Be Alert For The Risk Of Choking In Children

Inhalation occurs when foreign objects enter the airways causing airway obstruction, causing a child to cough violently, wheezing, trouble breathing, and cyanosis. Foreign objects can be milk or food, water and small objects such as marbles, paper clips ... that children can put in their mouths

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The inhalation condition may only be transient as a child coughs a few hours, has a slight purple color and then resolves but there are cases of choking, cyanosis, apnea, and death. If lucky to survive children vulnerable to brain damage due to lack of oxygen, pneumonia . .




Know:
- Children suddenly cough, wheeze, may cyanosis, hiccups and respiratory failure, especially when children are eating or playing with small objects.
- Children with fever, coughing, prolonged wheezing, coughing up blood, pneumonia, and repeated pneumonia must have suspected an abnormality in the airway due to a previous inhalation inhalation without their knowledge.
Treatment:
If the child is still able to cough, encourage the child to cough strongly to remove the foreign object. If the child shows signs of severe breathing difficulties, cyanosis, apnea, coma ... we must be very calm to perform emergency movements for children
For infants and infants, do chest compressions:
Place the child on his stomach on his arms, his head sloping down low, his palms not covering his mouth or tightening his neck.



Use the other palm of your hand to slap the child 5 times between the shoulder blades. Then turn the child upside down, if breathing is difficult, use two fingers to press the baby's chest 5 times in the middle of the chest below the line connecting the nipples about 1cm. If the baby is pinky, hold the baby with a high head and hold still, if breathing is still difficult, continue performing the chest tap back many times and call the emergency team.
Absolutely not reverse the child because this way is often ineffective but easily injures the cervical spine and can drop the child to the ground.
For older children, we do the Heimlich procedure:
When the child is awake, stand or kneel behind the child, put his arms around the young person, place a fist in the epigastric region, the other hand overlap, abruptly and quickly emphasize from bottom to top and From front to back, do it 5 times (H.2A).
When the child loves to place the child on his or her back, kneeling beside the child, place his hands on the area under the breastbone, suddenly press hard and fast 5 times in the direction of the baby's head.
Then check the mouth of the child if it is clear that the object is ejected and can be easily removed, then remove the object, do not hook blindly (do not see the foreign object) because doing so can push the object deeper into it, causing more airway obstruction.




In the case of failure, the procedure can be performed repeatedly until the object is pushed out and the child is breathing normally again. If the child stops breathing, tilt his / her head, lift the baby's chin, and breathe into the breath, pressing the heart outside the chest. In addition to performing the procedure of pushing the foreign object to the child, you must immediately call the ambulance team to help and take the child to the hospital.
Prevent
Airway anomalies due to choking usually occur between the ages of 6 months and 3 years as children begin to develop motor, often holding objects and putting them in their mouths. With younger children often choke milk, porridge, flour when we feed or suckle. Therefore, parents should be careful to pay attention to the following:
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- Do not allow children to eat, drink while lying down or when sleeping. Encourage them not to run around and laugh while eating.
- Choose foods that are appropriate for your child's age and make them easy to chew and swallow.




- Give children a small spoon slowly, do not yell and force the child to eat quickly because if he cries or swallows in a hurry, he will choke.
- When feeding, hold the baby in the hand with head and shoulders higher than the leg, when the baby eats the milk tilt the baby's head to the side so that the vomit does not enter the airway.
- Get all the seeds in the fruit when children eat fruits like watermelon, custard ...
- Let children play with large and hard-to-disassemble objects so that they cannot be put into their mouths, and keep small items away from their sight and reach..

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