Inhaled Foreign Body Management Abdominal thrusts using the Heimlich manoeuvre in older children to expel an inhaled foreign body. One hand is formed into a fist and placed against the child's abdomen above the umbilicus and below the xiphisternum. The other hand is placed over the fist. Both hands are thrust into the abdomen. This is repeated several times. The child can standing, kneeling, sitting or supine. In infants. back blows and chest thrusts are recommended to expel an inhaled foreign body. Abdominal thrusts are best avoided in infants as they may cause intra-abdominal injury. #Heimlich #Maneuver #Choking #Peds #Pediatrics #Airway #Obstruction #ForeignBody #Management