Choking is when your airway gets blocked and you can’t breathe
When someone chokes, the airway can either be partly or fully
blocked. If it’s a mild blockage, they should be able to clear it
themselves by coughing. If it’s a severe blockage, they won’t be
able to cough so without anyone’s help they’ll lose
But if they do lose consciousness, their throat muscles could
relax and open the airway enough for you to give rescue breaths ‒
be prepared to give rescue breaths and chest compressions.
Free poster download: what to do
when an adult is choking
Watch our video - Choking adults
Choking adult ‒ what to look for
If you think someone is choking, ask them: ‘Are you choking?’ to
check they’re not suffering from something else. Can they speak,
cry, cough or breathe?
If they can, they should be able to clear their throat on their
own by coughing, so encourage them to cough.
If they can’t cough or make any noise, it’s serious.
Choking adult ‒ what you need to do
Help clear their throat with these three steps.
Cough it out
- Encourage them to cough. If this doesn't clear the obstruction,
support their upper body with one hand and help them lean
Slap it out
- If coughing doesn’t work, help the casualty bend
- Use the heel of your hand to give up to five sharp back blows
between their shoulder blades.
- Check their mouth to see if there’s anything in there and, if
there is, get them to pick it out.
Squeeze it out
- If back blows don’t work, give up to five abdominal
- Stand behind them.
- Link your hands between their tummy button and the bottom of
their chest, with your lower hand clenched in a fist.
- Pull sharply inwards and upwards.
If they’re still choking, repeat steps 2 and 3 – back blows and
abdominal thrusts – up to three times or until you’ve dislodged
what’s in there and they can breathe again.
Call for help
If they’re still choking after you’ve repeated these steps three
times, call 999 or 112 for medical help.
Once you’ve called, continue steps 2 and 3 – back
blows and abdominal thrusts – until what’s in
there has cleared, help arrives or they become unconscious.
If they lose consciousness at any stage, open their airway and
check their breathing.
If they’re not breathing, start chest compressions and rescue
breaths (CPR - cardiopulmonary resuscitation) to try to release
whatever’s stuck in there. Follow the instructions for treating
someone who’s unconscious and not