SECTION II

                 OBSTRUCTIONS IN THE AIRWAY



          [NOTE: Emergency treatment of airway
          obstructions is taught as part of CPR 
          training and only through classroom 
          practice can the necessary skills be 
          mastered. The mechanics of handling 
          airway obstructions are presented in 
          this tutorial for background insight only]
                


          If an individual is choking - but can speak 
          or cough forcibly - there is an exchange of 
          air (although it might be diminished) and you
          should encourage the victim to continue coughing 
          while you just stand by! On the other hand, 
          if a victim is choking, but CANNOT speak or cough,
          an airway obstruction exists which must be treated      
          immediately!

          The treatment for an obstructed airway in a
          conscious victim involves use of the HEIMLICH
          MANEUVER which is performed as follows:



          STAND BEHIND THE VICTIM

          WRAP YOUR ARMS AROUND THE VICTIM'S WAIST

          MAKE A FIST WITH ONE HAND AND PLACE THE THUMB
          SIDE OF THE FIST AGAINST THE VICTIM'S ABDOMEN,
          JUST ABOVE THE NAVEL AND WELL BELOW THE LOWER
          TIP OF THE BREASTBONE

          GRASP YOUR FIST WITH YOUR OTHER HAND

          WITH ELBOWS OUT, PRESS YOUR FIST INTO THE
          VICTIM'S ABDOMEN WITH QUICK, UPWARD THRUSTS

          EACH THRUST IS A DISTINCT, SEPARATE ATTEMPT TO
          DISLODGE THE FOREIGN OBJECT

          REPEAT THRUSTS UNTIL FOREIGN OBJECT IS CLEARED
          OR VICTIM BECOMES UNCONSCIOUS



          Emergency treatment of airway obstructions in
          an unconscious victim is taught in CPR classes.

                           ***