Conscious

1. Encourage patient to relax
2. Encourage to cough
3. If signs of respiratory distress, give high concentration oxygen
4. Immediate transport

Unconscious

1. Arrange paramedic backup
2. Log roll onto side
3. Give 4 sharp glancing back blows
4. Check for dislodgement and reassess breathing
5. Give 4 lateral chest thrusts
6. Check for dislodgement and reassess breathing
7. Repeat entire sequence two more time, reassessing constantly
   If unsuccessful, attempt IPPV
8. Immediate transport.