Scouts-L Mail Archive for April of 1999: Re: The Heimlich Manuever
Re: The Heimlich Manuever
Robert M. Lewis
Fri, 16 Apr 1999 12:46:41 -0400
Very interesteing. Currently though, neither of the certifing agencies in
this country for CPR and First Aid (AHA and Amreican Red Cross) support his
thoughts. The Heimlich Manuever is currently only to be used on a person
that has an obstructed airway defined as follows:
for concious: The person must not be able to pass any air on their own...
they will be essentially silent.
for unconcious: The rescuer is not able to get air into the lungs, ie. the
chest does not rise when giving breaths.
Some of what Dr. Heimlich suggests is currently in violation of the
certifications handed out, and therefore illeagle and it is very possible
to be sued and held liable.
Robert M. Lewis
ARC CPR & First Aid instructor
At 09:41 4/16/99 -0400, jay.thal wrote:
>This morning's (Friday) "Today" show had a brief discussion with Dr.
>Heimlich on the usefulness of his manuever.
>He mentioned that the manuever should be used in situations of drowning,
>and that lifeguards know this. He suggests that 3-4 thrusts should be
>employed to expel water from the lungs prior to starting CPR. He
>suggested that the thrusts are likely to spontaneously restart breathing
>but, in any case, are also necessary to make the PR effective.
>This approach is not covered in the Boy Scout Handbook, nor (I believe)
>in the Life Saving nor First Aid MB pamphlets. If efficacious, perhaps
>they should be.
>Dr. Heimlich also suggested use of the manuever in Asthmatic
>situations. He contended that mucous build-up often allows for only
>restricted inhaling and exhaling, and that the manuever can dislodge and
>expel the mucous. He also suggested that, with asthmatics, it can be
>These, latter, suggestions, of course, violated the BSA recommendation
>to use the manuever only where there is no apparent airflow.