Choking infant (under 1 year)

Infant Choking

Infant Choking: Signs, Causes, & First Aid Response

What is Infant Choking?

Choking occurs when an infant has difficulty breathing due to a partial or complete airway blockage. Since an infant’s airway is smaller, they are at higher risk of obstruction from food or small objects.

First Aid for Infant Choking: Step-by-Step Guide

Step 1: Call Emergency Services

  • Immediately dial Triple Zero (000) for an ambulance.

  • Follow the DRSABCD Action Plan (Danger, Response, Send for help, Airway, Breathing, CPR, Defibrillation).

Step 2: If the Infant is Conscious

Perform 5 Back Blows

  1. Position the infant face-down on your forearm, supporting their head and shoulders.

  2. Hold their mouth open with your fingers.

  3. Deliver 5 sharp blows between the shoulder blades using the heel of your hand.

  4. Check after each blow—remove any dislodged object carefully.

If Still Choking: Perform 5 Chest Thrusts

  1. Place the infant on their back on a firm surface.

  2. Use two fingers (index & middle) on the lower half of the breastbone.

  3. Give 5 sharp chest thrusts (slower and sharper than CPR compressions).

  4. Check after each thrust—remove any loosened obstruction.

If Obstruction is Cleared

  • Position the infant head-down on your forearm.

  • Sweep out any remaining debris with your little finger.

If Obstruction Persists

  • Alternate between 5 back blows and 5 chest thrusts until help arrives.

Step 3: If the Infant Becomes Unconscious


Preventing Infant Choking: Safety Tips

  • Avoid small, hard foods (nuts, popcorn, grapes).

  • Cut food into tiny pieces.

  • Keep small objects out of reach.

  • Supervise infants during feeding.

Act Fast—Save a Life!

Knowing how to respond to an infant choking can prevent tragedy. Always seek emergency medical help after an incident.

Monitor for vital signs

Key Signs & Symptoms of Choking in Infants

  • Clutching the throat

  • Coughing, wheezing, or gagging

  • Difficulty breathing, speaking, or swallowing

  • Inability to cry or make sounds

  • High-pitched or “crowing” noises

  • Blue discoloration (face, lips, neck, fingernails)

  • Loss of consciousness

Common Causes of Infant Choking

  • Food blockage (e.g., small pieces of fruit, nuts, or bread)

  • Small objects (e.g., toys, coins, buttons)

  • Foreign materials (e.g., vomit or mucus)