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If a child is choking and conscious, signs include looking panicked, blue color around the lips, and the inability to talk, cough, or breathe. The child may do the universal choking sign with hands around their throat. Ask if the child needs help. Get to the level of the child by kneeling or sitting, and raise their elbows. Place one hand with thumb tucked in against the abdomen, above the bellybutton, and grab your fist with the other hand. Perform abdominal thrusts until the object is clear or the child become unconscious.