Step 1: Encourage coughing
• Ask the victim to cough. This may dislodge whatever is blocking the victim’s windpipe.
• Check a child’s mouth to see if anything has been dislodged.
Step 2: Give abdominal thrusts
• If the victim is becoming weak, or stops breathing or coughing, carry out abdominal thrusts. Stand behind the victim and put both arms around the upper part of the abdomen. Make sure he is bending forward.
• Clench your fist and place it (thumb inward) between the navel and the bottom of the breastbone. Grasp your fist with your other hand. Pull sharply inward and upward up to five times.
Step 3: Check mouth
• Check his mouth. If the obstruction is still not cleared, repeat steps 2 and 3 up to three times, checking his mouth after each step.
• If the obstruction still has not cleared, Dial 911 or call EMS. Continue until help arrives or the victim becomes unconscious.
• If the victim becomes unconscious, open the airway, check breathing, and be prepared to begin resuscitation.
• If the victim is pregnant or obese, or you cannot reach around the victim’s abdomen, give chest thrusts instead of
abdominal thrusts. Position your fist in the middle of the victim’s chest, grab your fist with the other hand, and pull
sharply inward up to five times.