An infant's airway is narrow; a small piece of food or a toy is enough to block it. The right response in the first seconds saves them — the wrong one (like abdominal thrusts) can harm them.

In short — what to do

  1. If they are coughing or crying audibly: the airway is not fully blocked — watch closely, don't interfere.
  2. If they make no sound or turn blue: have someone call 998 immediately.
  3. 5 back blows: lay the infant face-down along your forearm, head lower than chest, supporting the head; give 5 blows between the shoulder blades with the heel of your hand.
  4. 5 chest thrusts: turn them face-up on your forearm, head still low; press the center of the chest with two fingers 5 times.
  5. Alternate (5 back + 5 chest) until the object comes out or they lose consciousness.
  6. If they become unresponsive: start infant CPR immediately.

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The infant face-down along the forearm, head lower than the body
The infant face-down along the forearm, head lower than the body
The full details

The steps

  1. If they are coughing or crying audibly: the airway is not fully blocked — watch closely, don't interfere.
  2. If they make no sound or turn blue: have someone call 998 immediately.
  3. 5 back blows: lay the infant face-down along your forearm, head lower than chest, supporting the head; give 5 blows between the shoulder blades with the heel of your hand.
  4. 5 chest thrusts: turn them face-up on your forearm, head still low; press the center of the chest with two fingers 5 times.
  5. Alternate (5 back + 5 chest) until the object comes out or they lose consciousness.
  6. If they become unresponsive: start infant CPR immediately.

Never with an infant

  • Abdominal thrusts (Heimlich) — they injure the organs.
  • Blind finger sweeps in the mouth if you can't clearly see the object.
  • Shaking them or holding them upside down by the feet.

Prevention

Cut food lengthwise for small pieces (grapes and carrots especially), and keep away anything smaller than a coin — balloons, magnets and button batteries are the most dangerous.

This content is for general health education only and is not medical advice. Always seek guidance from a qualified healthcare professional. In an emergency, call 998.

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