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management%20of%20chocking%20infant1-uly
management%20of%20chocking%20infant1-uly

By ULY CLINIC staff

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Managing a chocking Infant

 

  • Lay the infant on your arm or thigh in a head down position

  • Give 5 blows to the infant’s back with heel of the hand.

  • If obstruction persists, turn infant over and give 5 chest thrusts with 2 fingers, one finger breadth below nipple level in midline (see diagram).

  • If obstruction persists, check the infant’s mouth for any obstruction which can be removed.

  • If necessary, repeat sequence with back slaps

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Please click to enlarge picture for more description of the procedure on the left or above this article (picture no 1 and 2)

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Managing a chocking child (over One Year of Age)

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If necessary, repeat the sequence with back slaps again.

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  • Give 5 blows to the child’s back with heel of hand with child sitting,

kneeling or lying.

  • If the obstruction persists, go behind the child and pass your arms around the child’s body; form a fist with one hand immediately below the child’s sternum; place the other hand over the fist and pull upwards into the abdomen (see diagram); repeat this Heimlich manoeuvre 5 times.

  • If obstruction persists, check the child’s mouth for any obstruction which can be removed.

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Please click to enlarge picture for more description of the procedure on the left or above this article. (Picture number 3 and 4 )

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Choking infant
Chocking child
management of chocking children-ulyclini
management chocking in children-ulyclini
Neutral position to open the airway in a
sniffing position to open the airway in
look, listen and feel for breathing-ulyc
jaw thrust without head tilt-ulyclinic.j

If neck trauma is not suspected

 

Child conscious

  1. Inspect mouth and remove foreign body if present

  2. Clear secretions from throat

  3. Let child assume position of maximal comfort as in picture number 1 above

 

Child unconscious

  1. Tilt the head as shown in the picture number 2 above

  2. Inspect the mouth and remove foreign body if present

  3. Clear secretions from throat

  4. Check the airway by looking for chest movements. Listening for breath sounds and feeling for breath as in picture number 3

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If neck trauma or possible cervical spine injury is  suspected

  1. Stabilize the neck as shown in picture number 4

  2. Inspect mouth and remove foreign body if present

  3. Clear secretions from throat

  4. Check the airway by looking for chest movements, listening for breath sounds and feeling for breath.

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  • Use jaw thrust without head tilt place the 4th and 5th fingers behind the angle of the jaw and

  • Move it upwards so that the bottom of the jaw is thrust forward, at 90 ̊ to the body. If the Child is still not breathing after carrying out the above VENTILATE WITH BAG AND MASK

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Last updated 20.08.2020

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References

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  1. WHO.https://www.who.int/elena/titles/full_recommendations/sam_management/en/index5.html. August 20.2020

  2. Tanzania Standard treatment guidline for pediatric, edition 2017

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