Which protocol would you use for an unconscious, adult choking victim?

• A. Protocol B
• B. Protocol A
• C. Protocol D
• D. Protocol C

Answer: (D)

Unconscious choking in an adult requires switching to CPR‑focused management. When the person is unresponsive, the airway can no longer be protected or cleared with the usual choking maneuvers, and the priority becomes circulating oxygenated blood. Abdominal thrusts or back blows aren’t used because the patient isn’t able to respond or cooperate, and those maneuvers aren’t compatible with continuing CPR.

The correct protocol directs you to start high‑quality CPR immediately, beginning with chest compressions to maintain perfusion and then delivering rescue breaths to oxygenate. If you can see the object in the mouth, you may remove it with a finger sweep only if it’s clearly visible and easily reachable. After each cycle of compressions, reassess the airway and continue ventilations, repeating until the person resumes breathing or EMS arrives with advanced help.

Other protocols cover different situations, such as a conscious choking victim or pediatric cases, where airway clearance maneuvers (like back blows or abdominal thrusts) would be appropriate. In this unconscious adult scenario, the emphasis is on immediate CPR and airway management, which is why this protocol is the best fit.