- Immediately distinguish between a blocked airway and something stuck in the oesophagus. With a blocked airway, the child cannot breathe adequately; with an oesophageal blockage, breathing is often still possible but swallowing is not.
- A strong, audible cough is a protective mechanism. Encourage coughing and keep watching. A silent or weak cough, being unable to speak or cry, and turning blue are signs of severe choking.
- For severe choking, call Ambulance 912 and start age-appropriate first aid. If possible, have someone else call while you stay with the child.
- Never put fingers or tools blindly into the mouth. You may push the object deeper, damage the lining or turn a partial blockage into a complete one.
- Even if the child is breathing, a button battery, several magnets, a magnet plus metal, a sharp object or continuing swallowing problems need immediate professional assessment.
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General information, not personal medical advice
This article has been carefully prepared but may contain errors or become outdated as medical knowledge changes. It does not replace diagnosis, examination or treatment by your own GP. Always discuss personal questions and starting, stopping or changing medicines or treatments with your own GP.
For a life-threatening situation, call Ambulance 912. For urgent care outside office hours, call HAP 9252.
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