First Aid Guides
Choking - Adult and child
What to do if someone is choking
Choking happens when something blocks the airway making it difficult to breathe.
Choking may be a life-threatening emergency. First aid can save the life of a choking person if applied correctly and immediately.
Start with DRSABCD
D - Danger
Assess the area to ensure its safe for yourself, others and the patient. Only proceed to help them if its safe.
R - Response
Check for a response. You can do this by asking their name and squeezing their shoulders.
- If they do respond: Make them comfortable and continue to follow the steps in this guide
- If they don't respond: Send for help immediately (call Triple Zero 000) and follow the DRSABCD Action Plan
First aid for choking
If the person is conscious, follow the below First Aid steps:
Step 1: Encourage them to breathe and cough
- Encourage the person to relax, and take long, slow deep breaths
- Ask the person to cough a few times. This might dislodge what is stuck in their throat
- If coughing doesn't work to remove the blockage, call Triple Zero (000)
Step 2: Give them 5 back blows
- Lean the person forward with their head and chest low
- Give 5 back blows between the shoulders with the heel of your hand - check if the blockage has cleared after each blow
Step 3: If not cleared, give 5 chest thrusts
- Ask them to sit in a chair or lean forward with their hands on their knees
- Place one hand in the middle of their back for support. Place the heel of the other hand on the lower part of their breastbone
- Give 5 chest thrusts with the heel of your hand - check if the blockage has cleared after each thrust
- Chest thrusts are similar to chest compressions but are delivered at a slower sharper rate. The amount of force used is less for a child than an adult
Step 4: Rotate between 5 back blows and chest thrusts
- If they're still choking, continue to rotate between Steps 2 and 3. Remember to check if the blockage has cleared after each back blow or chest thrust
- Continue this until the blockage has cleared or medical help arrives

