1. You are on break and in the hospital cafeteria. As you sit down to eat your lunch, you notice a commotion at another table. A man is standing up and appears to be in distress. He as his hands at this throat giving the universal choking sign. You position yourself behind the choking victim.

(True or False) Your first intervention should be to wrap your arms around the victim’s chest.

2. You place the thumb side of your fist against the victim’s abdomen, in the midline, slightly above the navel and well below the breastbone. You grasp your fist with your other hand and press your fist into the victim’s abdomen with a quick, forceful upward thrust.

How many times should you repeat this abdominal thrust?

3. You begin abdominal thrusts, but the patient soon becomes unresponsive. You ask a person nearby to activate the emergency response system. What will be your intervention?

4. After you lower the victim to the ground, what would be your next intervention?

5. You begin CPR with chest compressions.

(True or False) When you finish 30 compressions and open the airway to give rescue breaths, you should open the victim’s mouth wide to see if you can visualize the object causing the obstruction and remove it if possible.

6. You cannot see any obstructing object in the victim’s mouth, and you provide 2 rescue breaths.  What should you do now?

7.  You complete 30 compressions, open the mouth wide and this time you see a piece of meat in the victim’s mouth.

(True or False). You should remove the meat with your fingers.

8. You remove the piece of meat from the victim’s mouth. Since you have cleared the airway of the obstruction, you should first _______________.

9. You check responsiveness by taping the victim’s shoulder and shouting “are you ok?” There is no response from the victim. Since the emergency response is already activated what should you do now?

10. You check breathing and a pulse. The victim has a strong pulse and you see chest rise and fall. He appears to be breathing. Great job treating this choking victim.
Last question.

(True or False) For the responsive choking victim if they are pregnant or obese you would perform chest thrusts instead of abdominal thrusts to clear the obstruction.