19. Choking in the Conscious Adult or Child (older than 1 year of age)

Stand or kneel behind victim. Wrap arms around victim’s waist. One foot in between victim’s feet. One foot behind you. This position provides stability. Place fist with thumb side in just above belly button, and below sternum. Grab fist with other hand. Distinct, strong abdominal thrusts pulling inward and upward. This is the Heimlich Maneuver.