Life back is a section to smoothly remove food or objects that are lodged in your throat. Here are the three steps you need to know • Place • Push • Pull Place LifeVac over the mouth & nose to create a seal. The one-way valve prevents air from pushing food or the object downward when pressed Then Paul to create a one-way section to remove the lodge food or object It comes with two different sizes one for children and one for adults. LifeVac is regulated by the FDA, so make sure to get the authentic original LifeVac, it will help clear someone’s throat if they are choking.