• If the patient is able to talk and cough forcefully, ask the patient to continue coughing.
• If the patient is not able to speak at all and coughing weakly, call for help.

In the case of the adult take the consent from the patient and in the case of the child gain consent from the parent or the legal guardian.

• Stand behind the patient placing one foot forward between the patient’s feet and the other foot behind for balance. 
• If the patient is a child or in a wheelchair kneel on the floor to properly wrap your arms around the patient’s waist. 
• Find the navel of the patient and place 2 fingers above it, make a fist with your other hand and place your thumb against the top of the navel at the abdomen.
• Grab the fist with the other hand.
• Give fast inward and upward thrusts.
• Ensure that every attempt dislodge the object.

• Stand behind and slightly to the side of the patient.
• Place one arm diagonally across the patient’s chest for support.
• Bend the patient forward so that their upper body is parallel to the floor.
• Using the heel of the other hand provide firm back blows between the should blades.
• Use a combination of 5 abdominal thrusts and 5 back blows until the objects dislodges.