What should I do if my child chokes on a foreign body in the trachea?

Infants and young children have not erupted or erupted incompletely, their chewing function is not mature, their swallowing function is not perfect, and their tracheal protective reflex is not sound. When a foreign body falls into the trachea, the most prominent symptom is a violent irritating choking cough, because the trachea or bronchus is partially or completely blocked by foreign bodies, there is shortness of breath, but also because one side of the bronchial obstruction, while the other side inhaled more air, the formation of emphysema, larger or small angular foreign bodies (such as dates) can block the large trachea, a short period of time can occur suffocating death. There is also a soft foreign body (such as sauerkraut strips) inhaled just across the crest of the tracheal branches, like across the saddle, although only partially obstructed, but become a long-term tracheal irritants, the child will be long-term cough, fever, and even lead to pneumonia, lung abscess formation, can also put the child to death. For infants and toddlers, parents can immediately lift their legs upside down with their head hanging down while patting their back. This will force the foreign body to cough outward through the foreign body’s own gravity and the impulse of the gas in the chest cavity when choking and coughing. Push the abdomen method can let the child sitting or standing, the rescuer stands behind it, with two arms holding the child, one hand clenched fist, thumb inward on the child’s umbilicus and fenestra, with the other palm pressure fist, rhythmically push upward and inward to promote the diaphragm to lift, compress the lung bottom to let the lungs produce a strong airflow, so that the outward rush from the trachea, forcing the foreign body with the airflow straight to the mouth, will be excluded. If the above methods do not work or if the situation is urgent, the child should be sent to the hospital immediately, and the doctor will perform tracheoscopic forceps or tracheotomy according to the condition. Tracheal, bronchial foreign body tracheal, bronchial foreign body is the inhalation of peanut rice, beans, packets of rice, melon seeds and other things through the mouth into the trachea, causing severe choking and coughing, breathing difficulties and even asphyxiation emergency. Children aged 9-10 months, no matter what kind of small things they see, as long as they are placed where he can touch, he will pick them up and put them in his mouth, when the infant tilts his face up and cries and laughs or suddenly inhales, it is easy to inhale the things in the mouth into the trachea. Once a foreign body is inhaled into the trachea or bronchus, it can rarely be coughed out naturally. Anhui Provincial Children’s Hospital ENT Department Chengzhao caused by the trachea, bronchial foreign body types to peanut rice, beans, packets of rice grains, melon seeds and other plant-based foreign bodies are most common, but also such as fish spikes, bone fragments, pins, stones, etc.. Larger foreign bodies accidentally inhaled into the trachea may cause immediate asphyxiation and death in time for resuscitation. Jelly, in particular, is particularly dangerous, so the state has expressly prohibited the production of certain sizes of jelly to prevent accidental death caused by inhalation in children. In such an emergency, the adult should make the child upside down, then slap its back and try to use the pressure of the child’s chest cavity to squeeze out the jelly. He especially reminded: do not let the child in a panic continue to deep jelly into the lungs, to quickly send the child to the hospital with advanced equipment rescue. Foreign body into the trachea, first irritate the lining of the trachea cause choking and coughing. Later, the foreign body can be heard with the airflow upward hitting the subglottic area of the sound tapping sound, which is aggravated when coughing. Wheezing sound can also be heard. Foreign bodies in the trachea and bronchi are life-threatening emergencies for children, and suspected foreign body inhalation should be seen immediately at a hospital laryngology department for timely removal. In the process of transport to the hospital, parents should remain calm, coax the child not to cry and reduce activities to avoid asphyxiation caused by the movement of foreign bodies. Pediatric tracheal and bronchial foreign body is a completely preventable disease, and the first step is to do publicity work. Young parents and childcare providers should educate children on good hygiene habits. When children are eating, adults should not tease children with jokes and crying to prevent food from choking into the trachea. Teach children not to put small objects in their mouths to correct the bad habit of holding objects in their mouths. If you find children with objects in their mouths, you should politely persuade them to spit them out, do not use your fingers to forcibly dig them out, so as not to cause crying and aspiration into the trachea. The reason for the high incidence of foreign bodies in the airways of young children during the holidays is that melon seeds, peanuts, walnuts, pistachios and other nutty leisure food into the door, children eat while playing, playing with each other, a cry and a laugh between the very easy to inhale the trachea. Once the foreign body into the airway, the child will appear instant choking and wheezing, when blocking the airway face reddened and purple, breathing difficulties, serious will also suffocate; there are some children appear intermittent choking cough or always cough more than a few days of medication is ineffective, then you should think about whether there is a foreign body in the airway. Once the child is found to have foreign bodies choking into the trachea, the child should be sent to a specialist hospital in a hurry at the first opportunity, do not take a chance.