Unresponsive Choking Adult: Correct CPR Sequence After Failed Abdominal Thrusts

When a choking adult becomes unresponsive, the algorithm shifts immediately to CPR.

Correct Action Sequence

1. Stop abdominal thrusts. They are ineffective and potentially harmful in an unresponsive person.
2. Lower the person to a firm, flat surface.
3. Call 911 / activate emergency response (or send someone to call while you start CPR).
4. Begin CPR:
   • Chest compressions: 100–120/min, depth 2–2.4 in (5–6 cm), allow full recoil.
   • After 30 compressions, open airway (head‑tilt/chin‑lift), look for object — if visible, remove with finger sweep; do not blind sweep.
   • Attempt 2 rescue breaths (each 1 sec, chest rise). If chest does not rise, reposition head and retry.
   • Continue 30:2 cycles.
5. Use AED as soon as available.

Key Points

• Chest compressions may dislodge the object by generating intrathoracic pressure.
• If untrained or unable to give breaths: **hands‑only CPR** (continuous compressions) until help arrives.
• Do not perform abdominal thrusts on an unresponsive person.

This aligns with AHA 2020 Guidelines for choking unresponsive adult.