1 If the person can still breathe, encourage them to cough, as this will help to loosen the object.
2 Stand behind them, put an arm across their upper chest and bend them forwards. Give up to five sharp blows between shoulder blades, using the heel of your hand.
3 If this fails, lean them forwards and place a clenched fist against their upper abdomen just above their belly button. Hold this fist with your other hand, and pull firmly inwards and upwards to dislodge the object. If this doesn’t work, repeat up to five times. Continue this until you clear the object or you have to start CPR.
Don’t give abdominal thrusts to babies under one or pregnant women. Lay infants face down on your lap while supporting their head and give up to five blows on their back. If this doesn’t work, perform chest thrusts by placing two fingers on the middle of their breastbone and giving up to five sharp compressions. For pregnant women, if back blows don’t work, try chest thrusts by placing your fist against their sternum rather than the abdomen and push inwards up to five times.