Airway obstruction in infants and children is unfortunately too common in event. There will be different and perhaps many challenges to a baby or child's airway during their life. But there's a point at which we have to as parents and care providers step in and actually remove these items that can happen by a number of means. First, quickly take a look inside the mouth and see if there's anything that you can visualize and get on your own. If you can, go into the mouth with the small finger, baby finger hook around the item and try to pull it out. If that is not working, then it is immediately necessary to turn the baby in a gravity friendly position supporting the head and neck with one hand and strike with moderate size blows right between the shoulder blades, up to five times. One, two, three, four, five, turn the baby so their face up still pointed down and push on the CPR spot up to five times. One, two, three, four, five, check the mouth again for any changes or the possibility the item is now gettable and we'll go from there. Continue this effort of back blows and chest thrust until the item comes out or the infant or child becomes unconscious and lifeless at which point CPR is indicated. We go directly to 30 pumps and attempt to blow air in twice.