Objectives	Actions
		Adult (>8)	Child (1-8)		Infant (<1)
Conscious Victim	1. Assessment: Determine airway obstruction	Ask, "Are you choking?" Determine if victim can cough or speak.		Observe breathing difficulty.
	2. Act to relieve obstruction.	Perform subdiaphragmatic abdominal thrusts (Heimlich maneuver). For special cases a chest thrust may be nessary.		Give 4 back blows.
				Give 4 chest thrusts.
	Be persistent.	Repeat step 2 until obstruction is relieved or victim becomes unconscious.
Victim Who Becomes Unconscious	3. Position the victim; call for help.	Turn on back as a unit, supporting head and neck, face up, arms by sides. Call out, "Help!" If others come, activate EMS.
	4. Check for foreign body.	Perform tongue-jaw lift and finger sweep,if unsuccessful try crossed-finger technique.	Perform tongue-jaw lift. Remove foreign object only if you actually see it.
	5. Give rescue breaths.	Open the airway with head-tilt/chin-lift. Try to give rescue breaths.
	6. Act to relieve obstruction.	Perform subdiaphragmatic abdominal thrusts (Heimlich maneuver 6-10 repetitions).			Give 4 back blows.
					Give 4 chest thrusts.
	7. Check for foreign body.	Perform tongue-jaw lift and finger sweep.	Perform tongue-jaw lift. Remove foreign object only if you actually see it.
	8. Try again to give rescue breaths.	Open the airway with head-tilt/chin-lift. Try to give rescue breaths.
	Be persistent.	Repeat steps 6-8 until obstruction is relieved.
Unconscious Victim	1. Assessment: Determine unresponsiveness.	Tap or gently shake shoulder. Shout, "Are you okay?"			Tap or gently shake shoulder.
	2. Call for help; position the victim	Turn on back as a unit, supporting head and neck, face up, arms by sides. Call out, "Help!" If others come, activate EMS.
	3. Open the airway.	Head-tilt/chin-lift.			Head-tilt/chin-lift, but do not tilt too far.
	4. Assessment: determine breathlessness.	Maintain an open airway. Ear over mouth; observe chest. Look, listen, feel for breathing. (3-5 seconds)
	5. Give rescue breaths.	Make mouth-to-mouth seal.			Make mouth-to-nose-and-mouth seal.
		Try to give rescue breaths.
	6. Try again to give rescue breaths.	Reposition head. Try rescue breaths again.
	7. Activate the EMS system.	If someone responded to the call for help, that person should activate the EMS system.
	8. Act to relieve obstruction.	Perform subdiaphragmatic abdominal thrusts (Heimlich maneuver 6-10 repetitions). For special cases it may be nessary to administer a chest thrust.			Give 4 back blows.
					Give 4 chest thrusts.
	9. Check for foreign body.	Perform tongue-jaw lift and finger sweep.	Perform tongue-jaw lift. Remove foreign object only if you actually see it.
	10. Rescue breaths.	Open the airway with head-tilt/chin-lift. Try again to give rescue breaths.
	Be persistent.	Repeat steps 8-10 until obstruction is relieved.