Ryanair Initial Practice Exam

What is the first step in treating a choking adult who cannot cough or speak?

1. Make the casualty lie down

2. Encourage them to cough

3. Bend them forward and give 5 back slaps

4. Offer them water to drink

The correct answer is: Bend them forward and give 5 back slaps

In cases of choking, especially when an adult is unable to cough or speak, the immediate priority is to relieve the obstruction in their airway. Giving five back slaps is an appropriate first step. By bending the person forward and delivering firm back slaps between the shoulder blades, you create a force that may help dislodge the object causing the choking. This technique effectively harnesses gravity and a sudden burst of air to clear the airway, which is critical when the person cannot cough or call for help. It's essential to act quickly in such scenarios, as the inability to breathe or make sounds indicates a severe risk. Other methods, like offering water or lying the casualty down, are not suitable actions at this stage because they can either complicate the situation or have no effect on removing the obstruction.