• First, deliver five back blows between the victim's shoulder blades with the heel of your hand.
• Next, perform five abdominal thrusts (also known as the Heimlich maneuver).
• Alternate between five back blows and five abdominal thrusts until the blockage is dislodged.

How to perform the Heimlich maneuver on someone else?

• From behind, tip the person slightly forward and wrap your arms around his or her waist.
• Make a fist and place the thumb side of your fist against the victim's upper abdomen, below the ribcage and above the navel.
• Grasp your fist with your other hand and press into their upper abdomen with a quick upward thrust. Do not squeeze the ribcage; confine the force of the thrust to your hands.
• Repeat until object is expelled.

How to perform the Heimlich maneuver on yourself?

• Set a fist a little above the navel.
• Grasp your fist with the other hand and bend over a hard surface — the back of a chair or against a railing or counter.
• Give yourself abdominal thrusts by shoving your fist inward and upward.
• If you cannot perform the thrust, position yourself against the surface and press forcefully enough into it so that the thrust dislodges the object.