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When someone is choking, they'll lose the ability to speak because air can't get through. Therefore, if you ask your toddler a question and she can't reply, she may be choking. You may notice that he's having trouble drawing breaths. He may also be making weird noises when he's breathing, such as a high-pitched noise when drawing in a breath. Your toddler may be trying to cough up what's in her throat and failing. Therefore, the cough will be weak. A heavy cough likely indicates that enough air is getting through that she's not choking. Toddlers who aren't breathing may start turning blue around the edges. For instance, you may notice bluish or dusky tinges on her fingernails, lips, or skin. However, be aware that children and toddlers compensate much better than adults and may not turn blue as fast as an adult would. If the child is able to speak or breathe well, don't start Heimlich. The same goes if the child is able to cough hard. However, be watching to make sure the symptoms don't suddenly worsen. Choking can cause a toddler to pass out. See if he can look at you when you talk by asking him a question. You'll likely need this information when you call 911. You'll also need to move on to the steps for an unconscious choking toddler if he's not conscious. You can also lightly flick the bottom of a toddler's foot to check for consciousness. If you are not alone with the child, ask someone to call 911. If you are, you should try the Heimlich maneuver before calling 911. If a parent is present, quickly ask for consent. Seconds count when saving a life. If a parent is not present, Good Samaritan laws in your state should cover any action you take in good faith to save the child's life.
See if your toddler can speak. Look to see if the toddler is having trouble breathing. Look for weak coughing. Check for blue tinges. Avoid intervening if the child is able to speak. See if the toddler is conscious. Ask someone to call 911. Ask for consent.