The first thing to do when you see a baby struggling to breathe is check whether she can cough or make sounds. If she can cough firmly, then let her cough to try and dislodge the object that is obstructing her breathing. If you are worried about her breathing and she cannot dislodge the object through coughing you should call for emergency medical help. If your baby can cough forcefully or cry strongly do not attempt the following steps to dislodge it. Instead, monitor her closely until you know the blockage has been dislodged. Be ready to act if the symptoms worsen and persist. If the baby cannot cough, cry, or make any sounds or at all, you should immediately check if he is breathing. Danger signs for choking also include your baby having only a weak and ineffective cough, or only making soft high-pitched sounds when he breathes in. Look to see if the baby is turning blue, losing consciousness, or is waving his arms desperately without making any sound; quickly check his chest to see if it's moving up and down, and listen for breathing sounds.  If you can see the obstruction in the baby's mouth or throat and it is easily accessible you can remove it, but do not feel around in the baby's throat. You risk pushing the obstruction in further.  You should not try to grab and pull out the obstruction if the baby is conscious.  If the baby is unconscious, remove any visible objects from the mouth and begin CPR until the ambulance arrives. Be aware that there may be resistance to inflation initially until the stuck object is removed. . If a baby is choking you should call emergency services before you begin to administer first aid. If possible, ask someone else to make the call, as you start to clear the baby's blocked airway. If you are alone, shout for help but don't leave the baby and be sure to continue to administer first aid. If your baby has been choking, you should always call your doctor afterwards. Do this even if the obstruction has been removed and she appears to be breathing normally.
لاحظي إذا ما كان الطفل يستطيع السعال أم لا. تفحّصي تنفس الطفل. اتصلي بالإسعاف.