What first response should be avoided when a patient demonstrates symptoms indicative of choking?

In a choking emergency, the primary concerns are ensuring the airway is clear and that the patient is breathing adequately. Performing back blows can actually exacerbate the situation depending on the severity of choking, as it may push the object further down the airway rather than dislodging it.

Instead, the most appropriate first response typically involves assessing the patient’s level of consciousness and whether they can cough or speak. If the patient is unable to breathe, cough, or speak, the emergency protocol usually dictates performing abdominal thrusts, or the Heimlich maneuver, rather than back blows.

Calling emergency services should also be done promptly if the situation is critical, but it's crucial to prioritize actions that directly address the obstruction in the airway. Thus, when someone demonstrates symptoms indicative of choking, avoiding back blows is essential to prevent worsening the obstruction.