What to Do When Someone Is Choking

Quick Answer

If someone is choking, it’s vital to act quickly and calmly. Encourage them to cough, perform back blows and abdominal thrusts if they cannot clear the obstruction, and call emergency services if the situation worsens. Learning the correct procedures through a free first aid course with certificate in South Africa can prepare you to respond effectively in such emergencies.

Understanding Choking and Why Immediate Action Matters

Choking occurs when the airway becomes partially or fully blocked by a foreign object, making it hard or impossible to breathe. This situation requires immediate first aid to prevent severe injury or death. A free first aid course with certificate in South Africa covers emergency response techniques such as how to safely and confidently manage choking incidents, helping you save lives when every second counts.

Recognising a Choking Emergency

The first step is recognising the signs of choking. Look for difficulty breathing, coughing, wheezing, clutching the throat (universal choking sign), noisy breathing, and in severe cases, inability to speak or breathe. If the person can speak or cough effectively, encourage them to continue coughing to expel the object. However, if the airway is completely blocked, immediate intervention is required.

Step-by-Step Guidance: How to Help Someone Who Is Choking

Start by asking if the person can speak or breathe. If they can’t, and you see signs of severe choking, follow these steps:

  • Encourage coughing: If the person is coughing forcefully, let them keep trying to clear the airway.
  • Back blows: Stand behind the person, support their chest with one hand, and lean them forward. Deliver 5 firm back blows between their shoulder blades with the heel of your hand.
  • Abdominal thrusts (Heimlich manoeuvre): Position yourself behind, place a fist above their navel, grab your fist with the other hand, and give quick upward thrusts to force the object out.
  • Alternate back blows and abdominal thrusts: Repeat the cycle until the object is expelled or the person becomes unconscious.

Special Care for Infants and Young Children

Choking in infants requires different techniques. Place the baby face down along your forearm, supporting the head and neck, and deliver 5 gentle back blows with the heel of your hand. If unsuccessful, flip the infant over on their back and give 5 chest thrusts using two fingers in the centre of the chest. Never perform abdominal thrusts on infants. Getting trained with an online first aid course for beginners will teach these crucial age-specific steps.

Common Mistakes to Avoid When Helping Someone Who Is Choking

  • Don’t hit the person on the back if they are coughing effectively; this can worsen the blockage.
  • Avoid blind finger sweeps in the mouth—it can push the object deeper.
  • Do not delay calling emergency services if the obstruction persists or the person becomes unconscious.
  • Make sure abdominal thrusts are done correctly to prevent injury.

Practical Checklist: What to Do During a Choking Emergency

  • Assess the situation quickly.
  • Encourage coughing if mild obstruction.
  • Call for help early if severe obstruction.
  • Perform back blows and abdominal thrusts if necessary.
  • Be ready to perform CPR if the person loses consciousness.
  • Stay with the person until professional help arrives.

Example Scenario: Helping a Choking Colleague at Work

Imagine a workplace situation where a colleague suddenly shows signs of choking after eating. After encouraging them to cough with no success, you immediately give 5 firm back blows. When the object remains stuck, you perform abdominal thrusts until the blockage clears. This prompt action can prevent serious injury, showcasing why workplace first aid training in South Africa is essential. You can prepare for such emergencies with practical lessons from a workplace first aid course.

Why Learning First Aid Skills is Essential for Every South African

Choking can happen anywhere — at home, work, or public places. Having the right knowledge and skills through a free first aid course with certificate in South Africa empowers you to act confidently during emergencies. These first aid skills training programs cover injury treatment training and emergency response courses that can transform bystanders into lifesavers.

Continuing Your First Aid Education

Helping someone who is choking is only one aspect of emergency first aid training. To build a well-rounded skill set, consider enrolling in a comprehensive free first aid course with certificate in South Africa. This course covers CPR training, treating wounds and burns, fracture management, and more. Continuous learning ensures you stay prepared for any emergency, protecting your family, colleagues, and community.

Ready to gain practical first aid skills and earn a certificate? Join EduCourse’s Free First Aid Certificate Course in South Africa today and become equipped to make a difference when it matters most.
What should I do if the choking person becomes unconscious?
If the person becomes unconscious, call emergency services immediately. Place them on a flat surface, open the airway, and begin CPR including chest compressions and rescue breaths if trained. Check the airway regularly for any visible obstructions.
Can I perform abdominal thrusts on a pregnant or obese person?
For pregnant or obese individuals, avoid abdominal thrusts. Instead, perform chest thrusts by placing your hands on the middle of the chest and applying quick inward thrusts to dislodge the obstruction.
Is it safe to try and remove choking objects with my fingers?
Finger sweeps are only recommended if you see a visible object in the mouth. Blind finger sweeps can push the object deeper and worsen the situation. Always prioritize back blows and abdominal thrusts first.
Why is first aid training important for workplace safety?
Workplace first aid training ensures employees can respond quickly to emergencies like choking or injuries, reducing the risk of complications. It also promotes health and safety compliance and creates a safer working environment for all.
Disclaimer: This blog provides general information on choking first aid procedures. It is not a substitute for professional medical advice or training. Always seek medical help in emergencies.
EduCourse Learning Team
EduCourse Learning Team

The EduCourse Learning Team creates practical, beginner-friendly online learning content designed to help individuals build real skills at their own pace. With a focus on accessibility and structured learning, the team develops guides and resources across areas such as Microsoft Office, data entry, and workplace skills.

Their goal is to make online learning simple, flexible, and useful for anyone starting their skills development journey.

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