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If someone is choking and you deliver back slaps and abdominal thrusts and they are not successful, the patient will become unresponsive. If this happens, guide the patient to the ground and place them on their back and start CPR at the chest compression stage. Send someone to contact the EMS or if alone, make the call yourself. Continue CPR until the EMS arrive. Unless this is a respiratory problem, by delivering compressions, you may dislodge the obstruction and the person may start to breathe. If they do start breathing, place them in a recovery position and continually monitor their breathing in case it stops again. When the EMS arrive, tell them exactly what has happened and what you have done.
