We posted a blog last year about the risks of choking, and with the introduction of new devices, it might be time to talk about choking prevention for seniors again. If you’ve never experienced a situation where someone close to you was choking, you’re fortunate. It’s one of the most frightening experiences you can witness—and that helpless feeling only makes it worse.

Each year, choking claims the lives of more than 4,100 Americans age 65 and older. According to the National Safety Council, this age group accounts for about three-quarters of all choking deaths in the U.S. That’s a sobering statistic and a reminder that this is still very much a concern. In fact, this guide from SeniorLiving.org confirms that older adults remain the most vulnerable.

Having a plan in place and implementing preventative measures can truly save lives. Some essential steps include:

• Supervising all meals and snacks
• Modifying food texture to make it softer
• Using thin liquids like water instead of thicker options like smoothies
• Ensuring dental care is up to date
• Avoiding risky foods like popcorn, grapes, hard candy, or tough meats

In the past year, several companies have marketed “antichoking devices” that use suction to dislodge food blockages. But these devices come with controversy. Although manufacturers note their products are registered with the FDA, that’s not the same as being FDA-approved. In fact, the FDA issued a consumer alert stating that these over-the-counter antichoking devices have not been approved for use because their safety and effectiveness have not been proven. As noted by MedPage Today, these tools may be promising but should not replace traditional emergency responses.

True choking prevention for seniors begins with preparedness. Your emergency plan should include:

• Safety training for all staff and caregivers
• Clear instructions on recognizing the signs of choking
• Use of the Heimlich maneuver as a first-line intervention
• Ongoing drills and refreshers for all staff—not just medical professionals

Some signs of choking include coughing, gagging, grabbing the throat, panic, lip discoloration, or unconsciousness. If you see any of these, act fast.

Interestingly, a study published by the European Resuscitation Council found that back blows were associated with better outcomes compared to abdominal thrusts or chest compressions. Even manufacturers of antichoking devices acknowledge that traditional techniques should be used first.

Make sure every person in your community knows what to do in a choking emergency. It doesn’t take a nurse—just someone trained and confident. And whenever possible, residents should eat in supervised dining areas rather than in their rooms.

Stay well and stay informed!