For an adult who is choking!
Don't panic! And don't shout,
Stay calm and reassure them
Encourage coughing out.
If that is not effective?
Still congestion of the neck?
Give back blows between shoulder blades
After five! Re-check.
Next! Is the Heimlich manoeuvre
Was his technique to fame,
But did not like back blows
Associated with his name.
Now called abdominal thrust
What this is all about!
By forcing up the diaphragm
Might force that blockage out.
So stand behind the casualty
Place hands round waist to front,
Grasp fist pull in and upward
Just enough to hear them grunt.
Always check between each phase
To see if clear and fine?
But if after 3 attempts have failed?
You must call 9 9 9.
Now if you use abdominal thrust
This is important you see,
There's a possibility of rupture
Please insist they attend A & E
It's better to be safe than sorry
Abdominal thrust they were needing
But if an organ has been ruptured inside
They could have internal bleeding.