If you're the only rescuer, give back blows and abdominal thrusts first. Then call 911 or your local emergency number for help. If another person is there, have that person call for help while you give first aid.

If you're alone and choking, call 911 or your local emergency number right away. Then, give yourself abdominal thrusts, also called the Heimlich maneuver, to remove the stuck object.

Watch for these signs of choking:

• One or both hands clutched to the throat.
• A look of panic, shock or confusion.
• Inability to talk.
• Strained or noisy breathing.
• Squeaky sounds when trying to breathe.
• Cough, which may either be weak or forceful.
• Skin, lips and nails that change color turning blue or gray.
• Loss of consciousness.

Yourself

If you're alone and choking:

Call 911 or your local emergency number right away. Then, give yourself abdominal thrusts, also called the Heimlich maneuver, to remove the stuck object.

• Place a fist slightly above your navel.
• Grasp your fist with the other hand.
• Bend over a hard surface. A countertop or chair will do.
• Shove your fist inward and upward.