A responsive patient is choking. What is the recommended first method to clear the airway obstruction?

In the case of a responsive patient who is choking, the recommended first method to clear the airway obstruction is back blows. This technique involves delivering firm blows between the shoulder blades of the patient while they bend forward. The goal of back blows is to create enough force to dislodge the object blocking the airway without causing further injury.

Back blows are particularly beneficial in certain situations, such as if the patient is still conscious and able to cough or breathe, albeit with difficulty. This method allows some level of airway control while maintaining the ability to assess the patient's condition and responsiveness. If back blows are not effective in alleviating the obstruction, other methods such as abdominal thrusts or chest thrusts can be employed subsequently.

Utilizing back blows first is in line with the current guidelines for managing choking in responsive individuals, prioritizing methods that are both safe and effective in relieving airway obstructions.