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Choking — MRCPCH FOP MCQ

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ModerateEmergency paediatricsChokingMRCPCH FOP

A 20-month-old child suddenly coughs while eating grapes and cannot cry or breathe effectively. He is conscious, cyanosed and has silent attempts at coughing. What is the most appropriate management?

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Correct answer: C — Give back blows followed by chest thrusts if ineffective

An ineffective cough with airway obstruction in a conscious infant or young child requires choking manoeuvres, starting with back blows and moving to thrusts if needed. Blind finger sweeps can push the object further down. Chest compressions are used if the child becomes unconscious. The pearl is that effective coughing should be encouraged, but silent cough is an emergency.

Reference: Resuscitation Council UK Paediatric basic life support