Instructions for first aid for children with a foreign body in the airway

This is an automatically translated article.

The article is professionally consulted by MSc, BS. Pham Ngoc Tiep, Children's Center, Vinmec Times City International General Hospital

Children choking on a foreign body is an extremely dangerous accident and often happens especially when children are eating or drinking something. Children who choke on a foreign body in the airway, if not given first aid promptly and properly, will cause many complications, even death. Therefore, parents need to know how to handle when children choke on foreign objects to ensure the safety of their children.

Children choking on a foreign body in the airways can happen in daily life because of reasons such as: Habit of putting objects in their hands into their mouths, foreign objects falling into the airways when children take a deep breath or laugh, cry... Foreign objects fall into the airways due to paralysis of the throat or simply food stuck in the airways causing the child to choke on the relic.
First aid for children choking on a foreign body is very simple, but because of ignorance, many parents use their hands to hook the throat, causing the object to go deeper, scratching the throat and making it more difficult for the child to breathe and be in danger. than.
For children under 2 years of age who have a foreign body choking on a foreign body, parents should perform first aid for a child choking on a foreign object as follows: Put the child on his/her stomach with his or her head facing the ground, hold firmly to the child's neck and head. To prevent slipping, then use the heel of your other hand to pat the child's back 5 times between the shoulder blades. Continue to turn the baby over to the right hand and see if the baby is pink again, breathing and crying, and check the baby's mouth for any foreign objects and remove them. If the foreign body has not come out or the child is still unable to breathe, continue to perform chest compressions by using 2 fingers to press on the epigastrium (above the navel and below the breastbone) 5 times from top to bottom. consecutively, repeat this movement until the ambulance arrives.
For children who are over 2 years old and awake, let the child stand, the parent or first aid person will stand behind the child's back or kneel and put both arms in front of the child, One hand is clenched into a fist and one hand is overlapped with the other hand to put on the child's epigastrium and then press firmly in the direction from bottom to top 5 times. If the child is choking on a foreign body, he cannot breathe and the object has not come out, continue to perform measures from 6 to 10 times.
In case the child has a foreign body in the airway and is comatose or unconscious, put the child on his or her back, the parent or the first aid person kneeling, resting both legs on the sides of the child's thighs. Make fists with both hands and press firmly under the child's breastbone from bottom to top 5 times in a row. Perform 2 breaths, if the object is still not out and the child cannot breathe, continue to perform first aid until the object is ejected and the child cries again.
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