The 15-month-old you are treating is in respiratory arrest. pulse still present at 108, skin is cyanotic. mom states the baby was fine a minute ago and when she came back, her daughter wasn't breathing. you open the airway and make an attempt to ventilate but no air goes in. you reposition the child with padding under her shoulders and reattempt ventilations, but still no air entry is achieved. what is your course of action now?

The course of action is performing a series of 5 back blows by kneeling to the side and just behind the 15 month old.  Place your arm across the chest for support. Bend the child over at the waist in order that the  upper body is in ground parallel . exhibit five separate back blows in between the child's shoulder blades with assistance of the heel of your hand, then apply 5 chest thrusts or the Heimlich maneuver. This a first aid for choking and the signs and symptoms exhibited by the 15 month old is choking. 

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