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Choking is what happens when something gets stuck in a person's throat or windpipe, partially or totally blocking the flow of air to their lungs. In adults, choking usually occurs when a piece of food enters the windpipe instead of the food pipe. Babies and young children can choke on anything smaller than a D-size battery. Sometimes the windpipe is only partially blocked. If the person can still breathe, they will probably be able to push out the object by coughing forcefully. Be careful not to do anything that will push the blockage further into the windpipe, like banging on the person's back while they are upright. If the object cuts off the airway completely and the person cannot breathe, it's now a medical emergency. The brain can only survive for a few minutes without oxygen. What are the symptoms of choking?Someone may be choking if they:
What should I do in an emergency?Choking — adults and children (over 1 year)If the person becomes blue, limp or unconscious, call triple zero (000) and ask for an ambulance.
Choking — Babies under 12 monthsIf a baby is choking, call triple zero (000) immediately and ask for an ambulance. Stay on the phone.
Choking: What not to do
If you are choking yourselfIf you are alone and you are choking, call triple zero (000) and ask for an ambulance. Try to get someone to help you if at all possible, and keep calm. Try to clear the obstruction with a forceful cough. You can do chest thrusts on yourself to try to dislodge the object:
Recovery from chokingAfter someone has been treated for choking, they may still need medical help if:
Can choking be prevented?It's important to keep all small objects out of the reach of babies and children, including hard pieces of food like lollies and raw apple, household items like coins and batteries, small parts of toys and pebbles. To reduce the risk of choking while eating, make sure your child sits to eat rather than lying down or running around. Cut up food into small pieces and encourage them to chew well. Avoid giving your child choking hazards, such as whole nuts, until they are 5. Check the floor regularly for small objects, and make sure toys aren't broken or damaged. Avoid buying toys with button batteries. Children and adults with a disability, including cerebral palsy, epilepsy or dementia, are at greater risk of choking. Your doctor can give you extra advice about how to help them avoid choking. Resources and supportFor more information and support, try these resources: Learn more here about the development and quality assurance of healthdirect content. Last reviewed: March 2021 These trusted information partners have more on this topic.
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Air enters the lungs via the trachea (windpipe). Choking is caused when a foreign object, like a hard lump of food, a marble or false teeth goes into the trachea instead of the oesophagus (food pipe). If the object is at the entrance to the trachea (epiglottis), a good cough will more than likely push it out. If the object has made its way past the epiglottis, coughing may prevent the object from going further down the trachea. Sometimes, an inhaled object may cut off the airway completely. Choking may be a life-threatening medical emergency, because the brain can only survive a few minutes without oxygen.First aid can save the life of a choking person if applied correctly and immediately. Procedures are different for adults and children. Always call triple zero (000) in an emergency.The suggestions in this fact sheet are not a substitute for first aid training. Everyone should learn first aid skills. Symptoms of chokingA person with a partly blocked airway can still breathe, speak or cough. Symptoms include:
First aid for choking if the person is consciousTo begin with, reassure the person. Encourage them to breathe and cough. If coughing does not remove the blockage:
First aid for choking if the person is unconsciousIf the person becomes unconscious:
Cardiopulmonary resuscitation (CPR) to treat chokingFirst aid CPR procedure includes:
Performing first aid on yourselfIf you are choking:
Children and chokingTreatment for a choking child or baby is slightly different than for an adult. The most important thing to remember is never to pat or slap your choking child on the back if they are managing to cough. Your actions may dislodge the object and allow it to be inhaled deeper into the airway.Note that in a young child, their struggle to breathe may not last long and the stopping of frantic activity may signal a serious or life-threatening situation, rather than a sign that they have dislodged the blockage. Look for other signs and symptoms such as the child’s responses, a pale face, or cold and clammy skin. These are signs that the child is in shock.When a child is choking:
What to do when the child is not breathingIf the child is not breathing:
Precautions to prevent children chokingSmall children are at risk from choking on food and small items such as buttons or beads. Parents can take many precautions to reduce the risk of their child choking. The molars (back teeth) are used for grinding and mashing foods. Children don't start getting their molars until they are somewhere between 12 and 18 months of age, and it may take a further two years or more until all the molars are through and the child is very good at chewing. This means they are vulnerable to choking on hard foods such as raw carrot, chunks of apple, lollies, popcorn or peanuts.Suggestions to prevent choking include:
First aid courses for treating childrenEmergency medical treatment for young children isn't always the same as for adults, which is why all parents should take a course in paediatric (child) first aid.Where to get help
Things to remember
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