Critical

Choking

Help someone who cannot breathe, cough, or speak — back blows and abdominal thrusts step by step.

Call 911 first
  1. 1
    Confirm choking

    Ask 'Are you choking?' If they can't speak or cough, act immediately.

  2. 2
    5 back blows

    Lean them forward. Give 5 sharp blows between the shoulder blades with the heel of your hand.

  3. 3
    5 abdominal thrusts

    Stand behind, fist just above the navel, grasp with the other hand, pull inward and upward sharply.

  4. 4
    Alternate

    Continue 5 back blows and 5 thrusts until the object is dislodged or they become unconscious.

  5. 5
    If unconscious

    Lower them gently, call emergency services, and begin CPR.

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