ProCPR.org

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Now we have a case where an infant is conscious, but is choking.

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We know that because they're not able to move any air.

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They're not breathing, they're not coughing, they're not crying.

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They might be gagging, they might be trying to breathe,

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but they can't get any air movement in or out.

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If this happens, we recognize this as an emergency

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so we're going to activate emergency medical services,

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call a code, or call 911.

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Then we're going to immediately support the baby's face

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with the hand and the arm supporting the baby's torso

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making sure to have the head lower than the baby's torso and legs.

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Supporting with the leg, we're going to give five back slaps between the shoulder blades.

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1, 2, 3, 4, 5.

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Support the head and the body.

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Flip the baby over.

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With two fingers, right between the breasts, on the sternum,

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we're going to give five chest thrusts.

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1, 2, 3, 4, 5.

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About a third of the depth of the chest.

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If the object has still not come out,

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the baby is still not breathing, unable to cough, unable to cry,

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the obstruction is not clear.

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Because the baby is conscious, we do not have to necessarily look in the mouth

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to try to find the object

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because, again, the baby's conscious,

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so if it does come out, I'm sure the baby's going to let us know that.

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So we're going to return right back into the back slaps

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followed by the chest thrusts, and we're going to repeat

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this process until the object comes out.

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The baby is able to breathe, cough, or cry.

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Or, the baby goes unconscious.

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And then we move to the next level of care

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for the clearing of the obstruction in the baby's airway.

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Baby, baby, are you okay?

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They're not breathing, they're not responding.

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Help! You in the plaid shirt. Go activate the emergency medical services

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and return - I might need your help.

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They're not moving any air: not crying, not breathing.

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Still no crying, no breathing.

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Still doesn't seem to have come out.

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At this time, the baby started crying and gagging.

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I monitor the child.

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Make sure that they're okay and they recover well and that their color gets better.