How to Perform the Heimlich Maneuver on a Baby

Before you Begin
This is for choking emergencies only. For first aid training, consult your local Red Cross Office for recommended instruction.


Step By Step
If a baby is choking, it is urgent that you remove the obstruction immediately. If they can breathe, talk, or cough, do nothing to them. They will probably cough the obstruction out unaided. If they can't do any of the above mentioned signs or only make a faint wheezing sound, you must immediately go into action. Have somebody call an ambulance.
Get permission from whomever is responsible for the child if they are there, otherwise you can give permission to yourself.
Hold the baby face down on your arm, with one leg pinned between your arm and torso.
Cradle their face in your hand and tilt them slightly downward.
Use the heel of your other hand to give five firm blows to the baby's upper back between the shoulder blades. Be careful with how hard you hit‹you don't want to hurt the young one unnecessarily.
If choking continues, roll the baby over on your arm and place your first three fingers on the middle of its chest. Lift your index finger and use the other two to thrust straight down five times in a row.
Using one finger, sweep the mouth clean of any objects this may have loosened. If choking continues, alternate between these two processes until the object is clear.
Make sure the child receives a medical examination as soon as possible. The immediate danger has passed, but complications can appear later from both the act of choking and the Heimlich maneuver itself.

Step By Step
FYI; when an older baby or toddler just starting solids starts choking, coughing, or gagging on food, grab their wrists and pull their arms straight up above their head, saying "Arms up!" This raises the diaphragm and almost always releases whatever is stuck. As the toddler gets older he will learn to do that on his own whenever gagging. And don't scream or panic; it frightens the child and can cause them to reject solid foods for days after.
Sara Rolling
Vancouver, WA

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Resources
How to prevent choking in a child by Virtual Hospital

Emergency procedures for a choking child from "Robyn's Nest"

List of choking and other hazards from St. Louis mom's parenting resource

Baby proofing checklist from the Childrens' Television Workshop

A site devoted entirely to baby proofing

Consumer Products safety comission list of unsafe toys

Related Services
Books on child first aid at amazon.com


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