable balloons.

You can read more articles similar to What to do about choking in children, in the First Aid category on site.


Video: Conscious Child Choking (December 2020).