If a person is choking, quickly deliver 4 or 5 blows between the shoulder blades using the heel of your hand. If they are Still Choking, and the person is not pregnant or obese, begin abdominal thrusts:

  • Stand behind the person and wrap your arms around their waist.
  • Place your clenched fist just above the person’s navel. Grab your fist with your other hand, and quickly pull inward and upward.
  • Continue alternate cycles of 5 back blows followed by 5 abdominal thrusts until the object is coughed up or the person starts to breathe or cough.
  • Do not attempt to take the object out of the person’s mouth unless you can see it. Quickly do a finger sweep only if you can see the object in the person’s mouth.

If the person is obese or pregnant, begin “high” abdominal thrusts:

  • Stand behind the person, wrap your arms them, and position your hands at the base of the breast bone.
  • Quickly pull inward and upward.
  • Repeat until the object is dislodged.

If the obstruction comes out, but the person is not breathing or if the person becomes unconscious:  Give CPR, if Necessary

  • For a child, press CPRK.  For an adult, press CPRA.



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