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Both the American Red Cross and UK National Health Service (NHS) advise that for a first attempt, a rescuer should encourage the patient to expel the obstruction by coughing. As a second measure, the rescuer should deliver five slaps to the back after bending the patient forward. Abdominal thrusts are recommended only if these methods fail.
Most protocols recommend encouraging the victim to cough, followed by hard back slaps with the heel of the hand on the victim's upper back. The number to be used varies by training organization but is usually between five and twenty. For example, the European Resuscitation Council and the Mayo Clinic recommend five blows between the shoulder ...
The bending is in the back, while the neck should not be excessively bent. It is convenient that one hand supports the victim's chest. Then the back blows are performed by delivering forceful slaps with the heel of the hand on the victim's back, between the shoulder blades. The back slaps push behind the blockage to expel the foreign object out.
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Choking rescue training devices are choking simulation equipment used by first aid learners to prepare for dealing with real world choking scenarios. [1] [2] They have been approved and used by the European Resuscitation Council, [3] St John Ambulance, [4] and International Red Cross and Red Crescent Movement. [5]