When Giving Abdominal Thrusts to an Adult Who is Choking, Where Should You Position Your Fist?
Have you ever been in a situation where someone was choking, and you needed to step in to help? It’s a terrifying moment, but knowing the proper technique can save a life. When giving abdominal thrusts to an adult who is choking, positioning your fist correctly is crucial. If done right, abdominal thrusts can dislodge the object blocking the airway and restore breathing.
In this article, we’ll explore where you should position your fist while performing abdominal thrusts. I’ll share my personal experience with you and explain everything you need to know to feel confident when it counts.
Why is it Important to Know Where to Position Your Fist?
When an adult is choking, their airway is obstructed, and immediate action is required. The abdominal thrusts (also known as the Heimlich maneuver) are a first-aid technique that can help remove the obstruction. The positioning of your fist is vital because it ensures that the force is applied in the right area, maximizing the chance of dislodging the object.
I remember a time when I had to perform the Heimlich maneuver on someone at a dinner party. While it wasn’t a life-or-death situation, I realized just how important it is to have the proper technique. Knowing where to position my fist was a game-changer in that critical moment.
Where Should You Position Your Fist?
Let’s get into the heart of the question—where should your fist be positioned when giving abdominal thrusts to an adult who is choking?
1. Find the Right Spot on the Abdomen
The first step is to locate the navel (belly button). This is the central point where you will position your fist. The key is to place your fist slightly above the navel and below the ribcage. More specifically, it should be in the upper abdomen, in the area between the navel and the sternum.
By positioning your fist in this area, you’re creating the optimal force to dislodge the obstruction. If your fist is too low, it may not have enough force to push the object out. If it’s too high, you risk injuring the person.
2. Make a Fist with One Hand
To perform the Heimlich maneuver, you need to make a fist with one hand. The fist should be thumb side inward and held firmly, with the knuckles pressing into the abdomen. The shape of your fist provides the necessary pressure to create the forceful thrust required to push air out of the lungs and expel the obstruction.
During my first time performing abdominal thrusts, I found that making a strong, controlled fist was critical. It was about having enough pressure without being too aggressive, which could cause harm.
3. Place Your Other Hand Over the Fist
Once your fist is in place, use your other hand to grasp the fist and add more force to the maneuver. The second hand should remain firmly in place over your fist as you begin the abdominal thrusts. This double-hand technique gives you the strength you need to effectively perform the thrusts.
The pressure from both hands combined ensures that the correct amount of force is applied, and the thrust is more effective.
How to Perform Abdominal Thrusts Correctly
Knowing where to position your fist is just the beginning. Let’s now dive into the actual steps for performing the Heimlich maneuver and abdominal thrusts.
1. Stand Behind the Person
The first step is to stand behind the choking person. This is essential because you need to apply force from the back to push the air out of their lungs.
2. Wrap Your Arms Around the Person’s Waist
Once you’re standing behind them, wrap your arms around their waist to support them. Your arms should be positioned securely but comfortably, without causing pain or discomfort.
3. Position Your Fist and Apply Thrusts
Now that your arms are in place, position your fist slightly above the navel and below the ribcage. Once your fist is in the correct position, you’ll perform quick, inward and upward thrusts. The key is the upward motion. When I was first learning, I thought the thrust should go straight in. But the upward motion increases the chances of dislodging the obstruction by creating pressure in the abdomen and chest.
4. Repeat if Necessary
You may need to perform multiple thrusts if the object doesn’t come out after the first attempt. Don’t be discouraged. Keep performing abdominal thrusts until the object is dislodged or medical help arrives. If the person becomes unconscious, you may need to start CPR and call for emergency assistance.
What Happens If the Abdominal Thrusts Don’t Work?
Sometimes, despite your best efforts, the abdominal thrusts may not work immediately. This can be frustrating, but it’s important to remain calm. In such cases, the following steps are crucial:
1. Call Emergency Services
Always call for emergency help when someone is choking. If the person is unable to breathe and the Heimlich maneuver is unsuccessful, paramedics need to be involved immediately. Every second counts.
2. Try Repeating the Thrusts
Don’t give up! Keep performing the thrusts. Even after several attempts, the force may eventually dislodge the object. Just remember to stay calm and keep the person in an upright position.
3. Begin CPR if Necessary
If the person becomes unconscious, CPR may be necessary. This is another reason why learning the Heimlich maneuver and basic first aid is so important. I know it’s hard to think about during an emergency, but knowing what to do can make a huge difference.
When to Use Abdominal Thrusts
You should perform abdominal thrusts when an adult is choking and unable to cough, speak, or breathe. These signs indicate that their airway is blocked, and quick action is needed. If the person is still able to cough or make sounds, encourage them to keep coughing, as this could help clear the airway.
I once had to assist a friend who was choking on a piece of food. She was unable to breathe or speak, but she was still conscious. I immediately recognized the need for abdominal thrusts and quickly positioned my fist correctly, just above her navel. The obstruction was cleared on the first attempt, and she was able to breathe again.
Final Thoughts
Performing abdominal thrusts can be a life-saving skill, especially when you know exactly where to position your fist. Remember, the key to success is placing your fist in the upper abdomen, just above the navel and below the ribcage. Adding force with both hands and performing quick, upward thrusts is what helps dislodge the obstruction.
If you’ve ever been in a choking emergency, I hope this guide helps you feel more confident and prepared to act. Don’t wait to learn; it’s better to know now than to panic later.
Keep practicing these life-saving techniques, and stay safe!