Choking and the airway.
Distinguish effective coughing from severe airway obstruction.
Adults · Infant measures separately in EH16
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Editorial learning version · sources as of 19.10.2026. Independent final professional approval remains open. Practise physical techniques in a guided in-person course. No recognised certificate for driving licences or workplaces. The sources are not partners or certifiers of this offer.
An adult guest chokes while eating. What matters is whether they can still cough effectively and speak.
The three key points remain readable without motion. Physical techniques require practical instruction.
Coughing can help
If the person can cough strongly, speak and breathe, encourage coughing and watch carefully. If coughing becomes weak or they can no longer speak or breathe, the situation is threatening. Arrange an early call to 112, especially for severe obstruction. Do not pour water into their mouth or reach blindly into it.
Key point: Effective coughing differs from barely getting air.
Severe obstruction in adults
If the responsive adult cannot cough effectively, give up to five blows between the shoulder blades with the upper body leaning forward. Check for success after each blow. If obstruction persists, follow with up to five abdominal thrusts; alternate the two measures. Do not use abdominal thrusts in pregnancy. If you cannot encircle the upper abdomen, adapted measures are needed; let the emergency control centre guide you.
Key point: Practise these techniques only on models in a practical course.
Change approach if there is no response
If the person becomes unresponsive, help lower them safely, call 112 and start resuscitation if normal breathing is absent. Remove only clearly visible, easily accessible foreign bodies; do not search blindly. Medical examination is needed after abdominal or chest compressions, even if the obstruction has cleared.
Key point: A change in condition means changing to the resuscitation procedure.
Decide and check for yourself.
Five questions: Choking and the airway.
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