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To help an adult or child over one year old who is choking severely:
Stand slightly behind the person to one side. If youre right-handed, stand to the left. If youre left-handed, stand to the right.
Support their chest with one hand. Lean the person forward so that the object blocking their airway will come out of their mouth, rather than going further down.
Give up to five sharp blows between the persons shoulder blades with the heel of your hand. (The heel is between the palm of your hand and your wrist. )
Stop after each blow to check if the blockage has cleared.
If not, give up to five abdominal thrusts.
Stop after each thrust to check if the blockage has cleared.
If the persons airway is still blocked after three cycles of back blows and abdominal thrusts, you should send for help:
Continue with the cycles of back blows and abdominal thrusts until help arrives.
If you have any doubt that the person is breathing normally and you have been trained to do so, you should begin external chest compressions and rescue breaths. Together these are called cardio-pulmonary resuscitation (CPR).
Abdominal thrusts: adults and children over one year old only
Abdominal thrusts are an emergency technique for clearing a blockage from the airway of an adult or child over one year old who is choking. They are also known as the Heimlich manoeuvre.
Important: Do not use abdominal thrusts with babies under one year old, pregnant women or people who are obese.
1. Stand behind the person who is choking.
2. Place your arms around their waist and bend them well forward.
3. Clench your fist and place it right above the persons navel (belly button).
4. Place your other hand on top, then thrust both hands
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