Figure 4-7.Position for reclining abdominal thrust.
by straddling the victim at the hips. Place the heels
of your hands one on top of the other, along the
midline, slightly above the navel, and give four
quick upward thrusts into the abdomen, as il-
lustrated in figure 4-7. Note that the victim must
be lying face up.
If unsuccessful, repeat the four abdominal
thrusts until the obstruction is dislodged.
For obese or pregnant victims, the chest thrust
methods are recommended for removing airway
obstructions since manual pressure in the ab-
domen area of these people would either be inef-
fective or cause internal damage.
CHEST THRUST STANDING TECHNI-
QUE. Bring your arms under the arms of
the victim, and encircle the lower chest, as
shown in figure 4-8. Grasp your wrists, keeping
the thumbside close to the victims chest. Keep
your fist on the middle of the sternum, not the
lower part. Press the chest with sharp, backward
Figure 4-8.Position for standing chest thrust.