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Steps for the Heimlic Maneuver

  1. Give 5 back blows

  2. Give 5 abdominal thrusts

  3. Alternate between blows and thrusts until blockage is dislodged

How to prefrom Abdominal Thrusts
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  • Stand behind the person. Place one foot slightly in front of the other for balance. Wrap your arms around the waist. Tip the person forward slightly. If a child is choking, kneel down behind the child.

  • Make a fist with one hand. Position it slightly above the person's navel.

  • Grasp the fist with the other hand. Press hard into the abdomen with a quick, upward thrust — as if trying to lift the person up.

  • Perform between six and 10 abdominal thrusts until the blockage is dislodged.

Choking Indications...
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  • Inability to talk

  • Difficulty breathing or noisy breathing

  • Squeaky sounds when trying to breathe

  • Cough, which may either be weak or forceful

  • Skin, lips and nails turning blue or dusky

  • Skin that is flushed, then turns pale or bluish in color

  • Loss of consciousness

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