Heimlich maneuver

Next, nursing staff start abdominal thrusts (Heimlich maneuver) without success.

Repeat the sequence twice, but if this does not clear the obstruction call 999 and then continue with backslaps and abdominal thrusts.

If this doesn't work, try an abdominal thrust - also known as the Heimlich manoeuvre - to try to force the obstruction out.

Then continue with cycles of back blows and abdominal thrusts until the object clears.

Don't be afraid to give abdominal thrusts -- ribs heal, brain damage from lack of oxygen to the brain is irreversible.

Rob and Kathy Lapsley performed abdominal thrusts and hit her back after she bagan choking, but they and paramedics could not save her.

Parents Rob and Kathy Lapsley, from Anfield, did abdominal thrusts and hit her back after she started choking, but to no avail and paramedics could not save her.

If back slaps fail, move on to abdominal thrusts," says Clive.

Drawing on his first aid training he learned at Billingham's St Paul's school, Dom knew exactly what to do and performed abdominal thrusts - also known as Heimlich manoeuvres - on Lisa to dislodge to piece of pork scratching.

If the child is conscious, give them abdominal thrusts.

A short time later Mr Davidson started to choke and a nurse tried unsuccessfully to remove the glove using abdominal thrusts.

Unfortunately, less than five per cent of the nannies and maids we see know the most basic skills, such as administering CPR when someone stops breathing, or abdominal thrusts to prevent choking.

You could also try abdominal thrusts or tummy squeezes.

If it doesn't, move on to step two: give up to five abdominal thrusts.

I think we were all surprised at how hard we had to 'slap' when administering back blows and the 'punch' in the stomach for abdominal thrusts was no gentle push either.