Video:Abdominal thrusts

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Abdominal thrusts (Tutorial)
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Abdominal thrusts are used in those who are choking, specifically those over the age of one who are unable to cough but remain conscious.[1]

Step 1

Stand behind the person and place your arms around their middle.[2]

Step 2

Clench a fist at just above the belly button.[2]

Step 3

Place the other hand over the fist and pull it in and upwards.[2]

Step 4

The prior step may be repeated 5 to 10 times.[3][2]


The procedure may also be done well a person is lying down or when in a chair.[4]


Complications may include rib or organ injury.[3]


In certain cases, such as obesity and pregnancy, chest thrusts may be used instead of abdominal thrusts.[3]


  1. Duckett, Stephanie A.; Bartman, Marc; Roten, Ryan A. (2022). "Choking". StatPearls. StatPearls Publishing. Retrieved 22 April 2022.
  2. 2.0 2.1 2.2 2.3 "What should I do if someone is choking?". 26 June 2018. Retrieved 23 April 2022.
  3. 3.0 3.1 3.2 "How To Do the Heimlich Maneuver in the Conscious Adult or Child - Critical Care Medicine". Merck Manuals Professional Edition. Retrieved 23 April 2022.
  4. "MD0532 Cardiopulmonary Resuscitation Edition 101" (PDF). US Army Medical DEpartment Center and School. Retrieved 3 June 2022.