In order to help people who have food or an object caught in their upper airway, the Heimlich maneuver (abdominal thrusts) is used. When a customer appears to be choking, the nurse aide must act quickly to clear the airway. Call for help. To perform abdominal thrusts, stand behind the customer. Make a fist with your dominant hand. Place this fist just above the customer’s navel. Wrap your other hand firmly around the fist. Pull inward and upward, pressing into the customer’s abdomen with quick and forceful upward thrusts, as if you are trying to lift the customer off his or her feet from this position. Continue the abdominal thrusts in quick succession until the object is expelled.