For a Conscious Baby or Child under one year old
Step 1: Back blows
- Kneel down, lay the baby face down along your forearm, with his or her head low. Support his or her back and head.
- Use the heel of the hand (the part nearest your wrist) to give up to five back blows between the shoulder blades. (Stop if the obstruction clears)
- Check the mouth and remove any obstruction.
- Repeat if necessary. If this does not work, go to step 2.
IF THE BABY BECOMES UNCONSCIOUS, begin CPR.
Keep looking in the mouth, and try to remove any object you can see with a finger. DO NOT probe blindly into the mouth – you may push the object further into the airway.
Step 2: Chest thrusts
- Kneel down, and lay the infant on his or her back along your forearm.
- Using two fingers, push inwards against the infant’s breastbone, one finger’s breadth below the nipple line.
- Do this very quickly up to 5 times. (Stop if the obstruction clears).
- Check the mouth and remove any obstruction.
- Repeat if necessary.
- IF THE BABY BECOMES UNCONSCIOUS, begin CPR.
- Keep looking in the mouth, and try to remove any object you see with a finger.
- If you have done 5 back blows and 5 chest thrusts three times without clearing the obstruction, call for help. Keep repeating the cycle of back blows and chest thrusts until the airway is clear, help arrives or the casualty becomes unconscious, in which case immediately begin CPR.









