Wording:EMERGENCY CARE FOR CHOKING CONSCIOUS VICTIM If victim CAN breathe, cough or speak - DO NOT INTERFERE. If victim CANNOT breathe, cough or speak - give five back blows and five abdominal thrusts Give Five Back Blows With Heel Of Hand Between Shoulder Blades Hold fist with thumb tucked in. Hold thumb side inward, use other hand to give an in and upward thrust. Avoid pressing on the bottom of the breastbone and grip above waist but below ribs Repeat five and five approach until effective or until victim becomes UNCONSCIOUS UNCONSCIOUS VICTIM Phone 911 or send someone to call. Return to victim. Open the airway. Look for foreign object. IF one is seen, remove it (head tilt, chin lift). Start CPR. Attempt two breaths Repeat steps 1,2 and 3 until victim starts breathing or until emergency/medical help arrives. Do 30 chest compressions at a rate of 100-120 per minute. Press at least two inches, but no more than 2.4 inches. Allow for full recoil after each compression. (Place heel of one hand on center of breastbone and heel of second hand on first hand.) Have someone call for an ambulance, rescue squad or EMS. DO NOT PRACTICE ON PEOPLE. Abdominal thrust may cause injury. Use the back blows and chest thrust on infants. Use the chest thrust on pregnant women and obese victims. Learn to perform emergency care for choking and cardiopulmonary resuscitation (CPR) For CPR training information, call your local American Heart Association or American Red Cross chapter. For children 1 to 8 years of age, use one hand for chest compressions.