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Airway obstruction

Choking

5-step guided protocol

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Protocol

1
Confirm choking

Universal sign: hands at throat. Cannot speak or cough.

2
5 back blows

Lean victim forward. Strike between shoulder blades with heel of hand.

3
5 abdominal thrusts

Stand behind. Fist above navel. Quick inward & upward thrusts.

4
Repeat alternately

Continue 5 back blows + 5 thrusts until object dislodges.

5
Begin CPR if unconscious

Lower carefully. Start chest compressions. Call 108.