What should be done first in case of a choking victim?

Encouraging a choking victim to cough is a crucial initial response because coughing is the body's natural way of attempting to expel an obstruction from the airway. This method is effective and can successfully remove the object if the obstruction is partial, allowing the victim to breathe.

When a person can still cough or speak, it indicates that their airway is not completely blocked, and they may be able to clear the obstruction themselves. In instructing the victim to continue coughing, you are supporting their efforts to dislodge the object naturally.

If they cannot breathe, cough, or talk, then more advanced interventions like back blows or abdominal thrusts become necessary. Calling for emergency medical services is also important, but it should occur after determining the severity of the situation. In cases of complete obstruction where the victim cannot cough, a more immediate action is required. Thus, starting by encouraging the victim to cough is the most appropriate initial action for a choking scenario.