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Choking is a leading cause of injury and death among children, especially those younger than four. Food, coins and toys are the main causes of choking. Children younger than four should not be given any round, firm foods unless they have been cut into very small pieces. Foods that commonly lead to choking include hot dogs and chunks of cheese; hard candy, gum and marshmallows; whole grapes, pieces or fruit and raw vegetables; and nuts, popcorn and peanut butter. Young children also commonly put objects in their mouths as they explore their environments. Some household items can pose a potential risk for choking. These items should be kept out of the reach of young children. Parents can check if a toy is too small for a young child to play with by using a small parts test device. If the piece fits inside the tube, it is not an appropriate toy for a child. Small parts test devices are available at most toy stores. For more choking prevention materials, such as a video on how to cut food for young children, please visit our website at injurycenter.org.