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The Heimlich Maneuver By
Dr.Sandeep
Introduction
0There’s never a warning before a person gets an object caught in their throat and starts choking.
0Fortunately, there are effective techniques to deal with this emergency.
Choking 0Choking is the mechanical obstruction of the
flow of air from the environment into the lungs
0Choking prevents breathing, and can be partial or complete
0Prolonged or complete choking results in asphyxia which leads to anoxia and is potentially fatal
Causes of Choking 0 Eating (especially eating and laughing at the same
time, eating too fast, and failing to chew food well
enough.)
0 Alcohol and drug consumption (even a small amount
affects awareness.)
0 Trauma to the head and face (bleeding can cause
choking)
0 Small objects swallowed by children
(beads, toys)
Lack of Oxygen
0Without oxygen the brain can begin to die
within 4 to 6 minutes.
0By learning the Heimlich Maneuver-a simple
life-saving technique-you may literally save
the life of a choking victim.
Treatment
1. Encourage the patient to cough
2. Back slaps
3. Abdominal thrusts (HEILMICHS MANUVER)
4. Finger sweeping
5. Direct visual removal
6. C.P.R
Heimlich Maneuver
0The Heimlich Maneuver is the most
effective way to remove something stuck
in an adult’s or older child’s throat.
0It lifts the diaphragm and forces enough
air from the lungs to remove the
obstruction.
When Do I Use The Heimlich?
0The person is grabbing the throat with the
hand (the universal sign for choking)
0You notice they are gagging
0You hear a weak ineffective cough, noisy
breathing, or high-pitched sounds
0The person is starting to look blue
How To Do The Heimlich
0Stand behind the choking person and wrap your arm around his or her waist
0Place thumb side of the fist against middle of person’s abdomen just above the navel and well below the ribs
0Press your fist into the person’s abdomen with quick, upward thrusts
0Repeat abdominal thrusts until the object is coughed up
If the patient is pregnant or Obese?
0 Rescuer places their
hand in the centre of the
chest to compress,
rather than in the
abdomen.
HEIMLICH MANEUER AS SELF RESCUE
The Heimlich Manoeuvre In Infants
0 Infants less than 3 years are more prone than adults
0 Determine if the infant can cry or cough.
0 If infant is choking and cannot cough, cry or breathe, then follow the Heimlich Manoeuvre as follows
Step 1 - Give 5 back blows.
Step 2 Give 5 chest thrusts
Step 3-Look in the mouth to check if you can see the
object.
Step 4
0 Repeat steps 2 & 3 above until the object is expelled or the infant becomes unconscious.
0 If the infant becomes unresponsive, perform CPR and call for medical assistance
Always remember…
0Following the expulsion of the object, keep
the victim still and get medical help
0Complications can arise from the incident or
from the measures that were taken
Thank You
THANK YOU