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Tips to Prevent Choking

Baby crawling away as mom talks on the phone in the background.

By Shayna Codrey, NP, Premier Pediatrics

When babies begin exploring the world – crawling, grabbing, tasting everything – it’s a time of exciting growth. It’s also a time when parents and caregivers need to be extra vigilant, as children under the age of 5 have an increased risk of choking on food or small objects.

Common Choking Hazards

Some foods pose a higher choking risk for young children, especially those who haven’t yet mastered chewing and swallowing. A few examples include:

  • Uncut hot dogs, grapes, and cherry tomatoes
  • Raw fruits and vegetables, like carrot sticks and apple chunks
  • Snacks with small pieces, like nuts, seeds, popcorn, pretzels, and chips
  • Tough or large chunks of meat and cheese, including string cheese
  • Hard, gooey, or chewy treats, like gum, marshmallows, and nut and seed butters
  • Everyday household items can also be serious choking hazards. Make sure to keep these items out of your child’s reach.
  • Balloons, which can be a risk for children up to 8 years old
  • Coins, marbles, or small balls
  • Toys or toy parts that can fit in a child’s mouth
  • Pen and marker caps
  • Button or lithium coin batteries
  • Jewelry and small hair accessories

Preventing a Choking Emergency

Many families don’t think about choking until it happens. However, with informed supervision and safer choices regarding food and household items, you can dramatically reduce the chance of a choking emergency. Enroll in a certified first aid, CPR, or emergency preparedness class to be ready if one occurs. Keep small objects and toys with tiny parts out of reach or avoid having them altogether, and perform regular safety sweeps by checking under furniture, between cushions, and in play areas.

At mealtimes, make sure children are seated upright and not walking, running, playing, or reclining with food in their mouths. For infants and young toddlers, cut food into very small pieces - no larger than about half an inch - and teach them to thoroughly chew their food. Always supervise children closely, including older children who may unknowingly give hazardous foods or objects to younger ones. 

Encourage safe eating habits by allowing children plenty of time to eat and minimizing distractions. Avoid letting them eat in the car or stroller so that mealtimes remain calm, focused, and safe.

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About This Author

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Children’s Hospital of The King’s Daughters has been the region’s most trusted name in pediatric care for more than 50 years. As members of CHKD Health System, our pediatricians work closely with CHKD’s full range of pediatric specialists and surgeons. They also share a commitment to quality, excellence and family-centered care. With various locations throughout the region, a CHKD pediatrician is never far.

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