Following the ERC 2025 First Aid Guidelines, if at any point, the choking person becomes unresponsive with absent or abnormal breathing, chest compressions must be initiated in accordance with standard BLS and CPR continued until the person recovers or emergency services arrive.
The rationale for this is that chest compressions generate higher airway pressures than abdominal thrusts and may potentially alleviate the obstruction, whilst also providing a cardiac output.
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