What is the first step in managing a patient who is choking?

Encouraging the patient to cough if they can still breathe is key in managing a choking incident. Coughing is the body’s natural reflex to expel an obstruction from the airway, and if the patient is able to cough, it indicates that there is still some airflow to the lungs. This active response can help dislodge the object without immediate intervention.

Allowing the patient to cough also gives them a chance to remove the blockage on their own, which is the safest scenario. It is important to monitor the patient's condition closely during this time, as if their ability to cough diminishes, further action will be necessary.

In cases where the patient cannot cough or breathe, other interventions, such as abdominal thrusts or back blows, might become necessary. However, initiating with encouragement to cough is a crucial and appropriate first step when the patient is still able to breathe.