Showing posts with label abdominal thrusts. Show all posts
Showing posts with label abdominal thrusts. Show all posts

Saturday, February 9, 2019

Yo Will Smith! Your birthday tribute to my dad for saving your brother's life may be misplaced



As Sidebar readers know, in 1976 my friend, retired anesthesiologist Chuck Guildner MD of Everett, WA, published a research study that concluded chest thrusts are more effective for responding to a choking emergency than my dad's namesake below-the-ribcage abdominal thrust maneuver.

Since then, there's been a lively debate in the medical community over which is the most effective and safest treatment.

For example, last August fellow blogger Anthony Pearson MD of St. Louis (aka The Skeptical Cardiologist) published the provocatively-titled A Call To Reconsider The Heimlich Experiment: Let’s Scientifically Determine The Best Approach To Choking Victims.

Along those lines, an emergency medicine specialist once asked me, "How many successful choking rescues using chest thrusts have been incorrectly attributed to the Heimlich maneuver?"

Based on the above animated fun video posted on February 3, 2019, one such case may have been the brother of multi-talented actor/comedian/producer/rapper/songwriter Will Smith.

Here's Will's narration:
Today is Henry Heimlich's birthday. I actually saved my brother's life once with a Heimlich maneuver.

McDonald's had come out with that McRib sandwich and he went and got the McDonald's McRib. And we were pulled over in Philly and all of a sudden my brother just punches me in my back and I'm, like, "Ow man, shit!"

And I turn around and he's in the car and he's going (makes extreme gestures indicating choking) and he's doin' that.
So I reached down inside of the car and got right below the sternum...

[Ghostly apparition of my dad] "Use the Heimlich, Will!"

And it was barrelin' [?] the up move and the down and the McRib sandwich shot out of his nose onto the windshield, it was a full splash out of his nose.
Imitating his brother: "You saved my life, you saved my life!"

So happy birthday, Henry Heimlich, you actually saved my brother's life.
I have zero expertise in physiology, but I'm not sure how the McRib went from his brother's esophagus through his nose!

That aside, since Will was outside the car and reached in through the window, it's difficult to imagine his arms were long enough to get below his brother's rib cage.

And Will says he squeezed "right below the sternum." That sounds like a chest thrust.

Therefore, Will's birthday tribute to my pa appears to have been misplaced.

Shouldn't he be thanking Dr. Guildner?

Yo Will, if you and/or your brother want to check in with Chuck to express your gratitude for getting the better of that McRib, he's alive and well and regularly navigating the waterways near his home in Everett, Washington near Seattle.

Feel free to e-mail me for Dr. Guildner's contact info.

Charles W. Guildner MD

Tuesday, March 19, 2013

Cincinnati Biz Courier publishes, then disappears article with unflattering information about my father that was reported by NPR's Radiolab and The Atlantic -- and the paper's editor (who teaches journalism) ain't talking

Screen capture from Bing.com News search showing now-scrubbed article
Via Dr. Henry Heimlich's reputation hangs in the balance by staff reporter James Ritchie, a March 14 item published on the website of the Cincinnati Business Courier, one of the papers owned by American City Business Journals:
The name of Dr. Henry Heimlich, for whom the choking first-aid maneuver is named, is known worldwide.

But recent news coverage questions what his legacy will be. 

The Atlantic notes that the world "may not remember him at all, as 'abdominal thrust' is now the term of choice of the Red Cross and the American Heart Association for the life-saving response to choking victims."

...As the Atlantic reported, Heimlich "wasn't content just to be a household name" after he introduced the Heimlich Maneuver in 1974. He began promoting it for asthma attacks and drowning victims. Then he began running experiments in developing countries to see if inducing malaria in AIDS patients could cure them.

Radiolab's Pat Walters recently devoted a podcast to Heimlich, whose move once saved his life.

Though he was once a big fan of Heimlich, he didn't like what he found.

"When I think about my kids...when they learn this thing, it won't be called the Heimlich maneuver," he said. "And based on what I know now, I really don't think that I would tell them to call it that."
Sometime over the next few days, the story was completely scrubbed from the site without any published explanation.

And the paper's long-time editor -- and part-time journalism teacher at Ohio's Miami University -- Rob Daumeyer, is refusing to answer questions.


Here's what the original article looked like -- click here to download a full-size version:


Via the original URL, http://www.bizjournals.com/cincinnati/blog/2013/03/dr-henry-heimlichs-reputation-hangs.html, here's what replaced it:


At the time of publication, reporter James Ritchie, the paper's managing editor, Lisa Benson, and the Business Courier thought the story was worth chirping about:

source
source

So why did Ritchie's story get censored and who gave the order?

