(d) Thrust into the casualty's abdominal region (figure 5-3) using a
quick inward and upward motion, and then relax the hold.
Figure 5-3. Administering an abdominal thrust to a standing casualty.
(e) Continue administering abdominal thrusts until the obstruction is
expelled or until the casualty loses consciousness. If the casualty loses consciousness,
proceed to administer the finger sweep and modified abdominal thrusts described in
paragraph 5-6. Vomiting may occur when the abdominal thrust is used. Clear any
vomitus from the casualty's mouth so he will not inhale the vomitus.
(a) Place your arms directly under the casualty's armpits and encircle
his chest with your arms.
(b) Make one hand into a fist and place the thumb side of the fist
against the lower half of the casualty's sternum. Make sure that the fist is placed above
the xiphoid process and the lower margin of the rib cage. Also make sure that the fist
rests on the sternum and not on the ribs.
Grasp your fist with your free hand.
(d) Deliver a quick inward thrust (figure 5-4); then relax the hold. The
thrust should depress the casualty's sternum 1 1/2 to 2 inches.
(e) Continue administering chest thrusts until the obstruction is
expelled or until the casualty loses consciousness.