Now let's take a look at the conscious infant
choking patient. There's a few things that
should tip us off that the baby is full conscious
but also fully choking. That is that their
eyes are open, they may be gagging, they're
still moving around but they're not breathing.
They're not coughing and they're certainly
even able to babble or if they're able to
speak they're not saying any words. You may
even start to see this thing called circumoral
cyanosis that's a blue ring that starts to
form around the lips of the baby indicating
that they're beginning to starve of oxygen
and our treatment is really necessary. If
you have a bystander nearby it wouldn't be
a bad idea, and it would certainly be in the
best interest of the baby, if you had them
call 911 and get the ambulance on the way.
If you didn't have anybody around you could
certainly call 911 but I still think it's
in the best interest of the baby for you to
begin doing the treatment first and waiting
until the baby goes unconscious, if it's up
to you to have to call 911. We're going to
remove this onesie so that I can really show
you the landmarks that are important as we
begin to demonstrate the skill related to
getting this obstruction clear. I'm going
to place my thumb and forefinger over the
cheekbones of the baby's face. Supporting
the head and neck, letting them rest on my
forearm while they straddle my bicep. I'm
now going to take the opposite palm and use
that to give fiver back blows, or back slaps
between the shoulder blades of the baby. It's
important to remember that the head of the
baby is down while the feet are higher than
the head. That allows gravity to work with
us, not against us. Five back blows. One,
two, three, four, five. Sandwich the baby's
head and neck to support the neck and head.
Ring finger across the nipple line, two fingers
down on the chest, on the sternum and now
we're going to repeat with five chest thrusts.
One, two, three, four, five. If the baby did
not get rid of the obstruction and indicating
that with breathing, coughing, gagging, starting
to try to cry we're simply going to repeat
the process. We're going to sandwich thumb
and forefinger over the cheekbones, flip the
baby back over, face down, straddling our
bicep and repeat with five back blows. One,
two, three, four, five. Turn the baby over.
Ring finger across the nipple line, five more
chest thrusts. One, two, three, four, five.
We're going to continue to do these back blows
and chest thrusts until the object comes out,
the baby begins to breath again, or the baby
goes unconscious. If the baby goes unconscious
it's at this time, if we haven't done it already,
we call 911 and get an ambulance on the way.
If the baby does go unconscious we then move
into the unconscious infant choking procedure.
It's important to know when we're doing the
back blows and the chest thrusts make sure
we don't let our arms sag with each of those
compressions or back blows as when it sinks
down it diminishes the effect of the actual
chest thrusts that are forcing the air up
the trachea to pop that object out. Keep in
mind that this is about 80 percent effective
when you do the chest thrusts and back blows.
It's an extremely effective procedure and
it can work really well if you run into this
type of situation.