Abdominal thrusts

Choking - Heimlich maneuver

Choking is when someone is having a very hard time breathing because food, a toy, or other object is blocking the throat or windpipe (airway).

A choking person's airway may be blocked so that not enough oxygen reaches the lungs. Without oxygen, brain damage can occur in as little as 4 to 6 minutes. Rapid first aid for choking can save a person's life.

Abdominal thrusts is an emergency technique to help clear someone's airway.

The procedure is done on someone who is choking and also conscious.
Choking and also conscious
Choking is when someone is having a very hard time breathing because food, a toy, or other object is blocking the throat or windpipe (airway). A chok...
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Most experts do not recommend abdominal thrusts for infants less than 1 year old.
You can also perform the maneuver yourself.
Yourself
The Heimlich maneuver is a first aid procedure used when a person is choking. If you are alone and you are choking, you can try to dislodge the item...
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First Aid

First ask, "Are you choking? Can you speak?" DO NOT perform first aid if the person is coughing forcefully and is able to speak. A strong cough can often dislodge the object.

If the person is choking, perform abdominal thrusts as follows:

If the person is sitting or standing, position yourself behind the person and reach your arms around his or her waist. For a child, you may have to kneel.
Place your fist, thumb side in, just above the person's navel (belly button).
Grasp the fist tightly with your other hand.
Make quick, upward and inward thrusts with your fist.
If the person is lying on his or her back, straddle the person facing the head. Push your grasped fist upward and inward in a movement similar to the one above.

You may need to repeat the procedure several times before the object is dislodged. If repeated attempts do not free the airway, call 911 or the local emergency number.

If the person loses consciousness, start CPR.

If you are not comfortable performing abdominal thrusts, you can perform back blows instead on a person who is choking.

Open References

References

American Red Cross. First Aid/CPR/AED Participant's Manual. 2nd ed. Dallas, TX: American Red Cross; 2016.

Kleinman ME, Goldberger ZD, Rea T, et al. 2017 American Heart Association focused update on adult basic life support and cardiopulmonary resuscitation quality: an update to the American Heart Association Guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2018;137(1):e7-e13. PMID: 29114008 pubmed.ncbi.nlm.nih.gov/29114008/.

Thomas SH, Goodloe JM. Foreign bodies. In: Walls RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018:chap 53.

Heimlich maneuver on adult - illustration
Choking is fairly common. Choking deaths occur most commonly in children less than 3 years old and in senior citizens, but can occur at any age. The Heimlich maneuver has been valuable in saving lives and can be administered by anyone who has learned the technique.
Heimlich maneuver on adult
illustration
Heimlich maneuver on infant - illustration
Choking is fairly common. Choking deaths occur most commonly in children less than 3 years old and in senior citizens, but can occur at any age. The Heimlich maneuver has been valuable in saving lives and can be administered by anyone who has learned the technique.
Heimlich maneuver on infant
illustration
Choking - illustration
Choking is the hindrance of breathing due to an obstruction of the throat or windpipe. The Heimlich maneuver should be conducted to try to dislodge the object.
Choking
illustration
Heimlich maneuver on an adult - illustration
Choking is fairly common. Choking deaths occur most commonly in children less than 3 years old and in senior citizens, but can occur at any age. The Heimlich maneuver has been valuable in saving lives and can be administered by anyone who has learned the technique.
Heimlich maneuver on an adult
illustration
Heimlich maneuver on conscious child - illustration
Choking is fairly common. Choking deaths occur most commonly in children less than 3 years old and in senior citizens, but can occur at any age. The Heimlich maneuver has been valuable in saving lives and can be administered by anyone who has learned the technique.
Heimlich maneuver on conscious child
illustration
Heimlich maneuver on conscious child - illustration
Choking is fairly common. Choking deaths occur most commonly in children less than 3 years old and in senior citizens, but can occur at any age. The Heimlich maneuver has been valuable in saving lives and can be administered by anyone who has learned the technique.
Heimlich maneuver on conscious child
illustration
Heimlich maneuver on infant - illustration
Choking is fairly common. Choking deaths occur most commonly in children less than 3 years old and in senior citizens, but can occur at any age. The Heimlich maneuver has been valuable in saving lives and can be administered by anyone who has learned the technique.
Heimlich maneuver on infant
illustration
Heimlich maneuver on infant - illustration
Choking is fairly common. Choking deaths occur most commonly in children less than 3 years old and in senior citizens, but can occur at any age. The Heimlich maneuver has been valuable in saving lives and can be administered by anyone who has learned the technique.
Heimlich maneuver on infant
illustration

