1. Conscious Choking Ask for permission to help. Ask for permission to help. If person says “NO”, then call 911 If person says “NO”, then call 911 If “YES”, then begin by standing to the side and behind the person. If “YES”, then begin by standing to the side and behind the person. They need to be slightly bent over. They need to be slightly bent over. Universal sign of choking

2. Choking Give 5 Back Blows Give 5 Back Blows Give 5 Abdominal Thrusts Give 5 Abdominal Thrusts Continue until object becomes dislodged or victim becomes unconscious. Continue until object becomes dislodged or victim becomes unconscious.

3. Unconscious Choking Check for object before rescue breaths Check for object before rescue breaths Do 30 Chest Compressions and 2 rescue Breaths Do 30 Chest Compressions and 2 rescue Breaths Sweep out object if you see it before the rescue breaths. Sweep out object if you see it before the rescue breaths. Don’t reach down throat Don’t reach down throat Continue cycles of 30/2 until EMS arrives Continue cycles of 30/2 until EMS arrives

4. Child CPR and Rescue Breathing A child according to the American Red Cross is under age 8. Use your judgment for children.

5. Check, Call, Care Check the scene, check the victim Check the scene, check the victim If not responding, call 911 If not responding, call 911 Provide Care: Provide Care: Check breathing. If not breathing, give two rescue breaths. Recheck breathing. Check breathing. If not breathing, give two rescue breaths. Recheck breathing.

6. Rescue Breathing If still not breathing, check circulation. If still not breathing, check circulation. Feel for a pulse in the carotid artery in the groove of the neck. Do this for no more than 10 seconds. Feel for a pulse in the carotid artery in the groove of the neck. Do this for no more than 10 seconds. If there is a pulse, but If there is a pulse, but they are not breathing— Perform rescue breathing. Perform rescue breathing.

7. Rescue Breathing 1 breath every 3 seconds. 1 breath every 3 seconds. Do this for approximately 2 minutes. Do this for approximately 2 minutes. Recheck circulation. Recheck circulation. If there is a pulse, but no breathing, continue rescue breathing. If there is a pulse, but no breathing, continue rescue breathing. Recheck Recheck

8. Child CPR If there is no pulse, then perform CPR. If there is no pulse, then perform CPR. Chest compressions are approximately Chest compressions are approximately 1- 1½ inches deep 1- 1½ inches deep One cycle is 30 chest compressions, 2 rescue breaths. One cycle is 30 chest compressions, 2 rescue breaths. Continue until EMS arrives. Continue until EMS arrives.