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Responding to Choking: What a PSW Should Do

๐Ÿ“… June 27, 2026 ✍️ By Piewy Team

Choking is a medical emergency. Knowing the signs and acting quickly can save a life.

Signs of Choking

  • Clutching the throat
  • Unable to speak, cough, or breathe
  • High-pitched sounds or silence
  • Turning blue, panic on the face

If the Person Can Cough

If they can still cough or speak, encourage them to keep coughing — don't interfere. A strong cough is the best way to clear the airway.

If the Airway Is Blocked

  1. Call for help right away.
  2. Give abdominal thrusts (Heimlich) if trained: stand behind, fist above the navel, quick inward and upward thrusts.
  3. Continue until the object clears or help arrives.
  4. If the person becomes unconscious, lower them safely and start emergency procedures per your training.

Prevention

Follow texture-modified diet orders, sit clients upright to eat, offer small bites, and never rush meals.

๐Ÿ”‘ Key Takeaways

  • Choking signs: can't speak, cough, or breathe.
  • If they can cough, encourage coughing.
  • Blocked airway: call for help, abdominal thrusts if trained.
  • Prevent it: upright, small bites, no rushing.
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About the Piewy Team

Piewy study guides are written and reviewed by Canadian healthcare educators and experienced PSW instructors. Our content is based on the NACC PSW competency framework and current best practices in personal support work.