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choking if someone appears to be choking if they are seriously choking they wouldnt be able to make a sound they might be clutching their throat they might be looking very red very scared and unable to make a sound and really struggling to breathe keep everything as calm as possible The more stress they get the harder it will be for them to breathe so keep things calm first of all encourage them to cough if theyre able to cough then they may be able to dislodge the obstruction themselves if theyre unable to cough you need to help them quickly lean them forward put your hand on their chest to support them and then youre going to hit them hard like that and you would do that up to five times checking each time to see if the obstructions come out so up to five times hard back blows if that hasnt worked your second line treatment is the highl maneuver you would make a fist like that you put it between under the rib cage and the tummy button and you pull in and up in a j-shaped movemen