Statement on the Use of De-Choking Devices 2026
Tigerlily First Aid Training
As a provider of regulated first aid training, Tigerlily First Aid Training is committed to delivering instruction that aligns with the latest guidance from authoritative bodies, including Resuscitation Council UK (RCUK), the Early Years Foundation Stage (EYFS) and the Health and Safety Executive (HSE). Our training follows the current RCUK Resuscitation Guidelines 2025.
Our position
We are aware of the growing interest in suction-based airway clearance devices (sometimes referred to as de-choking or anti-choking devices). We do not currently endorse or include the use of these devices within our training programmes. This position is based on the guidance of Resuscitation Council UK, which states:
|
“We do not currently support their use, as there is insufficient research and evidence on the safety or effectiveness of these devices. We are concerned that the use of these devices could delay established treatments for choking. Appropriately trained healthcare professionals can already use advanced techniques such as suction or laryngoscopy and forceps for the removal of foreign body airway obstructions.”
— Resuscitation Council UK, reviewed and updated May 2024
|
What we teach
We continue to teach and promote the evidence-based protocols for managing choking incidents. In line with RCUK guidance, this means encouraging effective coughing, then administering back blows and abdominal thrusts for adults and children (chest thrusts for infants), followed by CPR without delay if the person becomes unresponsive. These steps are straightforward to learn and can be carried out promptly and effectively without the need for any equipment.
Decisions within your setting
We recognise that some settings choose to keep a de-choking device on site as a supplementary, last-resort measure, to be used only after the established choking protocol has been followed. The decision to hold and use such a device rests with the individual setting, having taken account of its own risk assessment, insurance position and the manufacturer’s instructions. Our role is to ensure practitioners are confident in the recognised protocols as the priority response; we do not instruct staff that they must never use a device their setting has chosen to provide.
Supporting choking prevention
To further support those caring for infants and young children, we offer a free monthly Safer Feeding webinar, designed to raise awareness and share best practice around feeding safety and choking prevention. We remain committed to safeguarding lives through trusted, regulated and research-backed training.
For more information, you can view Resuscitation Council UK’s full statement on their official website: resus.org.uk.