For a choking person in a wheelchair, how should abdominal thrusts be performed?

• A. Back blows only.
• B. Abdominal thrusts.
• C. Abdominal thrusts as if they were standing.
• D. No thrusts, only back blows.

Answer: (C)

Abdominal thrusts should be performed in a wheelchair by applying the same motion you would if the person were standing. The goal is to create a quick inward and upward pressure to expel the object, so position yourself behind the seated person (or to the side as needed), place a fist just above the navel, grasp with the other hand, and deliver rapid upward thrusts. The chair can be used for support, and you may slightly tilt the person forward to optimize the thrust. This seated adaptation keeps the maneuver effective for clearing the airway, rather than relying on back blows alone. If the situation worsens or the person becomes unresponsive, follow the next appropriate emergency steps.