26 November 2004

Heimlich Maneuver maybe can helps.

[Sci Medical & Health]

From what was happened lately (especially to the little Poh Yan). Hopefully its can make a lot of different by knowing it. Just to share something, maybe one day its can save our loves one.

Heimlich Maneuver

This procedure can save a choking victim by expelling objects blocking the airway.

What is it? (Overview)

You’re enjoying a meal with friends when suddenly your spouse clutches his throat. He can’t talk and gestures for help. You have to act quickly. Brain damage or death can happen in just 4 to ten minutes without air. You jump up, grasp him from behind, and give a quick upward thrust with your fist. A piece of meat flies out and he takes a deep breath. You just successfully performed the Heimlich maneuver.

This simple procedure first captured the medical world’s attention in 1972 when Dr. Henry Heimlich, a noted chest surgeon, experimented with techniques for helping choking victims. News of his invention (a simple bear hug with an upward thrusting motion) spread like wildfire and is now used worldwide.

It’s also used to help drowning victims and asthma sufferers. The maneuver forces water out of the lungs of drowning victims and the excess mucus that plugs lungs during an asthma attack.

How do I know if someone is choking? (Symptoms and Diagnosis)

He can’t speak or cough. He may grab at his throat or wave his arms. His eyes may bulge and his color may change. If he can still talk, he should recover on his own by coughing up the blockage. If he isn’t getting any air, he needs help.

What should I do? (Emergency Treatment)

Stand behind him and wrap your arms around his middle. Make a fist with one hand and place, thumb toward the victim, just below his rib cage. Cover it with your other hand. Using great force, squeeze your arms together and thrust your hands upward in one quick motion. What you want is to see the object fly out of his mouth. If that doesn’t happen, check inside his mouth to see if it’s still blocking the airway; perform the maneuver one or two more times, and then check again. Ask someone nearby to call for help. Continue thrusting and then checking until he begins breathing or until help arrives.

What should I do if a baby is choking?

Sit down, lean forward, and fold the top half of his body over your forearm. Cup the baby’s chin in your upturned hand. While positioning the baby, ask someone to call for emergency assistance. Using the heel of your palm, give five quick blows to his upper back just below the shoulder blades. Gravity and the back blows may dislodge the object. If they don’t, turn the baby over along your arm, rest his head in your arm, and lower it so that is body is higher. Put two of your fingers in the center of his chest and push down and forward quickly five times. Check for breathing by looking for chest movement, listening for breathing sounds, or feeling his breath against your cheek. Continue until he starts breathing or help arrives.

Before you start the procedure, if the baby is coughing or crying heartily, don’t do anything. He’ll probably cough up the problem on his own.

What should I do for older children?

Use the same procedure for adults except don’t thrust quite as hard. Their smaller bodies don’t need quite as much force.

How can I prevent it? (Prevention)

Chew your food completely, especially meat, which people choke on more than any other food item. Choking often happens when people are laughing and talking while eating. Take your time and finish chewing before you talk. Not only is it safer, you’ll be a more pleasant dining companion as well.

Infants and young children under age 4 often choke on food because they can’t chew it into small enough pieces; they sometimes swallow food whole. So do the work for them and break their food into smaller, easy to chew pieces. Children most commonly choke on the following:

* hot dogs
* nuts
* whole grapes
* popcorn
* hard or sticky candy
* raw carrots
* chunks of peanut butter
* chunks of meat or cheese

Keep these household items away from children age 4 and under:

* latex balloons
* coins
* marbles
* small toys or parts
* caps of pens or markets
* small batteries
* buttons

More reading:
  • First aid for choking resources
  • Heimlich Maneuver
  • How to prevent children from choking on food
  • Choking