๐ซ Choking โ Baby Under 1 Year
1
Hold baby face-down along your forearm โ head lower than chest, supporting the head.
2
Give 5 firm back blows between shoulder blades with the heel of your hand.
3
Turn baby over. Give 5 chest thrusts โ 2 fingers on centre of chest, just below nipple line.
4
Check mouth โ remove object only if you can clearly see it. No blind finger sweeps.
5
If still choking, call 999 and start infant CPR.
โ ๏ธ Never do abdominal thrusts on babies under 1 year โ chest thrusts only.
๐ Infant CPR โ Unresponsive Baby
1
Check response: shout and tap sole of foot. Never shake.
2
Call 999 โ speakerphone so operator guides you.
3
Open airway: gentle head tilt to neutral position, lift chin.
4
5 rescue breaths: cover mouth AND nose. Gentle puff โ just enough to raise chest. 1 second each.
5
30 chest compressions: 2 fingers, centre of chest, one-third depth, 100โ120/min.
6
Repeat 30:2 until emergency services arrive.
๐ก๏ธ Fever Emergency โ When to Call 999
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Any fever (38ยฐC+) in a baby under 3 months โ call 999 or go to A&E immediately.
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Non-blanching rash โ press a glass to it. If it does not fade, call 999 immediately (possible meningitis).
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Floppy, very difficult to wake, or unusually unresponsive โ call 999.
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Febrile seizure (fit) โ especially a first episode, or lasting more than 5 minutes โ call 999.
111
Fever 3โ6 months (38ยฐC+), not settling after paracetamol, or you are worried โ call 111.
Science-backed fact: Fever itself does not cause brain damage. Febrile seizures are frightening but rarely harmful. Temperature does not predict seizure risk.
๐ง Meningitis โ Signs to Know
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Non-fading rash โ purple/red spots that do not fade when pressed with a glass. Call 999.
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Bulging fontanelle (soft spot on top of head) when baby is calm and upright.
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Stiff neck โ baby cannot touch chin to chest (less reliable in babies).
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Sensitivity to light โ baby turns away from light, eyes appear painful in bright conditions.
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High-pitched unusual cry, very pale or mottled skin, cold hands and feet with fever.
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Extremely difficult to wake โ not just very sleepy, but unrousable.
โ ๏ธ If you see a non-fading rash, call 999 immediately. The rash may appear late โ act on other signs too.
โ๏ธ Suspected Poisoning
1
Do NOT induce vomiting โ this can cause more harm with some substances (e.g. acids, alkalis).
2
Call 999 or 111 immediately. Tell them what was swallowed and how much.
3
Keep the packaging โ show medical staff the product or plant involved.
4
Keep baby still and calm. Do not give food, milk, or water unless instructed by 999.
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Button batteries: if swallowed โ go to A&E immediately. Can cause serious internal burns within hours.
Prevention: Dishwasher pods, laundry pods, and iron tablets are the most common childhood poisoning risks. Lock away in childproof cabinets.
โก Febrile Seizure (Fit)
1
Stay calm. Most febrile seizures last less than 5 minutes and stop on their own.
2
Call 999 if: first seizure, lasting over 5 minutes, child not recovering, or breathing abnormal.
3
Protect from injury โ cushion head, clear the area. Do not restrain the child.
4
Do not put anything in the mouth โ including fingers. Children do not swallow their tongues.
5
Recovery position: once jerking stops, turn child onto their side and keep airway clear.
6
Note the time โ duration matters. Even if child recovers, seek medical assessment after first febrile seizure.
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Reassurance: Febrile seizures are common (2โ4% of children), rarely last long, and do not cause brain damage. They are frightening but not dangerous in themselves.