STEP BY STEP GUIDELINES Remove Dechoker from package, pull handle once or twice. Lay individual on their back, tilt up head, lifting chin up for access to airway. Insert tube into mouth, respirator face cap covering mouth and nose for no longer than 3 second intervals. Apply thumb at bottom of chin and index finger on one side of respirator, middle finger on the other side of respirator. Apply light pressure, begin pulling the plunger upwards. Repeat 4-5 times if necessary. Never leave respirator covering mouth and nose over 3 seconds at any point in time. Countdown 3..2..1 Roll individual on their side to allow debris out of mouth to avoid pulmonary aspiration.