In older children, Heimlich maneuver. ACLS protocol should be initiated if necessary. Immediate direct laryngoscopy and removal with Magill forceps should be performed. If unsuccessful, cricothyrotomy or intubation if needed. Infants and young children should not eat nuts, popcorn, hot dogs, uncooked carrots, whole grapes, or hard candies.
Balloons are especially dangerous for young children.
Avoid small toys. Illness of young children and infants. Most serious in first 2 years of life. Also associated with parainfluenza, adenovirus, influenzavirus, rhinovirus. Majority occur during winter but can occur any season.