Health & Safety
Walden University

Creating a Child Health, Safety, and Nutrition Blog

Section 3: CPR and Choking Emergencies

Scenario 1 Conscious Choking Child

A four year old boy in a preschool setting is choking on a piece of chicken nugget. The proper emergency procedure is:

    Ø First assess the situation: can the child speak, breathe, or cough

    Ø Stand or kneel behind the child

    Ø Firmly strike the child 5 times in the back with the heel of your hand (back blows).

    If child is still struggle to speak, breathe or cough

    Ø Proceed with abdominal thrust

    Ø Place arms around the child waist and make sure they are bending forward

    Ø With a fist clenched place fist above the navel

    Ø Place other hand on top of the clenched fist, thrust hands into abdominal with a hard upward thrusting motion

    Ø Repeat until lodge object comes out of the mouth

Scenario 2 Child Need CPR

A five year old girl in the preschool setting needs CPR

    Ø Check for responsiveness: Tap or shake the child shoulder and call her by name loudly

    Ø If child is unresponsive yell for someone to call 911. If alone, shout for help and begin CPR

    Ø Open airway/ check for breathing

    Ø Do 5 cycles of 30 compression to 2 rescue breathe

    Ø Continue until someone else who is certified to take over or 911 professional responders rescue arrives

Advance Planning

When considering procedures it is helpful to have an advance planning checklist available. Where everyone knows their duties and responsibilities, advance planning is a guide for everyone involved in knowing emergency response.

The plan is to integrate and designate a plan of actions in which roles and responsibilities are established. An advance plan is the best way to be informed in preventing casualties, reduce injuries and save lives. Advance planning help people move from danger to safety in the event of a disaster, evacuation or an emergency.

Having an advance plan alleviates panic…ensures that everyone respond efficiently and quickly…to an emergency. A plan establish, evacuation routes and exists. A plan is an established chain of command, delegating and coordinating the responsibilities of people to work together in a crisis. In the event of an emergency the plan should include emergency contact numbers, of next of kin and medical information.

The necessary steps adults must take to ensure they are prepared in the event of a crisis…is to assure that students and staff have been trained or briefed in what to do in a crisis. In taking the steps the adults should acclimate themselves to the evacuation plans and exits. Practice drills, update and conduct a formal review of the school safety polices and procedure. Adults also should have an adequate plan of action in how, where and whom will contact parents in the event of a crisis and what their role will be. Adults should be trained in CPR and first aid…review, and run practice drills. Also the plan should consist of actions required for extra assistances needed for physically challenged or disabled individuals. Adults will need to have an emergency binder with student’s roster, emergency contact numbers and name tags available. To positively handle any emergency situation…accurate knowledge and communication is key.


American Heart Association: CPR and Emergency Cardiovascular Care HomePage.jsp (Includes listings for courses on CPR and emergency cardiovascular care, including Heartsaver Pediatric First Aid, which was designed specifically to meet the needs of childcare workers)

American Red Cross: Prepare for Emergencies with American Red Cross First Aid, CPR and Automated External Defibrillator (AED) Courses (Includes descriptions of training in American Red Cross First Aid and CPR)

Robertson, C. (2013). Safety, nutrition, and health in early education (5th ed.). Belmont, CA: Wadsworth/Cengage Learning.

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