His son, Daniel, tried slapping his dad on the back at the meal, and a nurse instructed him to carry out abdominal thrusts, however their efforts were unsuccessful, an inquest at Exeter's County Hall heard.
Ashcroft initially tried the Heimlich manoeuvre, which involves abdominal thrusts from behind with both arms clasped around the choker's stomach, pulling tightly to force the obstruction up.
If the child is conscious, give them abdominal thrusts. This will create an artificial cough, increasing pressure in the chest and helping to dislodge the object.
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.
"Since then the medical community has determined that back blows, abdominal thrusts, and chest compressions are equally effective treatments for choking and that a combination of more than one method can be more effective."