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Perforated stomach following the Heimlich maneuver
The American Journal of Emergency Medicine
|March 1, 1987
Summary
The Heimlich maneuver can cause rare but serious complications. A gastric perforation occurred in a choking victim after abdominal thrusts were applied.
Area of Science:
- Emergency medicine
- Gastroenterology
- Trauma surgery
Background:
- The Heimlich maneuver, or subdiaphragmatic abdominal pressure, was introduced in 1974 for choking emergencies.
- While effective, the procedure has been associated with various reported complications over time.
Observation:
- This report details a specific case involving a choking victim.
- The victim experienced gastric perforation subsequent to the administration of the Heimlich maneuver.
Findings:
- The case highlights a severe, albeit infrequent, complication of the Heimlich maneuver.
- Gastric perforation represents a critical injury that can arise from abdominal thrusts.
Implications:
- Clinicians should be aware of the potential for severe gastrointestinal injury following the Heimlich maneuver.
- This case underscores the importance of considering alternative interventions or careful application in specific patient populations.
- Further research into the biomechanics and risk factors for such complications is warranted.