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TABLE 4-1 Special Situations: Choking in an Adult or Child
Special Situation Solution
The person is too large for you to wrap your Give chest thrusts instead of abdominal thrusts.
arms around to give abdominal thrusts. To give chest thrusts, position yourself behind the
person as you would for abdominal thrusts. Place
the thumb side of your fist against the center of the
person’s breastbone. Then cover your fist with your
other hand and pull straight back, giving a quick,
inward thrust into the person’s chest.
The person is obviously pregnant or known to Give chest thrusts instead of abdominal thrusts.
be pregnant.
The person is in a wheelchair. Give abdominal thrusts in the same way that
you would for a person who is standing. It may
be necessary to kneel behind the wheelchair. If
features of the wheelchair make it difficult to give
abdominal thrusts, give chest thrusts instead.
© 2011, 2016 The American National Red Cross. All rights reserved.
You are alone and choking. Call 9-1-1 or the designated emergency number
using a landline or a GPS-enabled mobile phone.
Even if you are not able to speak, the open line will
cause the dispatcher to send help. Give yourself
abdominal thrusts, using your hands, just as if you
were giving abdominal thrusts to another person.
Alternatively, bend over and press your abdomen
against any firm object, such as the back of a chair
or a railing. Do not bend over anything with a sharp
edge or corner that might hurt you, and be careful
when leaning on a railing that is elevated.
Chapter 4 Choking | 64 | First Aid/CPR/AED Participant’s Manual Chapter 4 Choking | 65 | First Aid/CPR/AED Participant’s Manual
