
Halloween night is magical for kids, but it can quickly turn scary for parents when accidents happen. Between dark streets, excitement-fueled running, and bags full of candy, trick-or-treating presents unique safety challenges that every parent should be prepared to handle.
As someone who's seen plenty of Halloween-related emergencies over the years, I can tell you that most incidents are preventable or manageable with the right knowledge. That's why mastering these five essential first aid skills before October 31st isn't just smart: it's necessary for keeping your little ghouls and goblins safe.
1. Pediatric CPR: Your Most Critical Halloween Skill
When a child becomes unresponsive, every second counts. Halloween scenarios like costume-related breathing obstructions, severe allergic reactions, or accidents from running in the dark can all lead to situations requiring immediate CPR.
Here's what you need to know:
For children over one year old, place the heel of one or both hands (depending on the child's size) on the lower half of their breastbone. Push hard and fast at least 2 inches deep at a rate of 100-120 compressions per minute. After every 30 compressions, tilt their head back slightly, lift their chin, and give two rescue breaths.
For infants under one year, use only two fingers and compress about 1.5 inches deep. The ratio remains 30 compressions to 2 breaths when you're alone, but switches to 15:2 if another trained person is helping.
Halloween-specific tip: If a child is wearing a mask or face paint, quickly remove or clear anything blocking their airway before starting rescue breaths.
Remember, even imperfect CPR is better than no CPR. If you're unsure about your technique, call 911 immediately, put your phone on speaker, and follow the dispatcher's instructions while performing compressions.

2. Choking Response: The Halloween Candy Emergency
Halloween candy is a choking hazard waiting to happen. Hard candies, gum balls, and small treats pose serious risks, especially for children under four years old who might not understand the importance of chewing thoroughly.
Recognizing choking: Look for silent gasping, clutching at the throat, inability to speak or cry, or the child turning blue around the lips or face. Don't wait: act immediately.
For children over one year: Stand behind them, wrap your arms around their waist just above the navel, and deliver firm upward abdominal thrusts (the Heimlich maneuver). Continue until the object comes out or the child becomes unconscious.
For infants under one year: Never use abdominal thrusts on babies. Instead, support them face-down on your forearm, give five firm back blows between the shoulder blades, then flip them over and give five chest thrusts with two fingers on the lower breastbone. Keep alternating until the object is expelled.
Pro tip: Before trick-or-treating starts, do a quick "candy check" with your kids. Show them which treats are safe to eat right away and which ones need to be saved for home where you can supervise or cut them into smaller pieces.
3. Wound Care: Dealing with Scrapes and Falls
Kids in costumes running from house to house in the dark? Falls are practically inevitable. Whether it's tripping over a curb, getting caught on a fence, or taking a tumble on uneven sidewalks, you need to know how to properly treat cuts and scrapes.
Clean the wound immediately: Rinse cuts and scrapes under cool, running water to remove dirt and debris. If you have soap available, gently clean around (not directly in) the wound.
Control bleeding: Apply gentle, direct pressure using a clean cloth, paper towel, or gauze pad. For deeper cuts, maintain steady pressure for several minutes without lifting the cloth to "check" if it's still bleeding.
Bandage properly: Once bleeding stops, apply a thin layer of antibiotic ointment if you have it, then cover with a clean bandage. For trick-or-treating, pack a few adhesive bandages in your pocket or bag.
When to seek help: Head to urgent care or the ER for deep cuts that won't stop bleeding, cuts with embedded objects (don't remove them yourself), or wounds that clearly need stitches.

4. Emergency Communication: Getting Help Fast
During Halloween emergencies, knowing how to quickly coordinate help can save precious minutes. This skill involves both preparing your children and preparing yourself.
Prepare your kids: Make sure they know their full name, home address, and at least one parent's phone number by heart. Turn this into a fun Halloween game: maybe they have to recite it before getting their next piece of candy!
Teach simple emergency steps: Practice with your children: stop, look for a safe adult (preferably you), and if they can't find you, ask a trusted neighbor or call 911 if they're old enough.
Adult preparedness: Have emergency contacts easily accessible in your phone, know the location of the nearest hospital or urgent care, and when calling 911, speak clearly and provide your exact location, describe the emergency, and follow the dispatcher's instructions.
Halloween-specific consideration: In busy neighborhoods, it can be easy to lose track of which house you're at. Take note of house numbers and street names as you go, so you can provide accurate location information if needed.
5. Recognizing and Managing Allergic Reactions
With kids collecting and consuming treats from multiple sources, allergic reactions are a real concern on Halloween night. Food allergies can trigger anything from mild discomfort to life-threatening anaphylaxis.
Mild reaction signs: Watch for hives, mild swelling around the mouth or face, stomach discomfort, or localized itching. These might indicate the start of an allergic response.
Severe reaction warning signs: Difficulty breathing, widespread swelling (especially throat or tongue), rapid pulse, dizziness, or loss of consciousness indicate anaphylaxis: a medical emergency.
Response protocol: For children with known severe allergies, always carry prescribed epinephrine auto-injectors and know exactly how to use them. Administer immediately when severe symptoms appear, then call 911. Even if symptoms improve, emergency medical care is still necessary.
Prevention strategy: Do a thorough "candy check" before allowing consumption, especially for children with known food allergies. When in doubt, throw questionable treats away: it's not worth the risk.

Getting Properly Trained: Beyond Halloween Night
While knowing these basics can help in emergencies, there's no substitute for hands-on training with a qualified instructor. That's where proper first aid and CPR certification becomes invaluable.
At Code Blue Safety Skills, we specialize in mobile training that comes directly to you: perfect for busy parents who can't always make it to traditional classroom settings. Our instructors provide hands-on practice with realistic scenarios, including pediatric-specific techniques that are crucial for parents.
What makes our training especially valuable is that we focus on real-world applications. Instead of just memorizing steps, you'll practice responding to situations you might actually encounter: like a child choking on candy or needing CPR after a playground accident.
Why mobile training works better for parents:
- Training happens at your convenience, in your home or workplace
- Small group settings allow for more personalized instruction
- You can train alongside your spouse, babysitter, or other family members
- Practice scenarios can be tailored to your specific concerns
Preparing Your Halloween First Aid Kit
Pack a lightweight first aid kit for trick-or-treating that includes:
- Adhesive bandages in various sizes
- Antiseptic wipes
- Small flashlight with extra batteries
- Disposable gloves
- Emergency contact card
- Any prescribed medications (like epinephrine auto-injectors)
Keep this kit in a small bag or backpack that one adult can carry throughout the evening. Having supplies immediately available means you won't waste precious time running home or searching for help with minor injuries.
The Bottom Line
Halloween should be about fun memories, not emergency room visits. By mastering these five essential skills: pediatric CPR, choking response, wound care, emergency communication, and allergic reaction management: you're giving yourself the confidence to handle whatever the night might bring.
But remember, reading about these skills isn't the same as practicing them. Consider getting properly certified before Halloween arrives. Your children's safety is worth the investment in professional training.
Ready to get trained? Contact Code Blue Safety Skills to learn more about our mobile first aid and CPR certification programs. Because when it comes to your family's safety, being prepared isn't just smart: it's essential.
Stay safe out there, and have a spook-tacular Halloween!