Cough reflex involves approximately 2.5 L of air being inspired, the vestibular and vocal folds close tightly to trap the inspired air in the lungs, the abdominal muscles contract to force the abdominal contents up against the diaphragm and the muscles of expiration contract forcefully, increasing the pressure in the lungs to 100 mm Hg or more, causing the vestibular and vocal folds to open suddenly, elevating the soft palate, and expelling air from the lungs at a high velocity, carrying foreign particles with it.