Choking First Aid Techniques for Adults and Children by Red Crescent

Choking is a critical emergency that requires immediate action, as it can obstruct airflow and lead to severe consequences within minutes. For adults, the first response is often the Heimlich maneuver, which involves standing behind the individual and wrapping your arms around their waist. The rescuer should make a fist with one hand and place the thumb side against the middle of the person’s abdomen, above the navel. A quick, inward and upward thrust can help expel the object blocking the airway. If the person becomes unconscious, it's essential to call emergency services and initiate CPR, alternating between chest compressions and rescue breaths to maintain circulation and oxygen flow. When dealing with choking in children, techniques vary slightly based on age. For infants under one year, the recommended approach is a series of five back blows, delivered between the shoulder blades using the heel of the hand, followed by five chest thrusts using two fingers on the lower half of the sternum. For children aged one year and older, the Heimlich maneuver can be adapted similarly to adults, though the rescuer should be mindful of using less force appropriate to the child's size. Regardless of age, it is crucial to remain calm and encourage the child to cough forcefully if they can, as this may help dislodge the object on their own. In all cases, seeking professional medical assistance afterward is advisable, even if the object seems to be expelled.