HLTH 325 - First Aid
                                  Conscious Adult - Choking
                                    Steps to be Performed


See person in trouble
       Call for HELP (or notify anyone nearby)

Ask are you choking?
       Determine status of choking
              partially = coughing / wheezing / talking weakly
                     encourage to continue to attempt to expel object
              completely = no talking / no coughing / high pitched noise
                     tell them you know how to help and are going to do so
                     perform Heimlich maneuver

Heimlich maneuver

       Position yourself behind the victim 

       Wrap your arms around the waist and locate the umbilicus

       Place your fist over the umbilicus with your thumb up

       Roll your fist upward so that the thumb is inward

       Begin separate thrusts (inward & upward simultaneously)
              each thrust is a separate attempt to dislodge the object

       Continue until the object is expelled of the victim becomes unconscious



***    If you are alone and choking, you can use the back of a chair, the end of a table, etc.,
       to attempt to dislodge the object (disclaimer: for conscious victims only)