In an unresponsive infant with choking, what is the recommended action?

• A. Back blows
• B. CPR
• C. Heimlich maneuver
• D. Call for emergency help

Answer: (B)

When an infant is choking and becomes unresponsive, the priority is to start CPR. This provides both ventilation and circulation, which can help move air past the obstruction and supply oxygen to the body while you work to relieve the blockage. In an unresponsive infant, back blows or a Heimlich maneuver aren’t the appropriate next steps because the airway isn’t protected by a conscious, breathing child; CPR is the action that directly maintains life-supporting functions. Begin with chest compressions (about 30) using two fingers on the chest, then give 2 gentle breaths that cause the chest to rise, and continue cycles until help arrives or the infant shows signs of movement. If another rescuer is available, have them call emergency services and assist with CPR as needed.