Choking is a time-sensitive emergency. Community first aid training allows prompt recognition of the classic signs of choking and prompts lifesaving care. The Heimlich maneuver is often effective, but care can also include chest compressions, back blows, or manually removing the foreign body with a finger, Magill forceps, or suction. When bystanders are unsuccessful, EMS personnel can expect to encounter a critical patient. When successful expulsion of the foreign body occurs, the patient should be encouraged to go to the emergency department for further evaluation, as significant injuries can occur during rescue treatment. Patients who have partial obstructions should be given supportive care and monitored closely for potential development of full obstruction while transporting to the emergency department.