• Inability to cry or make much sound
• Weak, ineffective coughing
• Soft or high-pitched sounds while inhaling
• Difficulty breathing - ribs and chest retract
• Bluish skin color
• Loss of consciousness if blockage is not cleared

FIRST AID

1. DO NOT perform these steps if the infant is coughing forcefully or has a strong cry � either of which can dislodge the object on its own.

2. Lay the infant face down, along your forearm. Use your thigh or lap for support. Hold the infant�s chest in your hand and jaw with your fingers. Point the infant�s head downward, lower than the body.

3. Give up to 5 quick, forceful blows between the infant�s shoulder blades. Use the heel of your free hand.

1. Turn the infant face up. Use your thigh or lap for support. Support the head.

2. Place 2 fingers on the middle of his breastbone just below the nipples.

3. Give up to 5 quick thrusts down, compressing the chest 1/3 to 1/2 the depth of the chest.

4. Continue this series of 5 back blows and 5 chest thrusts until the object is dislodged or the infant loses consciousness.

If the child becomes unresponsive, stops breathing, or turns blue:

• Shout for help.
• Give infant CPR. Call 911 after one minute of CPR.
• Try to remove an object blocking the airway ONLY if you can see it.

DO NOT:

• DO NOT interfere if the infant is coughing forcefully, has a strong cry, or is breathing adequately. However, be ready to act if the symptoms worsen.
• DO NOT try to grasp and pull out the object if the infant is conscious.
• DO NOT perform these steps if the infant stops breathing for other reasons, such as asthma, infection, swelling, or a blow to the head.