What should be the first step if you suspect someone is choking?

When someone is suspected of choking, encouraging them to cough is considered the first appropriate step because coughing is the body's natural reflex to clear an obstruction from the airway. Coughing can help to expel the object causing the blockage if it is lodged in the throat but not completely obstructing airflow.

This approach allows the individual to attempt to clear their own airway with a method that is non-invasive and generally safe. If their coughing is productive and they are still able to speak, breathe, or make sounds, it indicates that the airway is not completely blocked, and you should allow them to continue coughing while monitoring their condition closely.

In instances where the individual is unable to cough effectively, has difficulty breathing, or loses consciousness, then more forceful interventions, such as abdominal thrusts, become necessary. However, starting with encouraging a cough is a natural and helpful initial response before escalating to more aggressive measures.