Tuesday, June 20, 2017

Choking first aid: Are New Zealand, Australia, and a guy in Rochester, NY, ahead of the curve?

As Sidebar readers know, medical authorities in New Zealand and Australia don't recommend the Heimlich maneuver (aka abdominal thrusts) for responding to a choking emergency.

Per Aviva Ziegler's 2009 documentary, in the Land Down Under my dad's namesake treatment is considered unproven and potentially harmful.

That opinion was echoed in the American Heart Association's 2005 guidelines which state, "Life-threatening complications have been associated with the use of abdominal thrusts."

Instead Kiwi and Oz first aid experts recommend back blows and chest thrusts.

The latter treatment was first proposed in a 1976 study by my friend Dr. Chuck Guildner of Everett, Washington. Click here for more about that and related information.

Yesterday, Radio Live New Zealand aired Do you know what to do when a child is choking? which included this clip of first aid instructor Billy Doyle explaining the back blows followed by chest thrusts protocol. To my knowledge it's the first time the chest thrusts treatment has been described in a video.



As it happens, "the Heimlich" has been credited with saving choking victims when, in fact, the rescuer performed -- yep -- back blows and chest thrusts.

For example, in January a dashcam video of a dramatic choking rescue in Rochester, NY, was picked up by numerous news outlets.

Via the original YouTube video, here's the description:

source

Here's the video: