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Heimlich maneuver on adult
Heimlich maneuver on adult


Heimlich maneuver on infant
Heimlich maneuver on infant


Choking
Choking


Heimlich maneuver on an adult
Heimlich maneuver on an adult


Heimlich maneuver on conscious child
Heimlich maneuver on conscious child


Heimlich maneuver on conscious child
Heimlich maneuver on conscious child


Heimlich maneuver on infant
Heimlich maneuver on infant


Heimlich maneuver on infant
Heimlich maneuver on infant


Definition:

The Heimlich maneuver is an emergency technique for preventing suffocation when a person's airway (windpipe) becomes blocked by a piece of food or other object.

See also:



Alternative Names:

Choking - Heimlich maneuver; Abdominal thrusts



Considerations:

The Heimlich maneuver can be used safely on both adults and children, but most experts do not recommend it for infants less than 1 year old. You can also perform the maneuver on yourself.



Causes:



Symptoms:



First Aid:
  • For a conscious person who is sitting or standing, position yourself behind the person and reach your arms around his or her waist.
  • Place your fist, thumb side in, just above the person's navel and grab the fist tightly with your other hand.
  • Pull your fist abruptly upward and inward to increase airway pressure behind the obstructing object and force it from the windpipe.
  • If the person is conscious and lying on his or her back, straddle the person facing the head. Push your grasped fist upward and inward in a maneuver similar to the one above.

You may need to repeat the procedure several times before the object is dislodged. If repeated attempts do not free the airway, an emergency cut in the windpipe (tracheostomy or cricothyrotomy) may be necessary.



Do Not:



Call immediately for emergency medical assistance if:



Prevention:



References:

Hirshon JM. Basic cardiopulmonary resuscitation in adults. In: Tintinalli JE, Kelen GD, Stapczynski JS, Ma OJ, Cline DM, eds. Emergency Medicine: A Comprehensive Study Guide. 6th ed. New York, NY: McGraw-Hill; 2004:chap 12.




Review Date: 7/8/2009
Reviewed By: Jacob L. Heller, MD, MHA, Emergency Medicine, Virginia Mason Medical Center, Seattle, Washington, Clinic. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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789 Central Avenue, Dover, NH 03820
Phone: (603) 742-5252
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