How to Prevent Choking and Perform the Heimlich Maneuver

Choking on food or objects is one of the most common reasons for permanent damage and death in children under four years of age.

The mechanism for chewing and swallowing is underdeveloped in this age group and so they are more likely to inhale food or an object into their trachea. In addition the trachea itself is quite narrow at this age which exacerbates the possibility of choking on food or small objects. Foods that are round or hard are the most common sources of choking and include: grapes, hot dog, olives, apple, carrot, popcorn, Bisli, raisins and candy. These foods are very easily inhaled into the lungs during eating. In addition there is choking danger in many small toys but especially: marbles, Lego, metal cubes, and toys that can be disassembled to small pieces.

How can one prevent the tragedy of a choking child:
1. While eating-make sure the child is next to the table. Be careful that the child is not eating during walking or running.
2. Cut food into very small pieces, especially round foods like hot dogs and grapes. Cut both lengthwise and widthwise.
3. Avoid all types of nuts, seeds, Bisli until age 4.
4. Games with small pieces should be played on a high table and not on the floor. When the game is completed, be careful to collect all the pieces and place the game out of reach.
5. Beware of plastic bags! Make sure the bags are kept in high and secure place. Children can place the bags on their head and, G-d forbid, choke.
6. It is worthwhile for every parent to learn what to do in case of choking or if a child stops breathing :the Heimlich maneuver and CPR.