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The Anti-Choking Cheat Sheet

How to prevent choking -- age by age

Babies under 12 months

It's a no-brainer, but we'll say it anyway: Avoid all round, firm, sticky foods, such as:

  • whole nuts and seeds
  • fruit chunks
  • chunks of meat or cheese
  • raw fruit and vegetables
  • popcorn
  • whole grapes and dried fruit pieces, including raisins
  • hot dogs
  • chunks of peanut butter
  • hard or sticky candy, including chewing gum
  • honey

When your baby graduates to finger foods, keep them pea-sized and soft, or at least very easily gummed, like O-shaped cereal. And a special reminder about honey: It contains botulism toxins, which can make young children sick. Hold off until at least after age 1, when their bodies have matured enough to fight it off.

Kids 1 to 4

Choking prevention at this age is all about the prep work. You can offer your toddler or preschooler many of the foods on the to-avoid list above -- as long as they're safely prepared. A few tips:

  • Cut fruit and cooked vegetables into small pieces. The American Academy of Pediatrics (AAP) recommends giving kids pieces no wider than a dime.

     

  • Cut round fruits like grapes and cherries into quarters; peanuts should be halved, larger nuts chopped down to size

     

  • Slice hot dogs and raw vegetables lengthwise into sticks (julienne style) instead of round chunks.

     

  • Spread peanut butter thinly across small crackers or bread

     

  • As for popcorn, hard candy, and gum, the AAP advises against them until age 4.

Safe eating habits for everyone:

  • Always supervise kids when they're eating.

     

  • Ban eating on the run -- when it's chow time, it's time to sit

     

  • Brush up on your first aid skills with a CPR course. Find one at RedCross.org.
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