Choking — DCH MCQ

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ModeratePaediatric emergenciesChokingDCH

A 15-month-old child suddenly begins choking while playing with small toy parts. She has a loud, effective cough, is crying and remains fully responsive, with an oxygen saturation of 98% in air. What is the most appropriate immediate management?

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Correct answer: C — Encourage coughing and monitor continuously

The correct answer is C. A loud cough, crying and full responsiveness indicate an effective cough and partial airway obstruction. The child should be encouraged to continue coughing and monitored continuously for relief of the obstruction or deterioration. External manoeuvres may convert a partial obstruction into a complete one. Back blows are indicated if the cough becomes absent or ineffective; if these fail, abdominal thrusts are appropriate in a conscious child older than 1 year. A blind finger sweep may push the object further into the airway. Rescue breaths and paediatric basic life support are not indicated while the child remains conscious and is breathing effectively.

Reference: NHS. How to stop a child from choking, section 'Tips on helping a choking child'. Last reviewed 28 October 2024. https://www.nhs.uk/baby/first-aid-and-safety/first-aid/how-to-stop-a-child-from-choking/