112
FAMILY ILLNESS
Breathing problems( children)
For adults and children over 12, see p. 110 Noisy or rapid breathing and shortness of breath indicate breathing problems. Such problems may not be obvious in children, who may simply avoid exertion. A child with severe difficulty breathing needs urgent hospital treatment. Breathing problems that occur suddenly also need immediate attention.
START
How long has your child had breathing problems?
Started suddenly, a few minutes ago
Started more than a few minutes ago
Is it possible that your child is choking on food or a small object?
Possible
Unlikely
Are any of the danger signs listed in the box above present?
! Danger signs
Dial 911 or call EMS if your child’ s breathing rate is excessively rapid( see advice on checking your child’ s breathing rate, p. 71) and if breathing problems are accompanied by any of the following symptoms:
• Blue-tinged lips or tongue.
• Abnormal drowsiness.
• Inability to swallow, talk, or produce sounds.
ACTION
TRY SELF-HELP MEASURES An inhaled object may be causing difficulty breathing. Follow the first-aid advice for choking( pp. 22 – 24).
DIAL 911 OR CALL EMS
! if object is not dislodged immediately.
ACTION
CALL YOUR DOCTOR NOW The cause of these symptoms could be a serious lung infection such as bronchiolitis( inflamed small airways in the lungs).
• Keep your baby sitting up, if possible in a steamy bathroom.
Danger signs present
No danger signs
How old is your child?
Under 6 months
ACTION
DIAL 911 OR CALL EMS
! Your child may have a serious respiratory problem.
• If your child stops breathing, follow the first-aid advice for giving rescue breaths( pp. 16 – 17).
6 months or over