How is partial airway obstruction treated?

Choking is the obstruction of the airway. Obstruction of the airway can be caused by food, swallowing foreign objects, laughing or crying while eating or drinking. It can also be caused by running while eating or drinking, swallowing food when not chewed enough and breathing in while eating or drinking or swallowing bone splinters.

Signs may include

  • Coughing
  • Difficulties in breathing
  • Face, neck, lips, ears, fingernails turning blue.
  • Clutching the throat.
  • Unconscious and not breathing.

Treatment of a partial obstruction

  • Follow the Basic First Aid Plan to assess the casualty
  • Encourage the casualty to relax and take deep breaths.
  • Encourage the casualty to try and cough up the obstruction.
  • Bend the casualty forward at the waist, to assist with dislodging the obstruction.
  • Call an Ambulance immediately if the obstruction is not expelled.

DO NOT Attempt to dislodge the obstruction with your fingers as this could push the obstruction further down the airway. DO NOT Use the Heimlich Manoeuvre as this can damage the internal organs.

Treatment of a complete obstruction

  • Follow the Basic First Aid Plan to assess the casualty
  • A complete obstruction is diagnosed by a casualty not being able to breathe, speak or make any sounds. This can also be recognised as a hand gripping around the throat.
  • Lean the casualty forward and bend them over at the waist.
  • Give up to five (5) hard blows between the shoulder blades, pausing between each blow to see if the obstruction has been dislodged.
  • If the airway is still blocked, give five (5) chest thrusts to the middle of the chest the same as performing chest compressions to try and expel the obstruction, checking after each thrust. This should be done against a hard surface.
  • If the casualty becomes unconscious, perform CPR and call for an Ambulance immediately.

Treatment of an obstruction in an infant or child

  • Follow the Basic First Aid Plan to assess the casualty
  • A child can be positioned over your knee while you are in the sitting position. This will allow gravity to assist in expelling the object.
  • With the child on your knees, supporting its neck and head, give up to five (5) slaps between their shoulder blades, checking between each back slap to see if the obstruction has been expelled.
  • If the airway is still blocked, give up to five (5) chest thrusts to the middle of the chest the same as performing chest compressions but using two fingers on an infant, to try and expel the obstruction, checking after each thrust.

DO NOT hold an infant by their legs, as this can pull the infants legs out of the sockets.

Treatment of an obstruction when alone

  • Rock forcibly backwards against a wall ensuring you do not hit your head. If this doesn’t work then place your abdomen over the back of a chair and force downwards to expel the obstruction.

If your child is struggling to breathe, turning blue, or has a battery stuck in their ear, nose, or throat, seek emergency medical care right away.

Airway obstruction, also known as foreign body airway obstruction, happens when a small item gets stuck in a child’s throat or upper airway and makes it hard for the child to breathe. Because of its small size, a child’s airway can get blocked when a piece of food or a small, round object like a coin or marble gets lodged in their throat. Other common household items like drapery cords or plastic bags can strangle or suffocate a child.

On average, 5,000 children, ages 14 and under, are treated in hospital emergency rooms each year for airway obstruction. The majority of these children are ages 4 and under.

More than 650 children die in a given year from choking, strangulation, suffocation, or getting trapped in a household appliance or toy chest.

How to reduce the risk of airway obstruction

Cut food into small pieces

The American Academy of Pediatrics (AAP) recommends that children younger than 4 should not be fed any round, firm food unless the food is cut into small, non-round pieces. Young children may not chew food properly, swallow food whole, and start choking. Foods to avoid or cut into small pieces for children under age 4 include:

  • hot dogs whole or sliced into circles
  • meat chunks
  • whole grapes
  • popcorn
  • peanuts and other whole nuts
  • pumpkin seeds and other seeds
  • raisins
  • raw carrots

Children younger than 4 should not be given hard candy or chewing gum.

Young children can eat hot dogs and grapes, as long as the skins are taken off and the food is cut into small, non-round pieces.

Supervise your child's eating

Always keep your eye on young children while they are eating. Sometimes, choking can occur when an older child feeds a younger sibling unsafe food. Ensure that your young children sit upright while eating, and never allow them to walk, play, or run with food in their mouths.

Keep choking hazards out of reach

Nonfood items that are small, round, or conforming can be a choking hazard to your young child. You may want to purchase a small parts tester to help determine which items are choking hazards. Make sure your child plays with age-appropriate toys, keeping small items that are a choking hazard out of reach. Check under your furniture and between seat cushions for choking hazards such as:

  • coins
  • small balls
  • balloons (inflated and deflated)
  • marbles
  • small game parts
  • small toy parts
  • safety pins
  • jewelry
  • buttons
  • pen caps
  • round coin-like batteries (like for a watch)

Remove strangulation and suffocation hazards

Children can strangle themselves with consumer products that wrap around the neck, such as window blind and drapery cords, ribbons, necklaces, pacifier strings, and drawstrings on clothing. A few tips to keep in mind to keep your child safe:

  • Tie up or cut all window blind and drapery cords, and remove any hood and neck drawstrings from your children's outerwear.
  • Do not allow your child to wear necklaces, purses, scarves, or clothing with drawstrings on playground equipment.
  • Do not allow your child to play on beanbag chairs that contain small foam pellets — if the bean bag chair rips, your child can inhale and choke on the pellets.
  • Do not allow your young child to play with shooting toys. An arrow, dart, or pellet can be a choking hazard if shot into a child's mouth.
  • Make sure the spacing between bed guardrails, frames, and all spaces in the head- and foot-boards do not exceed 3.5 inches. Small passages through which a child's body, but not the head, fit can strangle a child. This includes spaces in bunk beds, cribs, playground equipment, baby strollers, carriages, and high chairs.

Remove suffocation hazards

Infants can suffocate in soft bedding, or when a person rolls over onto them in an adult bed. Here are a few other tips to help prevent suffocation:

  • Discard plastic bags and plastic wrapping that could cover the nose and mouth and suffocate a small child.
  • Remove the doors of unused household appliances and lids from toy chests so that children can not become trapped and suffocate inside.
  • Do not let children under age 6 sleep on the top bunk of a bunk bed as they could strangle or suffocate themselves if they fall.

Place sleeping infants on their backs

The medical community recommends placing infants on their backs in their cribs to reduce the risk of sudden infant death syndrome (SIDS). Placing infants on their backs may also reduce the chance of choking. Infants may have a difficult time lifting their heads if they are face down. The crib should adhere to national safety standards, with a firm, flat mattress. Avoid putting soft bedding, toys, and other soft products, pillows, and comforters in the crib with your infant.