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Choking


Remain Calm During an Emergency

First, stay calm. If the victim is coughing, encourage him to continue until the object is out.  If you believe a person can't breathe, ask.

Move Into Heimlich Maneuver Position

Move behind the victim.  Put your arms around the victim's middle with your fist just above the belly button.  Cover your fist with the other hand.

Perform the Heimlich Maneuver

Quickly and forcefully thrust inward and upward in a hook-like motion.  Repeat these thrusts until the victim coughs up the food or object. If the victim becomes unconscious, begin CPR.

Authorities disagree on whether back slaps are effective for choking victims.  It's not incorrect to slap a victim on the back, but it's probably not necessary, either.

click here for video procedure

For Infants


Quickly Assess the Infant

If the baby can't cough or cry, then he or she is probably choking.  Have someone else call for medical assistance.  If no one is available to call for medical assistance, give 5 chest thrust and try to help the baby for 2 minutes before stopping to call for medical assistance yourself.  If you think the baby is having an allergic reaction rather than choking on something, call for medical assistance immediately.

If the baby is able to cough or cry, then he or she is able to breathe.  call for medical assistance and watch the baby closely.  If the baby suddenly stops coughing or crying and can't seem to breathe, give 5 chest thrust.

Give 5 Blows to the Back

Lay the baby face-down on your arm.  Hold the baby's head with your hand to keep his or her neck straight.  The baby's legs should be straddling your arm near the elbow.

Lean the baby down at an angle.  The infant's head should be lower than his or her waist.

With the heal of your other hand, strike the baby between the shoulder blades 5 times.

Give 5 chest thrusts

Roll the baby from one arm to the other so that he or she is now laying face up.  Keep the head cradled in your hand and the legs straddling your arm.
Hold the baby at an angle with his or her head low and give 5 chest thrust s.  Use two fingers on the breast bone right between the nipples.  Push down about an inch 5 times.

Look in the Baby's Mouth

If you see something in the baby's mouth, pull it out.  Otherwise, keep your fingers out of the baby's mouth and repeat back blows and chest thrusts.  Keep doing it until the baby coughs up the object.

If the baby becomes unconscious, begin infant CPR.

After 2 minutes of trying to dislodge the object, call for medical assistance and keep trying.

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