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FirstAidforChoking HYPERLINK"http://www.healthylife.com"\t"AuthorURL"AmericanInstituteforPreventiveMedicine Theseemergencyproceduresforchoking,whicharebasedonproceduresrecommendedbytheAmericanHeartAssociation,arereprintedfromtheHomeOrganizerforMedicalEmergencies.Copyright©1992bytheAmericanCollegeofEmergencyPhysicians.Usedwithpermission. Adults:ConsciousVictim1.ChokingisindicatedbytheUniversalDistressSignal(handsclutchingthethroat). 2.Ifthevictimcanspeak,coughorbreathe,donotinterfere. Ifthevictimcannotspeak,coughorbreathe,giveabdominalthrusts(theHeimlichmaneuver). Reacharoundthevictim'swaist.Positiononeclenchedfistabovenavelandbelowribcage.Graspfistwithotherhand.Pulltheclenchedfistsharplyanddirectlybackwardandupwardundertheribcage6to10timesquickly. Incaseofextremeobesityorlatepregnancy,givechestthrusts.Standbehindvictim.Placethumbofleftfistagainstmiddleofbreastbone,notbelowit.Grabfistwithrighthand.Squeezechest4timesquickly. 3.Continueuninterrupteduntiltheobstructionisrelievedoradvancedlifesupportisavailable.Ineithercase,thevictimshouldbeexaminedbyaphysicianassoonaspossible. IfVictimBecomesUnconscious1.Positionvictimonback,armsbyside. 2.Shoutfor"Help".Call9-1-1orthelocalemergencynumber. 3.Performfingersweeptotrytoremovetheforeignbody. 4.Performrescuebreathing.Ifunsuccessful,give6-10abdominalthrusts(theHeimlichmaneuver). 5.Repeatsequence:performfingersweep,attemptrescuebreathing,performabdominalthrusts,untilsuccessful. 6.Continueuninterrupteduntilobstructionisremovedoradvancedlifesupportisavailable.Whensuccessful,havethevictimexaminedbyaphysicianassoonaspossible. 7.Afterobstructionisremoved,begintheABC'sofCPR,ifnecessary. ConsciousInfant(Under1yearold)1.Supporttheheadandneckwithonehand.Straddletheinfantfacedownoveryourforearm,headlowerthantrunk,supportedonyourthigh. 2.Deliverfourbackblows,forcefully,withtheheelofthehandbetweentheinfantÕsshoulderblades. 3.Whilesupportingthehead,immediatelysandwichtheinfantbetweenyourhandsandturnontoitsback,headlowerthantrunk. 4.Usin