The Heimlich maneuver. Best technique for saving any choking victim's life

H J Heimlich1, E A Patrick

  • 1Heimlich Institute, Cincinnati, OH 45208.

Insights

Backslaps and chest thrusts are dangerous for choking infants, despite continued recommendations by the American Red Cross (ARC) and American Heart Association (AHA). The Heimlich maneuver is the safest and most effective technique for all choking victims.

Area of Science:

  • Emergency Medicine
  • Cardiopulmonary Resuscitation
  • Pediatric Emergencies

Background:

  • The American Red Cross (ARC) and American Heart Association (AHA) previously recommended backslaps, chest thrusts, and abdominal thrusts.
  • These methods were recommended for a decade after the introduction of the Heimlich maneuver in 1974.
  • Despite being declared hazardous in 1985, ARC and AHA continue to recommend backslaps and chest thrusts for infants.

Purpose of the Study:

  • To highlight the dangers of backslaps and chest thrusts for choking infants.
  • To advocate for the recall of ARC and AHA instructional materials promoting these methods.
  • To emphasize the superiority of the Heimlich maneuver for all choking victims.

Main Methods:

  • Review of historical recommendations by the American Red Cross (ARC) and American Heart Association (AHA).
  • Analysis of the biomechanics and energy transfer of backslaps versus the Heimlich maneuver.
  • Critique of existing instructional materials and public warnings regarding choking first aid.

Main Results:

  • Backslaps and chest thrusts generate insufficient energy to expel airway obstructions effectively.
  • The energy from backslaps can propel foreign objects toward the lungs, unlike the Heimlich maneuver.
  • ARC and AHA instructional materials have not been recalled, and the public remains unaware of the risks.

Conclusions:

  • Backslaps and chest thrusts pose significant risks and should be publicly recalled for infant choking treatment.
  • The Heimlich maneuver is the most effective and safest rescue technique for choking victims of all ages.
  • Continued public education on the dangers of outdated methods and the benefits of the Heimlich maneuver is crucial.

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