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Choking is a frightening experience that can happen to anyone, at any time. Whether you are at home, at a restaurant, or in a public setting, knowing how to perform the Heimlich maneuver can be a lifesaving skill. The Heimlich maneuver, also known as abdominal thrusts, is a first-aid technique used to clear a person’s airway when they are choking on an object. In this guide, we will explore the step-by-step process of how to perform the Heimlich maneuver, discuss when it should be used, and highlight important safety considerations. By understanding and practicing this technique, you can be prepared to act swiftly and confidently in a choking emergency, potentially saving a life.
This article was co-written by Daniel Wozniczka, MD, MPH. Dr. Wozniczka is an internist in Chicago, with global healthcare experience in Sub-Saharan Africa, Eastern Europe and Southeast Asia. He completed his master’s degree at Jagiellonian University in 2014, and holds a Master of Business Administration and a Master’s in Public Health from the University of Illinois at Chicago.
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When you see someone choking, it’s important to know how to help. The Heimlich maneuver (abdominal compression) is an emergency technique that can save lives in seconds. This is a simple maneuver that helps dislodge food or foreign objects from the airway of a choking person by increasing pressure in the abdomen and chest to expel the foreign object. [1] X Trusted Source Mayo Clinic Go to Source
Steps
Perform the Heimlich maneuver while the victim is standing
![Image titled Perform the Heimlich Maneuver Step 1](https://www.wikihow.com/images_en/thumb/b/b6/Perform-the-Heimlich-Maneuver-Step-1-Version-2.jpg/v4-728px-Perform-the-Heimlich-Maneuver-Step-1-Version-2.jpg)
- Inability to breathe or labored breathing and wheezing
- Can’t say
- Can’t cough normally
- Blue or gray lips and nails
- Fainting
![Image titled Perform the Heimlich Maneuver Step 2](https://www.wikihow.com/images_en/thumb/a/ab/Perform-the-Heimlich-Maneuver-Step-2-Version-2.jpg/v4-728px-Perform-the-Heimlich-Maneuver-Step-2-Version-2.jpg)
![Image titled Perform the Heimlich Maneuver Step 3](https://www.wikihow.com/images_en/thumb/c/c8/Perform-the-Heimlich-Maneuver-Step-3-Version-2.jpg/v4-728px-Perform-the-Heimlich-Maneuver-Step-3-Version-2.jpg)
![Image titled Perform the Heimlich Maneuver Step 4](https://www.wikihow.com/images_en/thumb/b/b0/Perform-the-Heimlich-Maneuver-Step-4-Version-2.jpg/v4-728px-Perform-the-Heimlich-Maneuver-Step-4-Version-2.jpg)
![Image titled Perform the Heimlich Maneuver Step 5](https://www.wikihow.com/images_en/thumb/e/e6/Perform-the-Heimlich-Maneuver-Step-5-Version-2.jpg/v4-728px-Perform-the-Heimlich-Maneuver-Step-5-Version-2.jpg)
- Press fast and hard.
- Perform a sequence of 5 quick presses. If the object has not been ejected, press 5 more times.
![Image titled Perform the Heimlich Maneuver Step 6](https://www.wikihow.com/images_en/thumb/e/ea/Perform-the-Heimlich-Maneuver-Step-6-Version-2.jpg/v4-728px-Perform-the-Heimlich-Maneuver-Step-6-Version-2.jpg)
- Press down firmly if you need to use force to push the object out. [5] X Trusted Source Mayo Clinic Go to the source However, you need to keep the force in your hand, do not press on the victim’s ribs or abdomen.
![Image titled Perform the Heimlich Maneuver Step 7](https://www.wikihow.com/images_en/thumb/6/6c/Perform-the-Heimlich-Maneuver-Step-7-Version-2.jpg/v4-728px-Perform-the-Heimlich-Maneuver-Step-7-Version-2.jpg)
Perform the Heimlich maneuver while the victim is lying down
![Image titled Perform the Heimlich Maneuver Step 8](https://www.wikihow.com/images_en/thumb/c/c9/Perform-the-Heimlich-Maneuver-Step-8-Version-2.jpg/v4-728px-Perform-the-Heimlich-Maneuver-Step-8-Version-2.jpg)
![Image titled Perform the Heimlich Maneuver Step 9](https://www.wikihow.com/images_en/thumb/6/67/Perform-the-Heimlich-Maneuver-Step-9.jpg/v4-728px-Perform-the-Heimlich-Maneuver-Step-9.jpg)
![Image titled Perform the Heimlich Maneuver Step 10](https://www.wikihow.com/images_en/thumb/b/b2/Perform-the-Heimlich-Maneuver-Step-10.jpg/v4-728px-Perform-the-Heimlich-Maneuver-Step-10.jpg)
![Image titled Perform the Heimlich Maneuver Step 11](https://www.wikihow.com/images_en/thumb/5/53/Perform-the-Heimlich-Maneuver-Step-11.jpg/v4-728px-Perform-the-Heimlich-Maneuver-Step-11.jpg)
![Image titled Perform the Heimlich Maneuver Step 12](https://www.wikihow.com/images_en/thumb/6/6e/Perform-the-Heimlich-Maneuver-Step-12.jpg/v4-728px-Perform-the-Heimlich-Maneuver-Step-12.jpg)
Performing the Heimlich maneuver on an infant
![Image titled Perform the Heimlich Maneuver Step 13](https://www.wikihow.com/images_en/thumb/7/77/Perform-the-Heimlich-Maneuver-Step-13.jpg/v4-728px-Perform-the-Heimlich-Maneuver-Step-13.jpg)
- You can also lay your baby on his or her stomach on your lap.
