b'Chapter hapterIf the obstruction is still not relieved, continue alternating 5 back blows with 5 chest thrusts until the Ambulance arrives.If the patient becomes unconscious:Call Ambulance 000. Check airway and remove any visible obstruction(s) using a finger sweep. The obstruction mayslightly dislodge in unconsciousness because the muscles tend to relax.Check for breathing and if the patient is not breathing normally.Commence CPR.When rescue breathing, you may need to blow harder in an attempt to force air past the obstruction. The obstruction may pass into the lung where it can be surgically removed later.DO NOT apply abdominal thrusts because this may:Damage internal organs (liver, spleen, stomach).Cause regurgitation of stomach contents.Be dangerous for a pregnant woman.How to ManageBaby (under 12 months)Conscious PatientCall Ambulance 000. Place the babys head down on your forearm with the babys head, neck and shoulderssupported on your hand.Baby may also be placed across your lap (gently supporting the head). Hold the babys mouth open with your fingers. Give up to 5 sharp back blows with the heel of your hand between the shoulderblades, using an upward motion. Check after each back blow to determine if the obstruction has been relieved.If the airway is still obstructed and the back blows are not effective, give up to 5 sharp, slow chest thrusts. Continue alternating 5 back blows with 5 chest thrusts until the Ambulance arrives. (A firm flat surface e.g. table or floor,is recommended when alternating between back blows and chest thrusts)If the baby becomes unconscious: Call Ambulance 000.Check airway and remove any visible obstruction.Check for breathing and if the baby is not breathing normally. Commence CPR.Choking (Airway Obstruction) 65'