For a choking adult, what is the first step in the Heimlich maneuver?

The first step in the Heimlich maneuver for a choking adult is to ask the person if they are choking. This is an important initial action because it helps you assess the situation and determine the level of distress the person is experiencing. By confirming whether the person is genuinely choking, it can guide your response appropriately.

If the person is indeed choking, they might be in a state of panic and unable to speak, which usually indicates a blockage in the airway. Asking this question not only helps to verify their condition but also rallies their attention, letting them know you intend to help. This moment can also provide insight into whether they are still able to breathe or cough effectively, which can influence the subsequent steps in the response.

Responding to choking requires a quick assessment of the individual's ability to breathe, speak, or cough. If they're unable to do any of these due to a severe blockage, then you would proceed with the appropriate actions following the confirmation of choking.