If they cannot speak, breathe, or cough forcefully:

1. Stand behind them.
2. Place a fist just above the belly button.
3. Grasp your fist with your other hand.
4. Give quick, upward abdominal thrusts.
5. Continue cycles of 5 back blows and 5 chest thrusts until the object is removed or the infant becomes unresponsive.

Continue until the object comes out or they can breathe.

If the person becomes unconscious:

• Lower them to the ground.
• Begin CPR immediately.

For pregnant individuals or those you cannot reach around, use chest thrusts instead.

Infant Choking