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In the conscious adult choking victim, we want to establish that the victim is truly choking
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by asking them, "Are you choking?"
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If they are not able to cough, breathe, or speak, we are going to assume
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that they are, indeed, choking.
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They may also notify that we can help them by nodding yes upon asking them,
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"Are you choking?"
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I'm going to explain to them that I know how to help.
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I place one foot between their feet, find their bellybutton,
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tuck the thumb into my fist, and place the thumb side
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just above my bellybutton finger.
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Wrap the other hand around that fist, and go inward and upward
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deeply into the abdomen until the obstruction is clear.
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If he were a person who had a larger midsection that was unable for me to reach around,
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I would do the alternative, and go under the breast on the sternum.
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Under the breast on the sternum, and do inward chest thrusts.
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This is the same technique that we would do for a pregnant female
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so as to not hurt the baby in the womb, and still be extremely effective
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in getting this obstructed airway clear.
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Sir, sir, are you choking?
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I know how to help you.
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He's not breathing, speaking, or coughing forcefully.
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You, in the plaid shirt, go call 911 and come back. I may need your help.
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Find his bellybutton. Thumb tucked in.
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Fist against the abdomen just above the bellybutton.
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Inward and upward thrusts. 1...2...3...4...5...
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[victim coughing] You okay? Are you alright?
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Victim: Oh! That didn't taste very good.
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You're okay. You're okay.