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In the Spotlight

A Split Second is All it Takes for a Child to Choke

By Lee Philips, M.D.
PersonalMD.Com Advisory Board

 

Choking is also called Cafe Coronary .
"Cafe coronary" is poorly named because it has nothing to do with a heart attack.
"Cafe coronary" is blockage in the upper airway, usually caused by food or vomit stuck in the throat. The blockage causes choking and can be life-threatening. Learn More

The Heimlich Maneuver

There are few experiences more frightening than seeing your child choking and gasping for air. If you have children you know they are fascinated by all sorts of objects and everything goes straight to their mouth.

Popcorn, balloons, toys are all items you might find in an average home. And, all of these items pose a potential choking hazard, especially in young children, because they can easily lodge in a child's small airway. Anything that fits inside a child's mouth can be a danger.

Choking occurs when suddenly, an object is swallowed, goes down the wrong way, and lodges in the windpipe. The transport of oxygen to the brain is blocked and without oxygen for as little as four minutes brain damage and death can occur.

Eating does not come naturally

Young children are still learning to eat solid food. From the time children are weaned from the bottle until about the age of four, children are mastering the skill of chewing, swallowing and breathing simultaneously. Mealtime should be kept quiet with no running or playing around. If a child becomes distracted or excited while eating, the food could easily be inhaled into the windpipe.

Children under age four are also more likely to choke on small, hard, smooth food because they do not have the back teeth needed to chew and grind food properly.

The most dangerous are foods such as hot dogs, chunks of cheese, hard candies, nuts, grapes, carrots and popcorn. These can easily form a perfect plug in a child's airway. Make sure that food is an appropriate size for the age of the child, it should be grated, mashed, or chopped into bite sized pieces before being fed to a child.

Peanuts and hard candy should be avoided altogether. An older child is more likely to spit out something that is too hard or large to chew. This doesn't mean a child older than four can't choke; a person of any age can choke on food.

Toys are meant to be fun

By following a few simple, yet vital safety tips, parents can assure that toys are safe. Select toys to suit the age, skills, interests, and abilities of the individual child. Toys too advanced may pose safety hazards to younger children. Be a label reader.

Look for labels that give age recommendations and use that information as a guide. Toys labeled as not recommended for children under three years of age, may contain small parts which may pose a choking hazard to young children.

Never buy vending-machine toys for small children; these toys do not have to meet safety regulations and often contain small parts. Inspect old and new toys regularly for strength and parts that could come loose and become a choking hazard. You can check the safety of a child's toy with a toy-testing cylinder or toilet paper tube.

If toys can pass through the cylinder, toys or components of toys are small enough for children to choke on if the toys are placed in their mouths. A colorful balloon is meant to brighten someone's day, but balloons pose a special hazard.

It may surprise you to learn that balloons are the leading cause of choking deaths other than food, in children under the age of three and a common cause of choking up to age 8. Balloons can easily glide into the windpipe causing a complete obstruction. Keep all balloons, whether deflated, inflated or burst out of your child's grasp.

Because there are so many small objects around the house, it's important for parents to constantly be aware of objects that a child could choke on. Parents should check their child's play and sleeping area daily for small objects such as beads, buttons, jewelry, tacks, batteries, coins, toy parts, marbles, safety pins, batteries.

Anything smaller than a baby's mouth should be kept out of their reach. Even with proper supervision and vigilance on your part, choking accidents can still happen. Knowing the right steps to take before an emergency can save your child's life.

Parents should learn what to do for a choking child by taking a child CPR class through the local American Red Cross or American Heart Association. The class is usually 8 hours long and covers child safety, first aid, and CPR including the Heimlich maneuver for children of different ages.

 

 

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