Choking and Abdominal Thrusts
When food or another foreign object becomes stuck in the airway it can cause choking.
Choking prevents oxygen from getting to the lungs and the brain. Lack of oxygen to
the brain for more than 4 minutes may cause brain damage or death. It is important
for all people to recognize and know how to handle choking at home and in public places.
Experts recommend using abdominal thrusts to treat someone who is choking.
How can I prevent choking?
You can prevent choking in adults by following these precautionary measures:
Cut food into small pieces.
Chew food slowly and thoroughly, especially if wearing dentures.
Avoid laughing and talking while chewing and swallowing.
Avoid excessive intake of alcohol before and during meals.
You can prevent choking in infants and children by following these precautionary measures:
Keep marbles, beads, thumbtacks, latex balloons, coins, and other small toys and objects
out of reach, particularly in children younger than 4 years old.
Prevent children from walking, running, or playing when they have food and toys in
Youngsters under the age of 4 should not be fed foods that can easily become lodged
in the throat, such as hot dogs, nuts, chunks of meat or cheese, grapes, hard or sticky
candy, popcorn, chunks of peanut butter, or raw carrots.
Supervise mealtimes with young children.
Prevent older siblings from giving a dangerous food or toy to a young child.
What is the recommended first-aid technique for choking?
A series of under-the-diaphragm abdominal thrusts are recommended for a person who
is choking on a piece of food or a foreign object. This technique is used only when
a person is choking due to something blocking the airway. Choking is when a person
can't speak, cough, or breathe. An airway obstruction can lead to a loss of consciousness
and death. When applying the abdominal thrusts, be careful not to use too much force
so you don't damage the ribs or internal organs. Only use abdominal thrusts on a conscious
person if "back slaps" fail to relieve the airway obstruction. If the person is unconscious,
use chest compressions.
Abdominal thrusts lift the diaphragm and forces enough air from the lungs to create
an artificial cough. This cough is intended to move air through the windpipe, pushing,
and expelling the obstruction out of the airway and mouth:
Reach around the person's waist.
Position one clenched fist above the navel and below the rib cage.
Grasp your fist with your other hand. Pull the clenched fist sharply and directly
backward and upward under the rib cage 6 to 10 times quickly.
If the person is obese or in late pregnancy, give chest compressions.
Continue uninterrupted until the obstruction is relieved or advanced life support
is available. In either case, the person should be examined by a healthcare provider
as soon as possible.
If you are alone and choking, perform thrusts on yourself, or thrust your abdomen
against a chair back, sink edge, or railing.
Abdominal thrusts can be painful and even injure the person. Only use abdominal thrusts
in actual emergencies, when it is certain that the person is choking. Use this method
only in adults.
A different technique is used in infants and small children. Discuss the proper first-aid
choking technique for your child with his or her healthcare provider.
How can I learn the right way to help someone who is choking?
Using abdominal thrusts is simple to learn and is often taught during first-aid and
cardiopulmonary resuscitation (CPR) classes. Contact your local chapter of the American
Red Cross or American Heart Association or contact your local hospital or healthcare
facility for a class schedule and more information.