If your child is unable to breathe, cry, talk or cough, they may be choking.
Choking can can happen during feeding, eating or playing unsupervised.
Emergency action required: Call 112 or 999 immediately if:
- your child is not conscious or is unresponsive
Ask for an ambulance.
First aid for choking in children age 1 or older
If your child is conscious but they are not coughing effectively, you'll need to give first aid.
Step 1 - cough it out
If your child is coughing effectively, encourage them to keep coughing.
If that does not work, you may need to try slap it out.
Step 2 - slap it out
Stand behind your child. Support them in a forward-leaning position.
Give up to 5 slaps to the back between the shoulder blades.
If this does not dislodge the object, you will need to try and squeeze the object out.
Step 3 - squeeze it out
Stand or kneel behind the child.
Give 5 abdominal thrusts.
Clench your fist and place it between the belly button and the ribs.
Grasp this hand with your other hand and pull sharply inwards and upwards.
Do not apply pressure to the ribs as this may cause damage.
Emergency action required: Call 112 or 999 if:
- your child is still choking
- you have not already called
Step 4 - call 112 or 999
Keep doing 5 back slaps and 5 abdominal thrusts. Do this until the object pops out, the ambulance arrives or your child is unresponsive.
Important
If your child is unresponsive, you will need to begin cardio pulmonary resuscitation (CPR).
The emergency phone operator will guide you through how to give CPR.
If you see the object during CPR, remove it with your fingers. Do not place your fingers into your child's mouth if you cannot see the object.
If the object comes out, you should still get medical help. This is in case part of the object remains or your child gets injured during the procedure.
Anti-choking devices are not recommended
Do not use anti-choking devices if your child is choking. These are devices that clear the airway by using suction. There is not enough research on how well they work and how safe they are.
If you use an anti-choking device it could delay you from getting the correct treatment for choking.
Always follow the first aid steps for choking in children age 1 or older.
First aid apps
The St John Ambulance Ireland App is a free app for your phone.
First aid training
Training in how to give basic first aid to babies and children is available.
Organisations that offer this include:
Irish Red Cross
Phone: 01 642 4600
Order of Malta Ireland
Phone: 01 643 0000
St John Ambulance Ireland
Phone: 01 668 8077
CPR training
The Irish Heart Foundation offers certified training in CPR.