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A conscious child choking victim may not be able to talk, cough, or breathe, and may do the universal choking sign with hands around their throat. Ask the patient or the parent if you can help. The child will be very distressed, so you need to take control and act fast and effectively.
Once you have established that the victim is choking, stand behind them with one arm under their arm supported against their stomach. Lean them forward, and with your other hand, perform up to 5 back blows between the shoulder blades. If this is unsuccessful, then separate the patient's feet, place one foot behind their feet, and raise their elbows. Place one hand with the thumb tucked in against the abdomen, above the belly button, and grab your fist with the other hand. Perform abdominal thrusts five times.
Check to see if the obstruction is out. If not, repeat the same steps, with five back blows and five thrusts, until the object comes out of the patient's airway or the child becomes unconscious. You can also lay the child on your lap and perform back blows. Avoid "blind finger sweeps" in the mouth as this can push the obstruction back into the airway.
Never attempt this unless the child actually needs it. It is recommended in all cases for the child to get checked out by a medical professional. If possible, get a bystander to activate EMS. If alone, do not leave the patient; continue to treat.