Paediatric First Aid Training Choking – Paediatric first aid training will be relevant to most people at some point in their life. If you are a parent, one of the greatest fears that most parents have is that their child/baby will become ill and you will be helpless or not be sure, exactly what to do in the event of an emergency. Even if you are not a parent, you may well have nieces, nephews or have friends with children that you may come into regular contact with, and just knowing some basic paediatric first aid may well save a child/babie’s life. Others may work with children or babie’s as part of their job, such as nursery nurses, childminders, nannies and anybody employed in a primary school environment.
One of the greatest fears for a child (age 1 to 8 years) is that the child may choke on an object they put in their mouth. Younger children are prone to putting things into their mouth as they explore things. The first thing to do is check in the mouth to see if the object is visible. If it is and you think you can remove the object, put your fingers in the childs mouth and extricate the object, if it is safe to so. If you cannot see the object, dont put your fingers down the childs mouth. Ask the child to lean forward ( gravity may help in the removal ) and cough a couple of times to see if the object can be removed. If this is unsuccessful, try to sit down and lean the child across your lap and carry out upto five backslaps using the heel of your hand between the shoulder blades. If this is unsuccessful , by standing or kneeling, place your hands around the child from behind. Making a fist with one hand, the other hand should grasp the fist. Place your hands just above the navel. Use a scooping movement (inwards and upwards) to try and dislodge the obstruction. Use this technique upto 5 times. If this fails keep trying the backslaps and abdominal thrusts, alternately. If abdominal thrusts have been successful, always have the child checked out at hospital as this technique can cause internal injuries.
If the child becomes unconscious carry out Cardio Pulmonary Resuscitation at a rate of 30 compressions to 2 breaths, whilst the child is lying down on a solid surface.
If a baby (up to 1 year of age) chokes, have a look in the babies mouth to see if the object can be removed. If you cannot see the object do not attempt to put your hands down a babies throat. Try upto 5 backslaps by lying the baby across your lap and supporting the babies head with one hand across the babies jawline. If this is unsuccessful try 5 chest thrusts by lying the baby on a solid surface and pressing down with 2 fingers on the bottom of the babies sternum.
If the baby becomes unconscious, commence CPR at a rate of 30 compressions to 2 breaths.