Step 1: Lean the person forward slightly and stand behind him or her.
Step 2: Make a fist with one hand.
Step 3: Put your arms around the person and grasp your fist with your other hand in the midline just below the ribs.
Step 4: Make a quick, hard movement inward and upward in an attempt to assist the person in coughing up the object. This maneuver should be repeated until the person is able to breathe or loses consciousness.
Note: If the person loses consciousness gently lay him or her flat on their back on the floor. To clear the airway, kneel next to the person and put the heel of your hand against the middle of the abdomen, just below the ribs. Place your other hand on top and press inward and upward five times with both hands.
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