A middle-aged man collapses. You and a second rescuer go to the victim and find that he is unresponsive, is not breathing, and does not have a pulse. Which action do you perform to relieve choking in an unresponsive adult?

A. Give sets of 5 abdominal thrusts and 5 back slaps.
B. Perform CPR, and look in the mouth for the obstructing object.
C. Attempt a blind finger sweep when giving breaths to remove the obstructing object.
D. Give sets of 5 back slaps and 5 chest thrusts.

In case of an unresponsive choking adult, perform CPR and look in the mouth for the obstructing object. Initiate high-quality chest compressions at a rate of 100 compressions per minute until help arrives or the patient regains spontaneous contraction.

Explanation:

To relieve choking in an unresponsive adult, the correct action is to perform CPR and look in the mouth for the obstructing object. When a person collapses and is not breathing with no pulse, it indicates cardiac arrest. The priority is to start chest compressions and rescue breaths - collectively known as cardiopulmonary resuscitation, or CPR.

This process involves applying pressure on the sternum, causing the blood within the heart to be squeezed into the pulmonary and systemic circuits, thus maintaining some blood flow to the brain till the heart can be restarted. High-quality chest compressions are emphasized, pressing the chest at least 5 cm deep at about 100 compressions per minute.

After giving each set of compressions and before giving breaths, look in the mouth for the obstructing object. If visualized, it should be removed. A blind finger sweep is not advised because it can push the object further down. Proper training in CPR is essential, and this life-sustaining technique is so valuable that it is encouraged for all medical personnel and concerned members of the public to be certified and recertified in its application.

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