In unconscious choking, what is the first step you should perform?

• A. Begin chest compressions immediately.
• B. Open the airway and check for a foreign body.
• C. Give two rescue breaths before checking the mouth.
• D. Call 9-1-1 and wait.

Answer: (B)

In an unconscious choking situation, the immediate issue is a blocked airway. The first priority is to open the airway and check for a foreign body. By tilting the head back and lifting the chin, you can look into the mouth and feel for an object you can safely remove if seen. If you can safely remove a visible object, do so. If you can’t see or can’t safely remove it, proceed with rescue breathing and CPR to deliver air and blood flow while help is on the way. Starting chest compressions before addressing the obstruction can push the object deeper or prevent effective ventilation, and waiting for help or giving breaths without checking the airway delays clearing the blockage.