Tuesday, April 5, 2011

St. John Ambulance Australia: Heimlich maneuver "can lead to serious consequences...even death."

From Basic first aid may save a life by Bianca Clare, Sunshine Coast Daily (Australia), April 4, 2011:
Darryl Clare is not surprised that a new survey has found one in three people have no idea how to administer first aid. The St John Ambulance first aid training officer says "Dr Google" and Hollywood blockbuster movies are increasingly misleading the public on what to do when things go wrong.

"The most common mistake made is thinking the Heimlich manoeuvre is the best way to treat someone who is choking," he said. " This is incorrect. The correct method is to give the patient five back blows between the shoulder blades.

"The Heimlich manoeuvre has been widely criticised, even by the founder's son.

"It can work it some cases, but it can lead to serious consequences...even death."

The survey revealed 36% of 1134 respondents would immediately think of the Heimlich manoeuvre when someone was choking.
From worksheet for 2010 ILCOR Evidence-Based Review of Science for Emergency Cardiac Care (p.7-8):

Case reports of complications from abdominal thrusts

Agia GA, Hurst DJ. Pneumomediastinum following the Heimlich maneuver. JACEP. 1979;8:473-475.

Ayerdi J, Gupta SK, Sampson LN, Deshmukh N. Acute abdominal aortic thrombosis following the Heimlich maneuver. Cardiovasc Surg. 2002;10:154-156.

Bintz M, Cogbill TH. Gastric rupture after the Heimlich maneuver. J Trauma. 1996;40:159-160.

Chapman JH, Menapace FJ, Howell RR. Ruptured aortic valve cusp: a complication of the Heimlich maneuver. Ann Emerg Med 1983; 12: 446-448.

Cowan M, Bardole J, Dlesk A. Perforated stomach following the Heimlich maneuver. Am J Emerg Med. 1987;5:121-122.

Croom DW. Rupture of stomach after attempted Heimlich maneuver. Jama. 1983;250:2602-2603.

Desai SC, Chute DJ, Desai BC, Koloski ER. Traumatic dissection and rupture of the abdominal aorta as a complication of the Heimlich maneuver. J Vasc Surg 2008; 48: 1325-1327.

Drinka P. TBroken ribs following CPR or the Heimlich maneuver. J Am Med Directors Association 2009;10:283-284.

Dupre MW, Silva E, Brotman S. Traumatic rupture of the stomach secondary to Heimlich maneuver. Am J Emerg Med. 1993;11:611-612.

Feeney SN, Pegoli W, Gesting ML. Pancreatic transection as a complication of the Heimlich maneuver: case report and literature review. J Trauma 2007; 62: 252-254.

Feldman T, Mallon SM, Bolooki H. Fatal acute aortic regurgitation in a person performing the Heimlich maneuver. N Engl J Med; 1986; 315: 1613.

Gallardo A, Rosado R, Ramirez D, Medina P, Mezquita S, Sanchez J. Rupture of the lesser gastric curvature after a Heimlich maneuver. Surg Endosc. 2003;17:1495.

Haynes DE, Haynes BE, Yong YV. Esophageal rupture complicating Heimlich maneuver. Am J Emerg Med 1984; 2: 507-509.

Kirshner RL, Green RM. Acute thrombosis of abdominal aortic aneurysm subsequent to Heimlich maneuver: a case report. J Vasc Surg. 1985;2:594-596.

Lee SL, Kim SS, Shekherdimian S, Ledbetter DJ. Complications as a result of the Heimlich maneuver. J Trauma 2009;66:E34-E35.

Mack L, Forbes TL, Harris KA. Acute aortic thrombosis following incorrect application of the Heimlich maneuver. Ann Vasc Surg. 2002;16:130-133.

Majumdar A, Sedman PC. Gastric rupture secondary to successful Heimlich manoeuvre. Postgrad Med J. 1998;74:609-610.

Martin TJ, Bobba RK, Metzger R, Madalina M, Bollu M, Patel BG, Kazemi MM. Acute abdominal aortic thrombosis as a complication of the Heimlich maneuver. J Am Geriatr Soc 2007; 55: 1146−1147.

Meredith MJ, Liebowitz R. Rupture of the esophagus caused by the Heimlich maneuver. Ann Emerg Med. 1986;15:106-107.

Nowitz A, Lewer BM, Galletly DC. An interesting complication of the Heimlich manoeuvre. Resuscitation 1998;39:129--131.

Olenchock SA, Rowlands DM, Reed JF, Garzia FM, Zasik JM. Dysphagia after Heimlich maneuver. Chest 2004; 125: 302-304.

Orlowski JP. Vomiting as a complication of the Heimlich maneuver. JAMA. 1987;258:512-513.

Palleiro MMO, López CB, Pretel MCF, Fernández JS Hepatic rupture after Heimlich maneuver. Annal Emerg Med 2007; 49: 825-826.

Rakotoharinandrasana H, Petit E, Dumas P, Vandermarcq P, Gil R, Neau JP. [Internal carotid artery dissection after Heimlich maneuver]. Ann Fr Anesth Reanim. 2003;22:43-45.

Rich GH. Pneumomediastinum following the Heimlich maneuver. Ann Emerg Med. 1980;9:279-820.

Roehm EF, Twiest MW, Williams RC. Abdominal aortic thrombosis in association with an attempted Heimlich maneuver. JAMA. 1983;249:1186-1187.

Tung PH, Law S, Chu KM, Law WL, Wong J. Gastric rupture after Heimlich maneuver and cardiopulmonary resuscitation. Hepatogastroenterology. 2001;48:109-111.

Ujjin V, Ratanasit S, Nagendran T. Diaphragmatic hernia as a complication of the Heimlich maneuver. Int Surg. 1984;69:175-176.

Valero V. Mesenteric laceration complicating a Heimlich maneuver. Ann Emerg Med. 1986;15:105-106.

van der Ham AC, Lange JF. Traumatic rupture of the stomach after Heimlich maneuver. J Emerg Med. 1990;8:713-715.

Visintine RE, Baick CH. Ruptured stomach after Heimlich maneuver. JAMA. 1975;234:415.