![Image titled Perform the Heimlich Maneuver Step 14](https://www.wikihow.com/images_en/thumb/f/ff/Perform-the-Heimlich-Maneuver-Step-14.jpg/v4-728px-Perform-the-Heimlich-Maneuver-Step-14.jpg)
- With babies, you need to pat firmly but not forcefully. You need to be careful not to press too hard because babies can be hurt if they are slapped hard. Gravity combined with the back-slapping motion will create enough force to knock the object out. [13] X Trusted Source Mayo Clinic Go to Source
![Image titled Perform the Heimlich Maneuver Step 15](https://www.wikihow.com/images_en/thumb/f/f0/Perform-the-Heimlich-Maneuver-Step-15.jpg/v4-728px-Perform-the-Heimlich-Maneuver-Step-15.jpg)
![Image titled Perform the Heimlich Maneuver Step 16](https://www.wikihow.com/images_en/thumb/9/92/Perform-the-Heimlich-Maneuver-Step-16.jpg/v4-728px-Perform-the-Heimlich-Maneuver-Step-16.jpg)
![Image titled Perform the Heimlich Maneuver Step 17](https://www.wikihow.com/images_en/thumb/4/4a/Perform-the-Heimlich-Maneuver-Step-17.jpg/v4-728px-Perform-the-Heimlich-Maneuver-Step-17.jpg)
Do the Heimlich maneuver yourself
![Image titled Perform the Heimlich Maneuver Step 18](https://www.wikihow.com/images_en/thumb/8/8f/Perform-the-Heimlich-Maneuver-Step-18.jpg/v4-728px-Perform-the-Heimlich-Maneuver-Step-18.jpg)
![Image titled Perform the Heimlich Maneuver Step 19](https://www.wikihow.com/images_en/thumb/3/36/Perform-the-Heimlich-Maneuver-Step-19.jpg/v4-728px-Perform-the-Heimlich-Maneuver-Step-19.jpg)
![Image titled Perform the Heimlich Maneuver Step 20](https://www.wikihow.com/images_en/thumb/8/82/Perform-the-Heimlich-Maneuver-Step-20.jpg/v4-728px-Perform-the-Heimlich-Maneuver-Step-20.jpg)
![Image titled Perform the Heimlich Maneuver Step 21](https://www.wikihow.com/images_en/thumb/9/98/Perform-the-Heimlich-Maneuver-Step-21.jpg/v4-728px-Perform-the-Heimlich-Maneuver-Step-21.jpg)
Warning
- If you don’t know what to do, call 911. They can give you instructions on what to do to help the victim (turn on speakerphone to talk).
- Choking is a life-threatening condition. You need to act quickly if you see someone choking.
- Do not try to pat a choking victim if they are coughing! Coughing is a sign that the victim is only partially choking, and patting the back can completely block the airway as the object is pushed deeper. You just let the victim cough; When you see signs of choking, you should intervene.
This article was co-written by Daniel Wozniczka, MD, MPH. Dr. Wozniczka is an internist in Chicago, with global healthcare experience in Sub-Saharan Africa, Eastern Europe and Southeast Asia. He completed his master’s degree at Jagiellonian University in 2014, and holds a Master of Business Administration and a Master’s in Public Health from the University of Illinois at Chicago.
This article has been viewed 23,586 times.
When you see someone choking, it’s important to know how to help. The Heimlich maneuver (abdominal compression) is an emergency technique that can save lives in seconds. This is a simple maneuver that helps dislodge food or foreign objects from the airway of a choking person by increasing pressure in the abdomen and chest to expel the foreign object. [1] X Trusted Source Mayo Clinic Go to Source
In conclusion, knowing how to perform the Heimlich maneuver is a valuable skill that can save lives in emergency situations. It is essential to follow the correct steps for performing the maneuver accurately and effectively, especially when dealing with choking victims. Remember to assess the situation before taking action, obtain consent from the victim if possible, and apply the proper technique based on their age and body size. Keeping calm and acting quickly are crucial in these situations to prevent further harm and potential fatalities. By learning how to do the Heimlich maneuver, you can be prepared to potentially save a life and provide essential assistance until professional help arrives.
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