Editing Choking (section)

==== Pregnant or obese people ====
Some choking victims cannot receive pressure on their bellies. Then, the American Heart Associated recommends<ref name=":2" /> substituting the abdominal thrusts for chest thrusts.

These victims can include: patients with serious injuries in the abdomen, pregnant women, and obese patients; however, in the case of the obese victims, if the rescuer is capable enough to effectively wrap their arms around the circumference of the victim's abdomen, it is possible to apply the normal first aid against choking, with abdominal thrusts (see details further above).

Chest thrusts are performed in a similar way to the abdominal thrusts, but with the fist placed on the lower half of the vertical bone that is along the middle of the chest (the chest bone, named [[sternum]]), rather than on the abdomen. As a reference, in women, the zone of pressure of the chest thrusts would be normally higher than the breasts. It is convenient to avoid placing the knuckles too painfully. Finally, strong inward thrusts are then applied.<ref name="Choking: First aid" />

The rest of the first aid protocol is the same, starting with asking the victim to cough freely, and then, if the victim cannot cough, the series of chest thrust are alternated with series of slaps on the back. Those back slaps are applied normally: bending forward the back of the victims and supporting their chest with one hand.

If choking remains unresolved, calling to [[List of emergency telephone numbers|emergency medical services]] is vital, but first aid should be continued until they arrive.

When the victims with abdominal problems become unconscious, they need the same [[#Unconscious victims|anti-choking cardiopulmonary resuscitation]] procedure that is employed for other unconscious choking victims (see details further above).

Preventively, if a person with abdominal problems (as injury, pregnancy, or too much obesity) is present, placing an [[#Anti-choking devices|anti-choking device]] nearby can be useful.