Heimlich maneuver on adult - illustration
Choking is fairly common. Choking deaths occur most commonly in children less than 3 years old and in senior citizens, but can occur at any age. The Heimlich maneuver has been valuable in saving lives and can be administered by anyone who has learned the technique.
Heimlich maneuver on adult
illustration
Heimlich maneuver on infant - illustration
Choking is fairly common. Choking deaths occur most commonly in children less than 3 years old and in senior citizens, but can occur at any age. The Heimlich maneuver has been valuable in saving lives and can be administered by anyone who has learned the technique.
Heimlich maneuver on infant
illustration
Choking - illustration
Choking is the hindrance of breathing due to an obstruction of the throat or windpipe. The Heimlich maneuver should be conducted to try to dislodge the object.
Choking
illustration
Heimlich maneuver on an adult - illustration
Choking is fairly common. Choking deaths occur most commonly in children less than 3 years old and in senior citizens, but can occur at any age. The Heimlich maneuver has been valuable in saving lives and can be administered by anyone who has learned the technique.
Heimlich maneuver on an adult
illustration
Heimlich maneuver on conscious child - illustration
Choking is fairly common. Choking deaths occur most commonly in children less than 3 years old and in senior citizens, but can occur at any age. The Heimlich maneuver has been valuable in saving lives and can be administered by anyone who has learned the technique.
Heimlich maneuver on conscious child
illustration
Heimlich maneuver on conscious child - illustration
Choking is fairly common. Choking deaths occur most commonly in children less than 3 years old and in senior citizens, but can occur at any age. The Heimlich maneuver has been valuable in saving lives and can be administered by anyone who has learned the technique.
Heimlich maneuver on conscious child
illustration
Heimlich maneuver on infant - illustration
Choking is fairly common. Choking deaths occur most commonly in children less than 3 years old and in senior citizens, but can occur at any age. The Heimlich maneuver has been valuable in saving lives and can be administered by anyone who has learned the technique.
Heimlich maneuver on infant
illustration
Heimlich maneuver on infant - illustration
Choking is fairly common. Choking deaths occur most commonly in children less than 3 years old and in senior citizens, but can occur at any age. The Heimlich maneuver has been valuable in saving lives and can be administered by anyone who has learned the technique.
Heimlich maneuver on infant
illustration

A Closer Look

Talking to your MD

Self Care

Tests for Abdominal thrusts

Review Date: 2/12/2021

Reviewed By: Jesse Borke, MD, CPE, FAAEM, FACEP, Attending Physician at Kaiser Permanente, Orange County, CA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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Health Library

Abdominal thrusts

Choking and also conscious

Yourself

First Aid

Start CPR

Back blows

References

Heimlich maneuver on adult - illustration

Heimlich maneuver on adult

Heimlich maneuver on infant - illustration

Heimlich maneuver on infant

Choking - illustration

Choking

Heimlich maneuver on an adult - illustration

Heimlich maneuver on an adult

Heimlich maneuver on conscious child - illustration

Heimlich maneuver on conscious child

Heimlich maneuver on conscious child - illustration

Heimlich maneuver on conscious child

Heimlich maneuver on infant - illustration

Heimlich maneuver on infant

Heimlich maneuver on infant - illustration

Heimlich maneuver on infant

Heimlich maneuver on adult - illustration

Heimlich maneuver on adult

Heimlich maneuver on infant - illustration

Heimlich maneuver on infant

Choking - illustration

Choking

Heimlich maneuver on an adult - illustration

Heimlich maneuver on an adult

Heimlich maneuver on conscious child - illustration

Heimlich maneuver on conscious child

Heimlich maneuver on conscious child - illustration

Heimlich maneuver on conscious child

Heimlich maneuver on infant - illustration

Heimlich maneuver on infant

Heimlich maneuver on infant - illustration

Heimlich maneuver on infant

A Closer Look

Talking to your MD

Self Care

Tests for Abdominal thrusts

Related Information