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Now we have a case where an infant is conscious, but is choking.
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We know that because they're not able to move any air.
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They're not breathing, they're not coughing, they're not crying.
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They might be gagging, they might be trying to breathe,
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but they can't get any air movement in or out.
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If this happens, we recognize this as an emergency
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so we're going to activate emergency medical services,
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call a code, or call 911.
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Then we're going to immediately support the baby's face
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with the hand and the arm supporting the baby's torso
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making sure to have the head lower than the baby's torso and legs.
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Supporting with the leg, we're going to give five back slaps between the shoulder blades.
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1, 2, 3, 4, 5.
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Support the head and the body.
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Flip the baby over.
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With two fingers, right between the breasts, on the sternum,
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we're going to give five chest thrusts.
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1, 2, 3, 4, 5.
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About a third of the depth of the chest.
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If the object has still not come out,
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the baby is still not breathing, unable to cough, unable to cry,
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the obstruction is not clear.
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Because the baby is conscious, we do not have to necessarily look in the mouth
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to try to find the object
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because, again, the baby's conscious,
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so if it does come out, I'm sure the baby's going to let us know that.
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So we're going to return right back into the back slaps
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followed by the chest thrusts, and we're going to repeat
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this process until the object comes out.
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The baby is able to breathe, cough, or cry.
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Or, the baby goes unconscious.
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And then we move to the next level of care
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for the clearing of the obstruction in the baby's airway.
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Baby, baby, are you okay?
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They're not breathing, they're not responding.
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Help! You in the plaid shirt. Go activate the emergency medical services
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and return - I might need your help.
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They're not moving any air: not crying, not breathing.
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Still no crying, no breathing.
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Still doesn't seem to have come out.
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At this time, the baby started crying and gagging.
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I monitor the child.
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Make sure that they're okay and they recover well and that their color gets better.