1. Daniel Grant (Leeds LINKS SJA Training officer)

2. RECOGNITION Mild obstruction Patient able to speak, cough and breath. Severe obstruction Patient unable to speak, cough or breath, with eventual loss of consciousness.

3. 1. Encourage to begin/carry on coughing. Remove obvious obstruction from mouth. 2. Give 5 sharp back blows between shoulder blades while patient is leaning forward. STOP IF OBSTRUCTION CLEARS! 3. Give 5 abdominal thrusts between the navel and bottom of breastbone. 4. If obstruction remains repeat steps 2 & 3 up to three times! (Dial 999) 5. Continue until help arrives. BE PREPARED TO CARRY OUT CPR!

4. 1. Encourage to begin/carry on coughing. Remove obvious obstruction from mouth. 2. Give 5 back blows between shoulder blades while child is leaning forward. STOP IF OBSTRUCTION CLEARS! 3. Give 5 abdominal thrusts between the navel and bottom of breastbone. 4. If obstruction remains repeat steps 2 & 3 up to three times! (Dial 999) 5. Continue until help arrives. BE PREPARED TO CARRY OUT CPR!

5. 1. If infant is distressed, unable to cry, cough or breath, lay them face down along your forearm, with head low. 2. Give 5 back blows between shoulder blades with heel of hand. STOP IF OBSTRUCTION CLEARS! 3. Check infant’s mouth; remove any obvious obstruction with fingertips. 4. Place baby on back and give up to 5 chest thrusts. 5. If obstruction remains repeat steps 1 to 4 up to three times! (Dial 999) 6. Continue until help arrives. BE PREPARED TO CARRY OUT CPR!

6.  Use common sense when judging strength of back blows.  Remove obstruction only with FINGERTIPS! DO NOT FINGER SWIPE.  ANYONE who has ABDOMINAL THRUSTS MUST go to HOSPITAL.  Be prepared to perform CPR. (Hands only?)

7.  Adult & child  Encourage coughing, remove obvious obstruction from the mouth.  Give 5 sharp back blows. STOP IF OBSTRUCTION CLEARS!  Give 5 abdominal thrusts.  If obstruction remains repeat steps up to three times! (Dial 999)  BE PREPARED TO CARRY OUT CPR!

8.  Baby  Lay face down on forearm with head in a downward position.  Give 5 back blows. STOP IF OBSTRUCTION CLEARS!  Check mouth for obstruction  Give 5 CHEST thrusts.  If obstruction remains up to three times! (Dial 999)  BE PREPARED TO CARRY OUT CPR!