How to Deal with a Choking Baby
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Paramedic, Steve Furnell from the London Ambulance Service demonstrates to a new mother what to do if her child is choking. His first piece of advice is to stay calm, then he shows how to do back slaps and chest thrusts to clear baby's airways.


Jenny Hutchinson: Now recently I had my first fight with Alba, my first real fright. She just had a bath and I was changing her putting her pajamas on and she started to choke. And there was many thing I could see that she put in her mouth, there was nothing obvious. So it was quite a shock. I wasn't expecting it, came out of nowhere. It was, it was really frightening, nobody else was in the house. I couldn't call to anyone. And I wasn't really sure, what I should have done? What the correct procedure was in that instant? Steve Furnell: Well, I think the most important thing is, it must be one of most frightening experiences to see your own child would choke in front of you and it's really hard to deal. The most important thing you can do is try and stay calm. Because you need to have stay calm to be able to help your child. What you need to do is just pick up the child, turn them over, put a hand on their chest to support them. Make sure there is much surface in front of them, because what we are going to do is we are going to slap him on the back. It needs to be firm, but fair. And we do this up to five times. Just like that. Just pat, then have a quick look to see if you can see anything. If you can take it out with your little finger, you can remove it. And be very-very careful not to push things further back down through the mouth. Because that can make things worst which we don't want to do. If pat doesn't work, turn the baby over, try and keep the head tilted down, but what we now need to do is something called chest thrusts, and this is where you can push on the chest to try and remove the object with the force of air. What you need to do is place two fingers, roughly mid nipple line, on mid breast part. Just near and often the center of a chest and we do this about every three seconds and again, we do this, five times. So it's one, two, three, four, five. So do you have gone with that? Jenny Hutchinson: Yeah, that's similar. Steve Furnell: So place the baby down there. So if baby starts to choking, what are you going to do? Jenny Hutchinson: Lift her up. Put her neatly, and have my arms support her. Pat her five times. Five firm. Five, Check, check her mouth. Steve Furnell: That's perfect. Then we see if anything has come out and keep watching for it. The pat hasn't work, what would you do now? Jenny Hutchinson: So now, take her back in my arm. Check her mouth. Nipple line, two fingers. Steve Furnell: Yeah, that's right. Jenny Hutchinson: And then press down three seconds each. Steve Furnell: That's right. Jenny Hutchinson: One, two, check her mouth. Steve Furnell: That's it. Jenny Hutchinson: And that's five times as well. Check her mouth. Check if I see anything, get my finger in, but make sure I don't push it further down in mouth. Steve Furnell: Exactly, do make sure you don't push it further down. One of the things we don't want to use, if I can just take baby for a minute. One of the things what we used to teach, but we are now trying to discourage people from doing is actually holding a baby upside down by the ankles. We used to say people, hold them up the ankles and pat them on the back, but the problem is, is it can cause neck injuries, which is what we want to try and avoid actually doing. So and also, when you are panicking, there is always this whole -- Jenny Hutchinson: You might drop. Wiggling baby. Steve Furnell: On the floor. So we only now do the back slaps and the chest thrusts. Happy with that. Jenny Hutchinson: Happy with that. Steve Furnell: Well done. Jenny Hutchinson: Thank you.