If you swallow a foreign object, it will usually pass through your digestive system uneventfully. But some objects can lodge in the tube that connects your throat and stomach (esophagus). If an object is stuck in your esophagus, you may need to have it removed, especially if it is:
- A pointed object, which should be removed as quickly as possible to avoid further injury to the esophageal lining
- A tiny watch- or calculator-type button battery, which can rapidly cause nearby tissue injury and should be removed from the esophagus without delay
If the person is able to cough forcefully, the person should keep coughing. If the person is choking and cannot talk, cry or laugh forcefully, the Red Cross recommends a "five-and-five" approach to delivering first aid:
- Give 5 back blows. Stand to the side and just behind a choking adult. For a child, kneel down behind. Place one arm across the person's chest for support. Bend the person over at the waist so that the upper body is parallel with the ground. Deliver five separate back blows between the person's shoulder blades with the heel of your hand.
- Give 5 abdominal thrusts. Perform five abdominal thrusts (also known as the Heimlich maneuver).
- Alternate between 5 blows and 5 thrusts until the blockage is dislodged.
If you're the only rescuer, perform back blows and abdominal thrusts before calling 911 or your local emergency number for help. If another person is available, have that person call for help while you perform first aid.
If the person who has swallowed an object becomes unconscious, lay the person on his or her back on the ground. If you can see an object in the mouth, reach a finger in and sweep the object out. Be careful not to push it deeper into the airway. If the object remains stuck and the person doesn't respond to your efforts, perform cardiopulmonary resuscitation (CPR).
The American Heart Association does not teach the back-blow technique, only the abdominal thrust procedures. It's OK not to use back blows if you have not learned the back-blow technique. Both approaches are acceptable.