Dismiss Modal

Treatment

First Aid: Abdominal Thrusts for Choking (Adult or Child)

Choose a preferred language


Follow these first aid steps when someone is choking. You may hear these steps called the abdominal (belly) thrust maneuver, or sometimes by the older name, Heimlich maneuver.


Call 911

Call 911 if the person loses consciousness.


Step 1. Identify choking

  • Ask the person if they are choking. If they can't cough or speak, say that you will help.

Woman holding hands to throat, looking distressed.


Step 2. Grasp from behind

  • If the person is an adult or a child age 1 year or older, move behind them. Slide your palms under their arms, bringing your hands together in front of their body.

  • Make a fist with one hand, placing the flat surface of the thumb and first finger slightly above the bellybutton.

  • Note: If pregnancy or extreme overweight makes this impossible, give thrusts inward against the middle of the victim's breastbone.

Man standing behind woman with arms around her waist. Inset shows his fist next to her upper abdomen and his other hand flattened and ready to cover his fist.


Step 3. Thrust in and up

  • Cover your fist with the other hand, keeping your elbows away from your body.

  • Pull in and up quickly, using hard thrusts to force air from the person's lungs. This pops out the blockage.

  • Repeat thrusts until the person coughs or speaks. or they become unresponsive.

Man standing behind woman with arms around her waist and fist at her upper abdomen, with other hand flat on fist. Arrow shows him pressing in and up with his fist. Blockage is being expelled from woman's mouth.Woman bending over the back of a chair to perform choking self-rescue.


Step 4. Proceed to CPR

  • If the person becomes unresponsive, call for help and activate the emergency response system.

  • Do CPR if you are trained.

© 2000-2025 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.

Find a doctor that's right for you.

From routine check-ups to groundbreaking treatments and beyond, Crestner Health is here to help you live your healthiest life.

Search our doctors
Related Articles
Read article
Urgent Care
Heat Exhaustion

Heat exhaustion is a condition that develops during prolonged exposure to heat. It is more likely to occur during strenuous activity, such as exercise or manual labor.

Read article
Urgent Care
When to Use the Emergency Room (ER)

An emergency means you could die if you don't get care quickly. Or you could be hurt permanently. Read below to know when to use, and when not to use, an emergency room.

Read article
Urgent Care
Understanding Rabies

Rabies is a virus that infects the nerves and the brain. It's spread from the saliva of an infected animal. Rabies can be treated. Learn more about its symptoms, treatment, and how to prevent it.

Read article
Urgent Care
First Aid: Poisoning

Helpful information on treating poisonous bites and swallowed poisons.