Call 911 or your local emergency number. Immediate emergency treatment is necessary.

If the child stops breathing before emergency help arrives, begin CPR.

See: CPR in an infant under 1 year old

Steps to take if the child is vomiting:

• If you don't think there is a spinal injury, turn the child's head to one side to prevent the baby from choking and breathing in vomit to the lungs (aspiration).
• If you do think there is a spinal injury, CAREFULLY roll the child's whole body to one side at the same time (as if rolling a log) while protecting the neck to prevent choking and aspiration.

• DO NOT pick up or shake the child to wake him or her up.
• DO NOT attempt to give the child anything by mouth.

Call your health care provider if a child has any of the above signs or symptoms, regardless of how severe they are. Also call if you think a child has shaken baby syndrome.