Having some previous experience with how Daumeyer runs the paper -- more about that in a future item -- I had a pretty good guess, so yesterday I sent these questions to the paper:
1) I'd like a yes or no answer re: whether anyone from Deaconess* or the Heimlich Institute or anyone representing my father contacted the paper about your item.

2) If yes, may I please be provided with the name(s)?

3) I'd like to know the precise time your item was taken offline, which Business Courier employee was responsible for the decision to take it offline, and why it was taken down.

I'd welcome any additional information the Business Courier wishes to provide.
The response?
From: "Robert Daumeyer" <rdaumeyer@bizjournals.com>
Date: 3/18/2013 2:49 PM
To: <peter.heimlich@gmail.com>
CC: "Lisa Benson" <lisabenson@bizjournals.com>, "James Ritchie" <jritchie@bizjournals.com>

Peter ... This is Rob Daumeyer, I'm editor at the Business Courier ... I don't have any additional information to add for you.

Thanks

Rob

Sent from my iPhone
* In June 1998, The Heimlich Institute became a member of Deaconess Associations Inc., to help advance and promote the mission and vision of The Heimlich Institute in perpetuity. (source)

More to come....

Update: via On Second Thought by Ben Kaufman, Cincinnati CityBeat, March 19, 2012
Why did Cincinnati Business Courier take down its online story about Henry Heimlich’s attempts to save his reputation and that of his Heimlich Maneuver? Granted, it wasn’t flattering, but it didn’t go beyond what Curmudgeon has reported. Reporter James Ritchie forwarded my request for an explanation and editor Rob Daumeyer responded, “Thanks for asking, but we don't have anything to add for you.”



Hat tip to Bwannah Bob. This item has been slightly revised and updated.

Wednesday, January 11, 2012

Oregon newspaper quotes me kicking the Red Cross for doing a lousy job


From It’s a life-saver: Two-step technique is recommended to help a choking person by Randi Bjornstad, Eugene (OR) Register-Guard, published a couple days ago:
It turns out that for at least five years, the Heimlich maneuver has been just the second part of the method the American Red Cross, and some other lifesaving organizations, want us all to use in trying to save each other from choking to death.
It also turns out that maybe the maneuver should have never been called the Heimlich in the first place, because there are those - including his own son, Peter Heimlich - who contend that Dr. Henry Heimlich took credit where it wasn’t due when it came to laying claim to the procedure.
Why the new-and-improved procedure hasn’t been more widely publicized, Peter Heimlich - who e-mailed Register-Guard sports reporter Adam Jude the same day of his Dec. 29 story on (University of Oregon football player Mark) Asper’s heroics - doesn’t know.
“Based on my experience, very few people, including medical professionals, are aware of the 2006 American Red Cross update,” Peter Heimlich, who lives in Atlanta, said in a subsequent e-mail message last week. “This was a major change in U.S. first-aid guidelines, but the Red Cross didn’t issue a press release so that the media could inform the public. I’ve asked Red Cross officials why they chose not to issue a press release, but I can’t get a straight answer.”
Ms. Bjornsted apparently didn't ask the Red Cross why they never issued a press release so that the public might be aware of this potentially lifesaving information.

Maybe another reporter will.

Click here for the Red Cross's media contacts.

Tuesday, November 1, 2011

Today the Canadian Red Cross made a major update in their choking rescue guidelines. Why are they acting like they're trying to keep it a secret from the media and the public?

Over the past couple of decades, if you came upon a choking child or adult, the Canadian Red Cross recommended that you perform a series of abdominal thrusts (aka the Heimlich maneuver).

As I reported in August (and today it became official), the CRC has updated its first aid training guidelines. They now recommend first performing a series of back blows. If that fails to remove the obstruction, rescuers are instructed to proceed with abdominal thrusts.

This information might make the difference between life and death or help prevent a choking victim from suffering brain damage.

But don't expect to read about it in the press or see the story on TV. The CRC wrote me that they have no intention of sending out a press release.

Here's another question. Five years ago, the American Red Cross made the same update. What took the CRC so long to catch up?

I've sent multiple inquiries to CRC officials, including  Conrad SauvĂ©, who heads the organization. I can't get him or anyone else to answer those questions. (See below for the correspondence.)

So at the moment, it appears the only way the public is able to obtain this potentially lifesaving information is by paying for a CRC training class - $160 according to this website - or by reading The Sidebar.

 
This item has been slightly updated for clarity.

Friday, July 15, 2011

Staten Island first aid columnist goofs, but the paper refuses to publish a correction; six months later, she sneaks in the correct information

There's a persistent myth in the world of first aid that slapping a choking victim on the back is dangerous. The rationale is that doing so supposedly drives food or another obstruction deeper into the airway.

