Back blows: where to deliver the blows for an adult choking?

• A. On the chest
• B. On the back near the spine
• C. Between the shoulder blades
• D. Between the shoulder blades with the heel of the hand

Answer: (D)

Back blows for an adult choking are delivered between the shoulder blades with the heel of the hand. This spot directs the force toward the airway and, using the heel, provides a focused, more effective impulse to dislodge the obstruction. Have the person lean forward slightly so gravity aids expulsion and you don’t push the object deeper. Deliver five firm back blows in quick succession, then reassess. If the object remains stuck, proceed with the next trained step (such as abdominal thrusts) and continue according to guidance.