# Choking infant (under 1 year) If the patient becomes blue, limp or unconscious, follow ! DRSABCD and call triple zero (000) for an ambulance. Signs and symptoms

clutching the throat

coughing, wheezing, gagging

difficulty in breathing, speaking or swallowing

making a whistling or ‘crowing’ noise, or no sound at all

blue lips, face, earlobes, fingernails

loss of consciousness

What to do 1 Immediately call triple zero (000) for an ambulance. Stay on the phone. 2 Place the infant with their head downwards on your forearm, supporting the head and shoulders on your hand. 3 Hold the infant’s mouth open with your fingers. 4 Give up to 5 sharp blows to the back between the shoulders with the heel of one hand, checking if the blockage has been removed after each blow. 5 If the blockage has come loose or been removed, turn the infant into the recovery position and remove any object that may have come loose with your little finger. 6 If the blockage has not been removed after 5 back blows, place the infant on their back on a firm surface. 7 Place 2 fingers on the lower half of the sternum and give up to 5 chest thrusts, checking if the blockage has been removed after each thrust. Support the infant’s head with the other hand. 8 If the blockage has not been removed after 5 thrusts, continue alternating 5 back blows with 5 chest thrusts until medical aid arrives. 9 If the infant becomes unconscious, start CPR.