This maneuver is used for removing foreign bodies from the airway. You must stand behind and wrap your arms around the waist of a conscious victim. Then place the thumb side of your fisted hand above the victim’s navel and well below the lower tip of the breastbone. Using the other hand, forcefully push the fist with a quick upward thrust into the victim’s abdomen. Repeat the thrust a few times if necessary. An unconscious victim is placed face upward. The rescuer kneels and places the heel of one hand above the navel and with the second hand on top pushes into the abdomen with a quick upward thrust.