Editing Choking (section)

==== On the floor but unable to sit up ====
It is possible, though rare, that a choking victim would be laying on the floor but conscious. For example, someone having a disability that makes impossible to sit up and to keep standing up on the feet. If this is the case, ''the first aid is'' ''the same, but after sitting the victim on the floor''.

Before adjusting the patient's position, the rescuer asks the victim to cough freely and with strength. The victim would cough better by turning to a side. If coughing is too difficult or impossible, the rescuer would sit the victim up, to make it easier or to apply anti-choking maneuvers (these are needed when the victim cannot cough).

A rescuer would sit the victim up by pulling the shoulders or arms (in the forearms or wrists). When the victim is sitting up, the rescuer can sit behind to apply the anti-choking manoeuvers: back slaps (after bending very much the back of the victim, and supporting the chest with one hand) and abdominal thrusts (sudden compressions in a direction of in-and-up, on the part of the victim's belly that is between the chest and the belly button). When victims cannot receive abdominal thrusts properly (as the seriously injured in the belly, and the pregnant women), the rescuer needs to change them for chest thrusts (sudden pressures inward on the lower half of the [[Sternum|breast bone]], which is placed vertically along the middle of the chest, from the neck to the belly).

In some situations it is impossible to sit the victim up, and then the rescuer can try one of the thrusts techniques to the front of their abdomen and chest (even though this is less effective, it could be the only option and therefore worth a try). Anyway, they can be made by putting one hand on the top of the other and using them to make strong pressures downwards on the lower half of the breast bone (the [[sternum]]), or downwards-and-frontwards on the abdomen (between the chest and the belly button).

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.

If the victim is unconscious, it is needed the same [[#Unconscious victims|anti-choking cardiopulmonary resuscitation]] procedure that is used in other unconscious choking victims (see details further above).

In the ''prevention'' of choking, it can be remembered the practice of placing an [[#Anti-choking devices|anti-choking device]] around people with disabilities.