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Heimlich Maneuver
Aka: Heimlich Maneuver
- See Also
- Heimlich Maneuver for Infants
- Obstructed Airway
- Advanced Airway
- Rapid Sequence Intubation
- Endotracheal Intubation Preparation
- Endotracheal Tube
- Endotracheal Intubation Preoxygenation (and Apneic Oxygenation)
- Direct Laryngoscope
- Video Laryngoscope
- Endotracheal Intubation
- Extraglottic Device (e.g. Laryngeal Mask Airway or LMA)
- Tactile Orotracheal Intubation (Digital Intubation)
- Nasotracheal Intubation
- Cricothyrotomy
- Needle Cricothyrotomy
- Indications
- Foreign Body Aspiration with airway obstruction in children and adults
- Precautions
- Do not perform heimlich if patient can cough or speak
- 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
- Management: Unconscious Patient
- Perform 6-10 abdominal thrusts per cycle (5 for child)
- Straddle patient's thighs
- Place heel of one hand against patient's Abdomen
- Position midline above navel (well below xiphoid)
- Place second hand directly on top of his first hand
- Press into Abdomen with quick upward thrusts
- 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