For infants under 1 year old, see infant choking.
To see a demonstration of this technique, watch the Heimlich Maneuver Video.
- Stay Safe! Remember that victims may panic and inadvertently strike out.
- Establish that the victim is actually choking. Choking victims cannot speak, cough, or breath.
- Stand behind the victim.
- Wrap your hands around the victim as if to give a hug.
- Make a fist with your right hand and place it just above the victim's belly button - see graphic.
- Grab your fist with your left and thrust inwards and upwards forcefully.
- Repeat thrusts until the victim is able to breath again - or until the victim becomes unconscious.
- If the victim becomes unconscious, begin adult CPR if the victim is over 8 years old and child CPR if the victim is between 1 and 8 years old.
- Do not slap the victim on the back. Dislodging the airway obstruction while the victim is upright will result in a deeper obstruction (gravity will pull it down).
ECC Committee, Subcommittees and Task Forces of the American Heart Association. "2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care." Circulation. 13 Dec 2005. PMID: 16314375