Choking or gagging? Here’s what to do.

Babies and toddlers are curious and explore the world by putting things in their mouths – it’s a natural part of their development. Children under eight years have much narrower windpipes than adults, and are still learning to chew, swallow and breathe in the right order, which makes them far more susceptible to choking.

Food hazards can be around anytime but at certain times of the year, like halloween, bonfire night and christmas, there are more sweets, treats and party food that can make their way into little fingers.

Here’s what to watch out for, the differences between choking and gagging and how to help a choking child.

11 COMMON CHOKING FOODS TO LOOK OUT FOR:-

1. Boiled sweets and gum should not be given to children under 4 years old. Keep an eye out for siblings with extra treats at Halloween.

2. Mini Eggs – are only suitable for children aged four and up.

3. Sausages/hot dogs – should be cut lengthways.

4. Grapes and cherries – choking on a grape is the third most common cause of death among children who die in food-related choking incidents. The size and shape of grapes means that they can completely block a child’s airways. Cut grapes and cherries lengthways not across and remove all stones.

5. Apples – should be finely chopped or grated, or cooked until they are very soft and mushy. Also peel the apple first – the tough skin can stick in your child’s throat.

6. Marshmallows – avoid giving your baby or child under the age of four. These can swell and expand if they get stuck in your child’s throat so don’t give to children under 4.

7. Raw carrots are another choking hazard recommended to not be given to children under the age of four or five. Cut into pieces, no larger than half an inch so they can’t bite little bits off themselves.

8. Nuts and peanut butter – The NHS advises that whole nuts, including peanuts, shouldn’t be given to children under five.

9. Meat and cheese chunks – cubes are perfect for getting stuck in airways so chop, chop, chop as small as you can or mush.

10. Popcorn – there have been tragic cases of young children dying after choking on popcorn. This is because young children can’t yet chew food enough to grind it down. And that could mean unchewed pieces of popcorn get stuck and block your child’s airway.

11. Cherry tomatoes – just like grapes, make sure to cut into quarters.

KNOW THE SIGNS OF CHOKING

A child who is choking may cough continuously until the food or liquid is expelled from the throat or airway. However, in some cases the object, food, or liquid becomes lodged in the throat, cutting off the air supply. Parents with babies often worry when weaning as they see their child gagging and red, panic and try to start back thrusts when in fact this could do more harm. So know the difference.

WHAT SIGNS TO LOOK FOR:-

WATCH THIS VIDEO FOR A VISUAL DEMONSTRATION OF THE DIFFERENCE BETWEEN GAGGING AND CHOKING IN BABY-LED WEANING:-

WHAT TO DO IF YOUR BABY OR CHILD CHOKES

FIRSTLY, COUGHING

  1. Encourage them to cough to try to clear the blockage. Do not leave them.
  2. If the airway is only partially blocked, the child will usually be able to speak, cry, cough or breathe. You should therefore try to remove the object if you can see it. Do not put your fingers in their mouth if you can’t see the object, as there is a risk that you will push it further down.
  3. If they are conscious and coughing isn’t working, use back blows.

SECONDLY, BACK BLOWS

  1. For children under one year or a small child, lay them face down on your forearm or thigh, with their head low supporting the back and head. Give up to 5 back blows in the middle of the back with the heel of your hand.
  2. For children over one year support your child in a forward leaning position and give 5 back blows from behind.
  3. Check the child’s mouth and remove the object if easy to do so.
  4. If they are still conscious and back blows haven’t been effective, use chest/ abdominal thrusts.

LASTLY, CHEST/ABDOMINAL THRUSTS

  1. Chest thrusts should be used for children under 1 year. Lay your child face up along the length of your thighs. Find the breastbone and place 2 fingers in the middle. Give 5 sharp chest thrusts (pushes), compressing the chest by about a third.
  2. Use abdominal thrusts for children over 1 year. Stand or kneel behind your child. Place your arms under the child’s arms and around their upper abdomen. Clench your fist and place it between the navel and ribs. Grasp this hand with your other hand and pull sharply inwards and upwards. Repeat up to 5 times.
  3. Check the child’s mouth and remove the object.

WATCH OUR VIDEO FROM CLAIRE AT CHILD MATTERS SHOWING HOW TO DEAL WITH A YOUNG CHOKING CHILD:-

NEXT STEPS

  1. If the object has not dislodged after trying back blows and chest/ abdominal thrusts, get help immediately.
  2. Call 999 and ask for an ambulance. Tell the operator the child is choking.
  3. Continue with the cycle of 5 back blows and 5 chest/abdominal thrusts until help arrives.
  4. If a choking child is or becomes UNCONSCIOUS put them on a firm, flat surface and shout for help. Call 999 and put your phone on speakerphone so your hands are free. Do not leave the child. Open the child’s mouth and if you can see the object, remove it. Do not put fingers into the mouth to feel for the object. Start CPR
  5. If the child has a persistent cough after choking or you think something is still stuck in their throat get urgent medical help at an accident and emergency department, NHS walk-in centre or from a GP.

FOR CONFIDENCE IN PRACTICING CPR OR DEALING WITH CHOKING, COMMON CHILDHOOD ILLNESSES AND INJURIES, CHILD MATTERS RUN FAMILY FIRST AID SESSIONS IN THE COMFORT OF YOUR OWN HOME. SIMPLY CONTACT US TO BOOK A TIME AND DATE CONVENIENT FOR YOU AND YOUR WHOLE FAMILY; BABYSITTER, GRANDPARENTS, SIBLINGS CAN ALL BE TRAINED IN ONE SESSION.

Here’s what a recent mum had to say on her instagram account about us:

A bit off topic but bear with me! I just spent the morning learning how to do basic first aid and CPR. It has totally blown my mind, and I can’t believe I let this slide for about 8 years! 😳 Our daughter choked on a carrot over the summer and she stopped breathing. It was absolutely terrifying, somewhere I dredged through the memory bank and managed a few back blows and then 2 abdominal thrusts and thank goodness the carrot came flying out. But it made me realise that in most emergency situations I really wouldn’t have a clue. So I would urge you all to book a refresher first aid course. If you have parents, children, a partner or look after other people’s children, or simply want to help a stranger – this is stuff we should all be able to do. Do it before you get shocked into doing it like we were. Thank you Clare @childmatters for teaching and inspiring us!! Back to saving the planet now… 😜