Basic Life Support (BLS) course
girl-choking

Figure 15

Choking is a common preventable cause of cardiac arrest. The correct response for a choking person depends on the degree of airway obstruction, whether the person is responsive or not, and the age of the person. See Table 3 for rescue actions for choking in adult and children.

Choking In Adults And Children

Degree of Obstruction Person’s Response Rescuers Action
Mild Obstruction
  • Breathing but may also be wheezing
  • Coughing and making noise
  • Stay with the person, try to keep them calm
  • Encourage them to cough
  • Call 911/EMS if the person seems to be getting worse
Severe Obstruction
  • Clutching the neck (universal sign of choking; Figure 15)
  • Weak or no cough
  • Unable to make noise or talk; may make high-pitched noise
  • Little or no breathing
  • Appears cyanotic (blue around lips and fingertips)
  • Use abdominal thrusts to attempt to remove obstruction
  • Call 911/EMS
  • Begin BLS if the person becomes unresponsive

Table 3

Figure 16: Abdominal
Thrusts

Abdominal Thrusts

These steps should only be used when a person is responsive and older than one year of age.

To properly perform the abdominal thrusts, do the following:

  1. Stand behind the responsive person. Wrap your arms around their waist under their ribcage.

  2. Put the side of your fist above the person’s navel in the middle of their belly. Do not press on the lower part of the sternum (Figure 16a).

  3. With your other hand, hold the first fist and press forcefully into the person’s abdomen and up toward their chest (Figure 16b and 16c).

  4. Continue performing these thrusts until the obstruction is relieved or until the person becomes unresponsive.

If you can see a foreign object in the individual’s mouth and can easily remove it, then do it. Watch and feel for breathing to begin. If the individual does not begin breathing, continue to provide CPR and rescue breaths until help arrives.