Choking And The Heimlich Maneuver


The heimlich maneuver is very simple maneuver that can help a choking victim dislodge any foreign object from the throat. When a person starts to choke he or she will begin gasping for air, most of the time they will start coughing as well trying to get the foreign object out. If they are not able to get it out themselves and start to give the universal sign for choking, which is both hands covering the throat, the Heimlich Maneuver should be applied. For most people you will be able to fallow the standards but there are two cases that call for an alternation to the standards; those are if the victim is to large for you to wrap your arms around them or are pregnant, the second alteration is if the patient is an infant (under 1 year of age).

Steps: For Responsive Adult and Children

  1. Ask the victim if he or she is okay, and if they need help
    • If the victim is unable to get the words out or is giving the universal choking sign begin the Heimlich Maneuver 
  2. Locate the belly button
    • If the victim is to large or is pregnant place locate the center of the chest
  3. Place your dominant hand with the thumb side toward the victims stomach right above the belly button and place your other hand over it
    • If the victim is large or pregnant place your dominant hand in the center of the chest and place your other hand over it
  4. Begin with abdominal thrusts, pull your hands up and in until the object is dislodged
    • If the victim is large or pregnant begin with chest thrusts pulling your hands in
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NOTE: Never do a blind sweep in a victims mouth, you should only put your fingers in a victims mouth if the object is visible

Steps: For Responsive Infants
  1. Support the infants head and neck with your hand, so the infant is laying face down on your forearm
  2. Lower the baby towards your leg so he or she is at about a 45 degree angle
  3. Deliver 5 back blows between the child's shoulder blades
  4. Turn the infant over so he or she is now laying face up on your forearm, again support the head and neck 
  5. Lower the infant again toward your legs so he or she is at about a 45 degree angle
  6. Deliver 5 Chest compression
  7. Repeat this until the object comes out or is visible in the infants mouth

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NOTE: Never do a blind sweep in a victims mouth, you should only put your fingers in a victims mouth if the object is visible


(All information unless other wise cited is from my own knowledge that I have collected throughout the last couple years in: Health 103 class notes, Kinesiology 190 class notes, and attending a CPR certification course at Hackensack University Medical Center)