Conscious Choking Ask, “Are you choking?If a person is unable to cough, breath or speak, Activate EMSStand behind the victim with one foot in-between the victims feet and your other foot behind you.Place the flat side of your fist just above the patients belly button. Grab the back of your fist with your other hand.Administer abdominal thrusts, pull- ing inward and upward, until the object comes out or the patient becomes unconscious. Special Circumstances If the patient is pregnant or too large to reach around, give chest thrusts instead. Next Module