If the choking child is not responding, it is best to position the child on a rigid surface with the belly up. Open your mouth: If you are seeing the choking object, try pulling it out with your fingers. If you do not see it, do not blindfold your fingers as this may push the object. In the two situations described, if the child is not breathing, tilt the child's head back slightly and position his or her mouth so that it forms a seal around the child's mouth. Pinch the child's nose with the fingers of the hand closest to the head and perform 2 rescue breaths (enough to raise the child's chest). If you are unable to breathe, begin chest compressions.
Stand next to the child lying down; place one hand over the chest bone where it intersects with the imaginary line between the nipples (another hand is allowed over the first). Start 30 rhythmic compressions without allowing your hand to come off the child's chest. Open its mouth and see if the object has become visible. If so, remove it with your fingers. If you do not see the object, or if the child is not breathing, take 2 more breaths and continue the cycles for 2 minutes. Then, if no one has done it yet, call 191 and ask for help. Return and continue the cycles until the rescue team arrives.