II. Indications
- Foreign Body Aspiration with airway obstruction in children and adults
III. Precautions
- Do not perform heimlich if patient can cough or speak
IV. Management: Conscious Patient
- Stand behind patient and wrap hands around waist
- Make a fist with one hand
- Place thumb side against patient's Abdomen
- Place fist midline over naval (well below xiphoid)
- Grasp fist with other hand
- Press into patient's Abdomen with quick upward thrust
- Each thrust should be distinct
- Each thrust intended to expel foreign body
- Repeat thrusts until:
- Foreign body is expelled
- Patient becomes unconscious
V. Management: Unconscious Patient
- Perform 6-10 abdominal thrusts per cycle (5 for child)
- Check for foreign body
- Adult: Sweep deeply into mouth to remove debris
- Child
- Do NOT perform a blind finger sweep
- Remove foreign body ONLY if visualized
- Open airway and attempt to ventilate
Images: Related links to external sites (from Bing)
Related Studies
| Definition (MSH) | An emergency treatment commonly used to clear food and other foreign objects causing AIRWAY OBSTRUCTION. |
| Concepts | Therapeutic or Preventive Procedure (T061) |
| MSH | D059746 |
| SnomedCT | 23690002 |
| English | heimlich maneuver, heimlich maneuvers, heimlich manoeuvre, Maneuver, Heimlich, Heimlich Maneuver, Abdominal Thrusts, Abdominal Thrust, heimlich maneuver (treatment), Heimlich maneuver, Heimlich manoeuvre, Heimlich maneuver (procedure) |
| French | Manoeuvre de Heimlich, Méthode de Heimlich, Poussées abdominales (secours) |
| Portuguese | Manobra de Heimlich |
| Russian | GEIMLIKHA PRIEM, ГЕЙМЛИХА ПРИЕМ |
| Spanish | Maniobra de Heimlich, maniobra de Heimlich (procedimiento), maniobra de Heimlich |
| Czech | Heimlichův hmat, Heimlichův manévr |
| Polish | Manewr Heimlicha |
| Italian | Manovra di Heimlich |
| German | Heimlich-Manoever, Heimlich-Manöver, Abdominal Thrusts |
| Norwegian | Abdominalt støt, Heimlich maneuver |
