Step 1 - Check for signs of choking: inability to cry, cough, make any noise, or breathe., Step 2 - Place the infant face down on your forearm, while supporting their head., Step 3 - Deliver five quick and firm back blows between the shoulder blades using the palm of your hand., Step 4 - If the object is not expelled, turn the infant face up, and give five chest thrusts using two fingers., Step 5 - Continue with two more cycles of back blows and chest thrusts until the blockage dislodges., Step 6 - Call 911 if the object does not dislodge or the infant becomes unresponsive.,

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