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Richard Pass: If the item appears that it is in fact too far back and there is a real problem,
and you'll see this in the infant. You'll see first of all there will be very little
if any sound at all. The further we get towards a full obstruction the less sound we have.
In the most severe cases full obstruction will be soundless. If look in the baby's
mouth and let's say I see maybe just the butt end of a grape that this baby somehow
got a hold of. She's not yet capable of eating and swallowing and chewing a grape.
I look in there. I don't know how she got this but I'm seeing something that does
not belong. I'm going to with my free hand support her
head and neck. I'm going to turn her over. Get her between my legs and with the heel
of this hand, in this case my left hand, I'm going to strike right between the shoulder
blades up to five times to try and knock this out. It looks pretty much like this; one,
two, three, four and five. If it doesn't come out and there's still
evidence that there's an obstruction, basically turn the baby quickly so she is now facing
up, but she is still pointed in a gravity friendly position. I then go to the spot that
we talked about earlier, the CPR spot, which is where the breastbone and the *** line
come together. Push directly down also up to five times. Pretty deep like such, one,
two, three, four, five. I've done up to five back blows, we're back here; one, two,
three, four, five. Flip her over and push; one, two, three, four, five.
One thing that we'd like to add is after you've done a full series of back blows
and chest thrusts, that you check the baby's mouth again. The item may have moved. It may
have been repositioned into another location. In some cases it may be safe to go in and
try and get, or you may realize that it's still stuck, in which case we advise you going
back over and continuing this cycle.