If someone is choking what do you do first

ask if their ok
slap them on the back
offer them water
perform the heimlich maneuver

If someone is choking, the first step is to quickly assess the severity of the choking and ask them if they are okay. If they are unable to speak or indicate that they are choking, you should immediately perform the Heimlich maneuver. Slapping them on the back or offering them water should not be the first response because these actions may not effectively dislodge the obstruction.