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DO NOT perform these steps if the infant is coughing forcefully or has a strong cry. Strong coughs and cries can push the object out of the airway.
If your child is not coughing forcefully or does not have a strong cry, follow these steps:
If the object does not come out of the airway after 5 blows:
IF THE INFANT LOSES ALERTNESS
If the child becomes unresponsive, stops breathing, or turns blue:
If an infant is choking:
Always call your doctor after a child has been choking, even if you successfully remove the object from the airway and the infant seems fine.
Manno M. Pediatric respiratory emergencies: Upper airway obstruction and infections. In: Marx J, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier; 2009: chap 166.
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