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Choking (adult)

Clearing a blocked airway in a responsive adult.

In an emergency, call your emergency number first — 112 across the EU. This is general information, not a substitute for hands-on first-aid training or professional medical care. If you are unsure, call for help and follow the dispatcher's instructions.

When to use this

Use when someone suddenly cannot speak, cough or breathe, often clutching the throat, while still conscious.

Step by step

  1. Ask "Are you choking?" If they can cough, speak or breathe, encourage them to keep coughing.
  2. If the cough is silent or ineffective, lean them forward and give up to 5 sharp back blows between the shoulder blades with the heel of your hand.
  3. If that does not clear it, give up to 5 abdominal thrusts: stand behind, place a fist just above the navel, grasp it with the other hand and pull sharply inward and upward.
  4. Alternate 5 back blows and 5 abdominal thrusts until the object clears.
  5. If they become unresponsive, call 112 and begin CPR, starting with chest compressions.

What not to do

Emergency numbers

112 reaches emergency services across the European Union and much of the world, often even without a SIM or signal from your own network. Some countries keep additional local numbers.

Where you areEmergency number
European Union & EEA (incl. Estonia, Finland, Latvia, Lithuania)112
United Kingdom999 (112 also works)
United States & Canada911
Australia000
New Zealand111

Other first-aid guides

Adult CPR

What to do when an adult is unresponsive and not breathing normally.

Severe bleeding

Controlling heavy bleeding while help is on the way.

Burns and scalds

First aid for heat burns and scalds.

Heat stroke

A life-threatening overheating emergency.

Hypothermia

Warming someone who has become dangerously cold.

Severe allergic reaction (anaphylaxis)

A rapid, life-threatening allergic reaction.

Source: Steps paraphrase widely-accepted guidance from bodies such as the European Resuscitation Council and national Red Cross societies. General information, not a substitute for training. · checked 2026-09-04

Frequently asked questions

When should I use this?

Use when someone suddenly cannot speak, cough or breathe, often clutching the throat, while still conscious.

When must I call emergency services?

As early as you safely can. Across the EU that is 112. For anyone unresponsive and not breathing normally, call first (or have someone call) and start CPR straight away.

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