![]() It's OK not to use back blows if you haven't learned the technique. The American Heart Association doesn't teach the back blow technique, only the abdominal thrust procedures. Alternate between 5 blows and 5 thrusts until the blockage is dislodged.Perform five abdominal thrusts (also known as the Heimlich maneuver). Deliver five separate back blows between the person's shoulder blades with the heel of your hand. Bend the person over at the waist so that the upper body is parallel with the ground. Place one arm across the person's chest for support. Stand to the side and just behind a choking adult. If the person is choking and can't talk, cry or laugh forcefully, the American Red Cross recommends a "five-and-five" approach to delivering first aid: If the person is able to cough forcefully, the person should keep coughing. Skin that is flushed, then turns pale or bluish in color.Skin, lips and nails turning blue or dusky.Cough, which may either be weak or forceful. ![]() Difficulty breathing or noisy breathing.If the person doesn't give the signal, look for these indications: The universal sign for choking is hands clutched to the throat.
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