My daughter is almost 8 months and I started finger food for her. Last night I was feeding her small chunks of apple. She has not grown any tooth. My parents kept warning me, “You cannot feed her that chunk. It is too big.” I kept thinking, “It is OK. It is not too hard to swallow”. All of a sudden, she choked, and started coughing. Her face turned red and she could not breathe for a moment. I grabbed her from her high chair and gave her back blows. She threw up the stuff in her entire stomach. I was still shaken with panic and my baby started babbling. She was all right, but I am still so guilty. The lessons learned from this accident are, “Always Be Careful; Do Not Rush to Feed Baby Solid or Finger Food Before She is Ready; Be Prepared for Emergency Case.” Here is a Chinese article about infant first aid for choking, I hope this is helpful.
婴幼儿窒息急救指南
孩子清醒状态
1.把一只手放在他的背部来支撑他的头和颈部,另一只手用拇指和其他手指捏住他的下巴,前臂平放在婴儿腹部上。
2.把婴儿旋转脸部朝下,头低于躯干,用你贴在大腿上的前臂支持孩子的腹部
3.用掌根部在婴儿后背中央快速捶打五次。
4.如果异物未出来,则把孩子再次翻转脸朝上,用前臂支撑背部,头低于躯干,把食指和中指并拢放在婴儿胸骨上迅速压四次,每次压迫深度达0.5-1英寸。
婴儿不清醒或不呼吸了
1.用一只手的拇指放在下牙床上,其他四指放于下颌开口腔,下巴抬高,在孩子喉咙后部有何异物堵塞,如果发现了,则用另一只手小指沿婴儿两颊部的一侧伸入,到达舌根部,把物勾出来。
2.人工呼吸。把婴儿头向后倾斜,抬高下巴,用你的嘴唇完全持住婴儿的鼻和嘴。吹气两次,每次约一秒半,要有足够的气力使孩子的胸部鼓起来。
3.如果空气没有进入婴儿肺部,重新开始捶打后背,可持续重复这一过程。
记住:在孩子未把异物咳出,不呼吸、不哭、不咳嗽以前,不要放弃抢救,直到救援人员赶到或已到达医院为止。
1岁以上小儿窒息时急救方法
小儿清醒状态
1.抢救者跪在或站在孩子身后,用你的胳膊围住小儿腰部,一手握拳,拳头上的拇指放在小儿肚脐上,正好在小儿胸骨下方。
2.另一只手放在拳头上,迅速向前推压小儿腹部。对于较小儿动作要轻柔,重复上述动作,直到物体被喷出。
3.如果仍不能使异物喷出,则按1岁以内婴儿不清楚时的抢救方法1。
小儿不清楚
1.让小儿躺下,脸朝上,在小儿脚边跪下(或跨在小儿腿两侧)把一掌根平放在小儿肚脐上,正好在胸骨下方。把另一只手放在拳头上,两只手的手指都指向孩子的头部,用快速向前的推力压小儿腹部。可重复这一动作,直到异物被吐出。
2.如果孩子仍不呼吸则立即人工呼吸。方法基本同1岁内婴儿不清楚时的抢救方法2,只是用一只手把小儿鼻腔捏住,只用嘴对嘴吹气。
3.如果不能吹气入肺部,则此处所述1.2方法交替重复使用,直到得到救援。
摘自中华母婴网
More Info:
Infant First Aid for Choking and CPR: An Illustrated Guide