Choking First Aid: Life-Saving Response

Clear step-by-step guide to recognizing and responding to choking emergencies in children and adults.

10 min readLast updated: 2026-02-17

Quick Facts

Recognition
Inability to cough, cry, or speak; difficulty breathing
Response
Back blows and abdominal thrusts for infants/children; abdominal thrusts for adults
Prevention
Proper chewing, avoiding choking hazards, supervision of young children

Overview: Choking Emergency Response

Choking requires immediate recognition and action. Airway obstruction prevents oxygen delivery to the brain; permanent brain damage occurs within minutes. Knowing first aid response saves lives .

Act immediately when someone is choking; calling for help comes after initial response.

Key Information
Severe choking involves complete airway obstruction with inability to cough, cry, speak, or breathe. Mild choking allows some airflow and effective cough; encourage coughing rather than intervening.

Recognizing Choking

Signs of severe choking include inability to speak or cry, weak cough or inability to cough, difficulty breathing or noisy breathing, and loss of consciousness. Mild choking shows effective coughing and ability to speak between coughs; let the person cough.

Infant Choking Response (Under 1 Year)

For conscious infants, alternate 5 back blows (between shoulder blades with heel of hand) with 5 chest thrusts (upward thrusts on sternum). Repeat cycles until object dislodges or infant becomes unconscious.

Child Choking Response (1-8 Years)

For conscious children, perform abdominal thrusts: stand behind child, wrap arms around waist, place one fist above navel, grasp fist with other hand, and thrust upward into abdomen. Continue until object is expelled or child becomes unconscious.

Adult Choking Response

For conscious adults, perform abdominal thrusts similarly: stand behind person, wrap arms around waist, place fist just above navel, grasp with other hand, and perform quick upward thrusts. Continue until object is expelled or person becomes unconscious .

Warning
For unconscious choking victim: call emergency services immediately. Begin CPR if trained; opening airway during compressions may dislodge object. Never do blind finger sweeps; remove object only if visible. Continue resuscitation until emergency providers arrive or victim responds.
Clinical Note
Recovery position (on side with head extended) maintains airway if person becomes unconscious but is breathing. Do not delay emergency services while attempting first aid; call immediately if choking doesn't resolve with initial response.

Prevention

Cut food into appropriate sizes; avoid round, hard foods for children. Supervise eating; encourage thorough chewing. Avoid talking with mouths full. Keep choking hazards away from young children.

Medically reviewed by

Medical Review Team, Emergency Medicine

Last updated: 2026-02-17Sources: 2

The content on Medical Atlas is for informational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider.