If a man is grasping his neck and turning blue, he is likely choking. I would first ask him if he can cough or speak; if he cannot, I would perform the Heimlich maneuver by standing behind him, placing my arms around his waist, making a fist with one hand just above his navel, and thrusting inward and upward until the object is expelled or he becomes unconscious. If he becomes unconscious, I would call for emergency assistance and begin CPR if necessary.
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