A year after he introduced "the Heimlich maneuver" in 1974, my father began making this claim. He didn't have any evidence, but for the next 30 years, he kept saying it and the media kept reporting it.

Here's the first published example of which I'm aware, a feature by Irene Wright, who, according to Amazon.com, "was a reporter for 25 years with The Cincinnati Enquirer and the newspaper's first female bureau chief."


The efforts to circulate and codify this baloney by my father and a few cronies - one of whom was the US Surgeon General - were successful, at least for a couple of decades.

A few years ago, syndicated columnist Lenore Skenazy nicely summed up the history in a few paragraphs:
I grew up with the belief that back slaps were verboten - the First Aid equivalent of hitting a drowning man on the head with a cement life preserver. Nope, said American Red Cross spokeswoman Pamela King: Back slaps were always part of the protocol - in Europe.

Choke me with a foie gras sandwich. They were? Then how'd they get such a bad rap over here?

Their infamy seems to have been promoted by the guy whose name was not back slap. The guy whose name was (and still is - he's 87) Heimlich.

Back blows are "death blows," Heimlich declared as he lobbied for his own maneuver's acceptance 30 years ago. In 1985, Surgeon General C. Everett Koop endorsed this view, dubbing back slaps "hazardous." After that, only the Heimlich maneuver was considered kosher.
What most people don't realize, said Heimlich's son, Peter Heimlich, is that "Koop was an old friend of my father's and he did it as a buddy favor."
Needless to say, even after a wrong idea is righted, almost inevitably it will continue to find voice.

To wit, How much do you know about emergency first aid? by Gail Larkin, a January 31, 2011 first aid column in the Staten Island Advance that asked readers whether this question was true or false:


Her answer?







Based on my experience, the media doesn't enjoy running corrections, but when good journalists commit errors of fact, they fix 'em pronto.

Brian J. Laline
So I submitted a short corrections request to news editor Brian J. Laline in which I provided documentation from the American Red Cross and American Heart Association, both of which recommend backblows as an effective treatment for choking.

That seemed like sufficient evidence to make the point and I assumed he'd arrange for the paper to run a quick fix.

But you know the saying about what happens when you assume.

Instead of handling what should have been a simple editorial decision, Laline punted my e-mail to Ms. Larkin.

And here my troubles began.

Next came a string of defensive e-mails from Larkin filled with outdated and poorly-sourced information. That struck me as odd because she informed me that she's a paramedic. The first responders I've encountered in my work have unfailingly been sticklers for accuracy and keeping their skills up to date.

But I remained patient and polite and did my best to inform her of the facts, none of which appeared to register. In fact, Larkin seemed resistant to even wanting to understand. For example, in a February 3 e-mail she wrote:
(The) American Heart Association (AHA) continues to discourage instructors from teaching back blows.  
I knew this was false so I suggested she contact the AHA. I even provided her with contact information for Tagni McCrae, the organization's Communications Manager.

A week later, then again a week after that, I sent polite follow-up e-mails to Larkin asking if she'd contacted the AHA. I didn't receive a reply from her. Keep in mind that a month had passed since her column appeared.

It was evident that Larkin didn't intend to follow-through, so I did:


I then forwarded this to Larkin. She remained adamant. No correction was forthcoming.

Ever seen this bumper sticker?


Maybe it applies to me for spending so much of my time on this!

But I'd come this far, so to close the loop, I e-mailed all the details to editor Brian Laline and re-submitted my corrections request.

No response. (No surprise.)

I wouldn't be chewing this over on my blog except for the fact that a few days ago my trusty Google News sent me the latest by Gail Larkin, published Monday by the Advance. It's another "how much do you know?" column entitled Summer accident quiz that includes:









Is it just me or does this seem like a weaselly move? 
 
More importantly, it's unclear how refusing to correct an obvious error, then trying to clean up the record in a subsequent column, benefits readers.

Much more importantly, if the Advance is unwilling to publish a correction for such a minor yet unambiguous factual error like this one, how are the big goofs being handled?

Not my problem, hooray!     

Finally, I don't understand what Gail Larkin means by "if you are familiar with (backblows)" in her recent column. I mean, what kind of familiarization is required to slap someone on the back?

Based on my correspondence with her, it's Ms. Larkin who needs to familiarize herself with the subjects about which she's reporting.

7/23/11 UPDATE: On July 11, while reporting this story, I e-mailed editor Brian Laline and asked if the Advance had published a correction to Larkin's error. (I couldn't find one, but I wanted to verify.) Today I received a "deleted without being read" response from him. Seems like someone's not keeping up with their editorial responsibilities...or their correspondence!