Procedures based on BLS for healthcare providers, Dallas, 2010, American Heart Association. This section may be photocopied and distributed to families. 1. Look at the infant to see if he is having difficulty breathing. 2. If the infant is not making sounds, appears to be choking, has a dusky color, and has difficulty breathing, take action immediately. a. Position the infant face down on your forearm. Hold the head and neck firmly with one hand. If the infant is large, it may be necessary to support his weight on your thigh. b. Give up to five quick blows between the shoulder blades with the heel of your hand (Figure 1). 3. If this does not remove the object, turn infant over and give up to five chest thrusts. Do not perform abdominal thrusts in an infant. a. Draw an imaginary line connecting the child’s nipples. b. Place your middle and ring fingers on the breastbone at the imaginary line. c. Thrust straight down on the breastbone at a distance of
Wilson & Hockenberry: Wong’s Clinical Manual of Pediatric Nursing, 8th Edition
Patient Teaching Guide
Caring for the Choking Infant*
Awake and Alert (Conscious) Infant
to 1 inch (Figure 2).
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