What steps should be taken if someone is choking but can still cough forcefully?

When someone is choking but can still cough forcefully, the most appropriate response is to encourage them to continue coughing to expel the obstruction. Coughing is a natural reflex that can help dislodge an object blocking the airway. If the individual can generate a strong cough, it indicates that their airway is partially obstructed but not completely blocked, allowing them air and making the act of coughing effective.

Encouraging the person to cough allows them to use their own strength and reflexes to try to clear the obstruction. It's important to monitor them during this time, as their condition can change, but supporting their instinct to cough is the best immediate action.

In contrast, performing abdominal thrusts immediately is reserved for situations where the individual cannot cough, speak, or breathe effectively, as it might cause unnecessary harm or stress. Providing back blows or starting CPR are also interventions meant for more severe choking situations or respiratory emergencies when the airway is fully obstructed or if the person becomes unresponsive.