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Heimlich - C.H.A.S.E. for Life
WHAT IS A CHOKING MANEUVER?

A Choking Maneuver also referred to as the subdiaphragmatic abdominal thrust (formerly known as the Heimlich Maneuver) is an emergency technique used to eject an object, such as food, from the throat of a choking person. This technique employs a firm upward thrust just below the rib cage to force air from the lungs which pops the object out.

HOW TO ADMINSTER A CHOKING MANEUVER ON A CHILD
(see illustration)


A choking maneuver on a child A CHOKING CHILD WHO CAN'T SPEAK, COUGH OR BREATHE AND NEEDS YOUR HELP IMMEDIATELY.

Follow these steps to help a choking child:
  1. An adult must kneel to be at childís level
  2. From behind, wrap your arms around the childís waist.
  3. Make a fist and place the thumb side of your fist against the childís upper abdomen, below the ribcage and above the navel.
  4. Grasp your fist with your other hand and press into their upper abdomen in an upward motion with a quick upward thrust.
  5. Repeat until object is expelled.
UNCONSCIOUS CHILD, OR WHEN RESCUER CANíT REACH AROUND CHILD

Place the Child on his or her back. Straddle the child facing them. With one of your hands on top of the other, place the heel of your bottom hand on the upper abdomen below the rib cage and above the navel. Use your body weight to press into the childís upper abdomen with a quick upward thrust. Repeat until object is expelled. Each time you open the airway to provide rescue breathes, look for the foreign object. If you see it, use your index finger to remove it.

If the Child has not recovered, proceed with CPR. Phone 911 after administering 1 minute of CPR. The child should see a physician immediately after rescue.

Do not slap the childís back. (This could make matters worse.)

HOW TO ADMINSTER A CHOKING MANEUVER ON AN INFANT (see illustration)

A choking maneuver on an infant Do not perform abdominal thrusts on an infant, instead a series of back blows and chest compressions using 2 fingers should be used.
  1. Position the infantís head down and deliver up to 5 back blows with the heal of your free hand
  2. Turn the infant on his/her back while supporting the head and give 5 chest compressions using 2 or 3 fingers positioned over the lower half of the breastbone (the same position used for CPR).
  3. Alternate black blows and chest thrusts until the object has been dislodged.
  4. If the infant becomes unresponsive, proceed with CPR. Each time your open the airway to provide rescue breathes, look for the foreign object. If you see it, use your pinky to remove it. Phone 911 after administering 1 minute of CPR. The infant should see a physician immediately after rescue.
Do not be concerned if your infant becomes unconscious but still maintains a pulse. The neck muscles will relax and this often results in dislodging the object allowing for normal breathing.
 
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