Step 1 3/4 Place the victim on his back and kneel close to the victim's side.

Step 2--Place the heel of your hand on the lower portion of the sternum (in the same manner as you would when performing chest compressions).

Step 3--Deliver each thrust firmly and distinctly, with the intent of relieving the obstruction.

MANUAL REMOVAL OF FOREIGN BODY.-A foreign body can be removed by performing a "finger sweep." This procedure, however, must be performed on unconscious victims only (though not on seizure victims). To perform a finger sweep, proceed as follows:

Step 1--With the victim's face up, open the victim's mouth by grasping both the tongue and lower jaw between the thumb and fingers and lifting the jaw. This action draws the tongue away from the back of the throat and away from a foreign body that may be lodged there. This step alone may partially relieve the obstruction.

Step 2--Insert the index finger of the other hand down along the inside of the cheek and deeply into the throat to the base of the tongue.

Step 3--Use a hooking action to dislodge the foreign body and maneuver it into the mouth so that it can be removed. See figure 4-8.

Figure 4-7.-Administering the chest thrust to a conscious victim who is standing.

Figure 4-8.-Finger sweep.

It is sometimes necessary to use the index finger to push a foreign body against the opposite side of the throat to dislodge and remove it. Be careful not to force the object deeper into the airway. If the foreign body comes within reach, grasp and remove it.