20. Choking in the Conscious Infant

Sit or kneel with infant in your lap. Expose infant’s chest. Rest infant’s body on your forearm with head lower than body. Rest your forearm on your thigh to provide support. Give 5 back blows (see photo)  forcefully with heel of hand between shoulder blades. Support back of infant’s head while turning him over (face up). Give 5 chest thrusts (1 per second), with enough force to dislodge foreign body. Repeat back blows / chest thrusts until object comes out.