When should chest thrusts be used instead of abdominal thrusts?

Chest thrusts are appropriate for larger individuals and women who are in the later stages of pregnancy because of the anatomy and physical considerations involved. When performing abdominal thrusts on a larger person, there may be challenges in effectively delivering the thrusts due to the body mass. It can also pose risks to the victim's abdominal area, especially in later stages of pregnancy, where there is potential for injury to the fetus.

Using chest thrusts in these scenarios allows for a more controlled and safer approach. The thrusts can be delivered without the risk of exerting pressure on the abdomen, thereby avoiding harm while still attempting to clear the airway obstruction.

In contrast, abdominal thrusts are suitable for other scenarios but may not be advisable in this specific context of larger adults or pregnant individuals, where chest thrusts provide a safer alternative. This approach also reflects a broader understanding of how to adapt lifesaving techniques to meet the needs of diverse populations effectively.