Wednesday, January 27, 2016

GAME OVER: After decades of putting swimmers at risk, Houston-area lifeguard company drops "Heimlich for drowning" protocol [UPDATED]

UPDATE: Via Aquatics Industry Finally Discontinues Heimlich Maneuver by Nate Traylor, Aquatics International, February 3, 2016:
One of the nation’s largest lifeguard certification agencies has stopped teaching a controversial drowning rescue technique that critics alleged was ineffective and potentially dangerous.

The National Aquatic Safety Co. has long championed the Heimlich maneuver as an effective way to remove water from the lungs before initiating CPR on a drowning victim. Developed in the mid ’90s by NASCO founder John Hunsucker, the drowning-rescue version of the Heimlich called for the lifeguard to first administer abdominal thrusts on a drowning victim in the water before extrication for CPR.

The technique came under intense scrutiny in recent years as aquatic and medical professionals called the practice into question, claiming that it was ineffective and that it could further endanger those in need of rescue.

Despite the criticism and the headlines in the mainstream media, NASCO stuck to its guns, even after the Heimlich Institute stopped advocating that the maneuver be used to treat drowning victims in 2012.

...Another development may have forced the decision: In recent years, health departments in New Jersey, Utah and Nevada, threatened to strip NASCO of its certification to to do business in those states unless it stopped teaching the Heimlich as part of its drowning rescue protocol, according to local media reports.

“Presumably, NASCO finally dumped the protocol because it was affecting their bottom line,” said Peter Heimlich, son of inventor Dr. Henry Heimlich, and the most outspoken critic of using the maneuver to address drowning, in a statement to AI.

Hunsucker declined to comment for this article.

...As for (Peter) Heimlich and his wife, Karen, who’ve been on a crusade to dissuade the public from using his father’s technique, this is chapter they’re relieved to see closed. It’s believed NASCO was the last such agency to perform what many considered an ill-advised rescue maneuver.

“I doubt there is another company reckless enough to take it up,” he stated, “so this likely ends my father’s bizarre 40-year campaign to promote the treatment.”
My original item is below the hash marks.


Today via Local Lifeguard Training Company No Longer Teaching Heimlich Maneuver by staff reporter Craig Malisow, Houston Press:
For years, the Dickinson-based NASCO Aquatics, one of the nation's largest lifeguard certification companies taught a debunked rescue technique, even as other professional and medical organizations said it could further endanger drowning victims.

But NASCO has dropped the technique — a version of the Heimlich maneuver done while a drowning victim is still in the water — from its most recent training manual, which pleases one of NASCO's biggest critics, Peter Heimlich, whose father gave the abdominal-thrusting technique its name.
NASCO founder John Hunsucker swore by the technique, even as the American Red Cross, American Heart Association, the United States Lifeguard Coalition, and the International Life Saving Federation. Most medical and aquatic experts have stated that applying the Heimlich maneuver to a drowning victim delays CPR and could cause a victim to aspirate vomit into the lungs. 
Until just recently, Hunsucker's response to the experts has been short and sweet: "Screw 'em."
...Peter Heimlich shared an email of his own, telling us:

"I'm relieved that NASCO has finally pulled the plug on its reckless 'Heimlich for drowning' protocol. Experts have said that for decades NASCO was conducting what amounted to an unsupervised medical experiment using unsuspecting swimmers at their client water parks. Long after prominent medical experts and leading first aid organizations had thoroughly dismissed the treatment as useless and potentially lethal, NASCO persisted. Even after my father's Heimlich Institute stopped advocating the treatment, NASCO wouldn't stop.

On the bright side, NASCO was the last holdout, so this effectively marks the end of my father's bizarre 40-year campaign to promote the treatment."
Click here for "These so-called medical experts. Screw 'em," my compilation of media reports about NASCO's now-defunct "Heimlich protocol."

This medical madness began in August 1974 when my father and his crony, the late Victor H. Esch MD, began hyping the first of a series of fraudulent case reports in which they claimed near-dead drowning victims were miraculously revived by the Heimlich maneuver. (See here and here.)

The result of their folly? Dozens of poor outcome cases -- including children.

To these journalists, physicians, water safety professionals, and public employees whose efforts helped put an end to this dark chapter in first aid history -- Lifesaving Aye

Margarita Abramova, Paul Auerbach MD, Ihsan A. Azzam, PhD MD MPH, Robert S. Baratz MD PhD, Chris Brewster, Zach Brown, Ed Castillo, Peter Chambers DO, Rich Connelly, Bennett Cunningham, Margaret Downing, Gerry Dworkin, Roy Fielding, Brenda Flanagan, Shawn Foucher, Tom Francis, Mike Giglio, Natalie Gagliordi, Tracey D. Green MD, Curt Guyette, Jason Haap, Brad Herzog, Michelle Iracheta, Tom Jackman, Ben Kaufman, Kendra Kozen, Kevin Lamb, Jennifer Learn-Andes, Terri Lees, Craig Malisow, David Markenson MD, Ron Marsden, Allyn Nakashima MD, James Orlowski MD, Eric Peterson, Francesco Pia PhD, Lory Pounder, Linda Quan MD, Karlee Prazak, Mike Riley, Mike Risinit, Peter Rosen MD, Mark Saal, Mayrav Saar, Timothy Smith, Todd Spivak, Alan Steinman MD, Gary Thill, Steve Volk, Cindy Weightman, Peter Wernicki MD, Ian White, Aaron Wische

A special mention must go to writer Pamela Mills-Senn of Long Beach and editor Mike Moran whose landmark 2000 article, Water Rescue Sequence: The Controversial Role of the Heimlich Maneuver, was the Rosetta Stone for much of the research conducted by my wife Karen and me into my father's unusual career.

(If I've inadvertently left out anyone, please e-mail me.)

Wednesday, January 20, 2016

Woof! London tabloid reports another "dog saves master from choking" story -- in the UK that makes six in four years [UPDATED]

As Sidebar readers know -- here, here, and here -- I've been tracking a first aid phenomenon which over the past couple of years has swept the UK tabloids.

Intrepid dogs have been saving their masters from choking.

Since January 2014 I've counted four five reported cases by four different four-legged friends from Blighty to Wales. (Read on for details.)

Heel! Sit! Stop the presses!

Get West London -- which it says here is a Trinity Mirror website -- just unleashed another rover rescue:  

As a news hound, I was curious to learn how the Lily-Rose rescue story got into print, so I e-mailed reporter Robert Cumber who replied:
I take it from your website you are very dubious about these claims.

It was the owner of the dog who contacted us after being shortlisted for an award in the magazine mentioned in the story.

I'd be happy to speak to you for a follow-up piece if you're interested.
I appreciated the invitation, but I'd have to be barking mad to stick my snout into such a sweet if improbable human interest story.

Anyway, it's the bigger questions that have got me ticked-off and scratching my head.

Are UK dog food manufacturers adding steroids to kibble? Should a government commission be formed to investigate? Will Lily-Rose win the award?

Okay, so your pup may know how to save you from choking, but do you know how to reciprocate?

Take a look:

UPDATE, February 1, 2016: A string of other fine UK tabloids fetched the far-fetched story!

In reverse chronology, don't miss these equally astounding tails (sorry). Click the dates above each screenshot to read the articles.

2/3/16 UPDATE: I just spotted this one published by The Express: 
Finally, here's the Calvert, Maryland pooch who, to my knowledge, was the first to make reporters roll over: