Choking Response: Heimlich, Back Blows, and When to Start CPR
For a conscious choking adult or child, alternate 5 back blows and 5 abdominal thrusts (Heimlich) until the object is dislodged. If the person becomes unresponsive, lower them and start CPR. Caring People Rescue offers in-person and blended CPR courses if you're ready to certify.
- Severe choking: rescuer needed; mild choking: encourage coughing
- Adult/child: 5 back blows + 5 abdominal thrusts
- Infant: 5 back blows + 5 chest thrusts (no abdominal)
- Unresponsive choking victim: start CPR
Recognize severe choking
Universal sign (hands at throat), inability to speak or cough, silent gasping, blue lips. Mild choking — the person can cough — needs encouragement, not intervention.
Pregnant or obese patients
Use chest thrusts instead of abdominal thrusts. Hand placement is the same as CPR compressions.
Prefer learning hands-on? Caring People Rescue runs in-person and blended choking response classes with certified instructors — visit www.caringpeoplerescue.com to reserve a seat.
After successful relief
Anyone who received abdominal thrusts needs medical evaluation, even if they feel fine — internal injuries can be missed.
Frequently asked questions
- Is the Heimlich still recommended?
- Yes — current guidelines call them 'abdominal thrusts,' but the technique is the same.
- What if I'm choking alone?
- Call 911 (leave the line open), then perform self-thrusts using a chair back or your own fists.
- When do I switch to CPR?
- The moment the choking victim becomes unresponsive — start chest compressions immediately.