Why YSK:
Despite choking being an emergency, until recently there has been limited high-quality evidence to guide bystanders on the most effective way to help. Techniques like abdominal thrusts (formerly known as the Heimlich maneuver), back blows and chest compressions or thrusts have existed since the mid-1900s but, until recently, recommendations were largely based on case reports rather than rigorous scientific data. This evidence gap is dangerous.
Bystander response is the primary driver of a choking person’s outcome, so ensuring people know the safest and most effective way to care for a choking person can save lives.
Please see the article for the full piece, it’s not long.
Article authors:
- Cody Dunne - Emergency Medicine Physician and PhD Candidate, University of Calgary
- Andrew McRae - Associate Professor, Departments of Emergency Medicine and Community Health Sciences, University of Calgary
- Khara Sauro - Associate professor, Cumming School of Medicine, Department of Surgery, University of Calgary
If you need more motivation to open the article, here is an interesting fact:
New research suggests back blows cleared choking obstructions in 72 per cent of cases, superior to both abdominal thrusts (59 per cent) and chest thrusts (27 per cent).



Might have been shock on her part. I choked in a restaurant before on a peppermint and my mom saved me with abdominal thrusts but I was really shaken up afterwards from how scary it got and couldn’t really react much for a while afterwards
Same for the person I performed the heimlich on, I found it odd at the time and her daughter thanked me profusely, it was surreal. I also remember being terrified on hurting her as well as potentially being sued if I had, she was a bigger lady and really short so I had her like fully off the ground squeezing the absolute fuck out of her
What a world where I have to have that thought while trying to help
Yeah it’s quite the experience, you can’t breathe and that’s freaking you out and then you’re just airborne all the sudden and something flies out of you and then you suddenly aren’t dying anymore. It’s a trip but damn I’m glad my mom was able to react to it cos the choking part was horrifying. I’m sure the person you saved feels the same way that you were there to react to it, even if in the moment they seemed a bit dissociated.