How to Perform the Heimlich Maneuver in 6 Different Situations

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You’re in a restaurant enjoying a dinner with friends, when all of a sudden you hear a woman shriek: “He’s choking!”

You calmly excuse yourself from the table and dash with effortless cool towards the source of the loud yell. You find a man with a look of terror in his eyes, gripping his throat, indicating that something is lodged within. You politely ask the distraught woman to step aside. You place your arms around the choking man’s abdomen and give two deft inward thrusts. A scallop shoots out of the man’s mouth and lands conveniently in a trash can. The restaurant bursts into applause.

You heartily pat the man on the back and say something witty to lighten things up. You stroll back to your friends’ table, sit down, and pick up the conversation right where you left it. “What were you saying about the true meaning of The Old Man and the Sea, John?”

At least that’s how we imagine we’d handle a situation if we saw someone choking. More likely though, you’d probably stand there havy cavy, not sure what to do. Because even though most have heard the phrase Heimlich maneuver countless times, and seen it dramatized just as many, a lot of folks really don’t know exactly what to do beyond putting their arms around the person and squeezing somehow. And if you do know precisely how to do it, you may only be familiar with the technique used on an average person.

So today’s the day you’re finally going to commit this important and potentially lifesaving skill to memory, and not only that, learn how to do it in six different situations – on an average person, an obese person, a baby, a pregnant woman, a dog, and even yourself. Bet you never thought about giving the Heimlich to your pooch did, you? Well now Fido can sleep easy at night, with visions of gristly bones dancing in his head.

First: Assess the situation and allow the person to try to dislodge the object on his or her own

This is the first step for all six situations: If you see someone who might be choking, don’t bust out the Heimlich right away. He might not need it. First, ask the person if he can speak. If he can speak, it means he still has good air exchange and might be able to get the object out of his throat on his own with some coughing. Ask him to try to cough the object out.

If the person can’t speak, makes high-pitched sounds when he talks or coughs, or it looks like he’s not breathing, it’s Heimlich time.

1. How to Perform the Heimlich Maneuver on a Regular-Sized Person

First thing you want to do is have someone call 911. If the person becomes unconscious, you’re going to need help.

The Red Cross recommends using the “five-and-five” approach to help a choking person. Here’s how it works:

Give five back blows. Lean the victim forward and deliver five back blows between their shoulder blades with the heel of your hand.

Perform five Heimlich thrusts. If the back blows didn’t get the object out, it’s time to perform the Heimlich:

  1. Stand behind the victim and wrap your arms around his waist.
  2. Bring your hands together, with the hand closest to the victim’s stomach made into a fist. The knuckle of your thumb should be our positioned and pressed between the victim’s bellybutton and the bottom of his rib cage.

The knuckle of your thumb should be positioned and pressed between the victim’s bellybutton and the bottom of their rib cage.

  1. Simultaneously squeeze and thrust your hands inwards and upwards. Repeat this action until the obstruction pops out like the cork from a bottle.

Repeat the five-and-five until the food or object is expelled or the person becomes unconscious. If the latter happens, hopefully the medics will be close at hand.

This technique can be used on adults and children one year old or older.

2. How to Perform the Heimlich Maneuver on a Pregnant Woman

Using the standard Heimlich maneuver can harm the fetus growing inside of a pregnant woman. We don’t want to do that, so we’re going to need to use a modified version of the Heimlich.

Do the usual five back blows. When you perform the thrusts, position your hands a little bit higher than you would with the normal Heimlich. The knuckle of your thumb should be positioned and pressed at the base of the breastbone, just above the joining of the lowest ribs.

3. How to Perform the Heimlich Maneuver on an Obese Person

Same way as you’d do it on a pregnant woman. Place your hands a bit higher, right under the breastbone.

4. How to Perform the Heimlich Maneuver on a Baby

One of the things I’ve learned about babies since having Gus is they like to put things in their mouth. If they can pick it up, it’s going in their mouth. Pen? In the mouth. Penny? Mouth. iPhone? Right in the mouth. So choking has been a big concern of mine. It’s also gone up even more since Gus has started eating solid foods. I’m afraid he’ll stuff a fistful of puffs in his mouth and start choking. So learning how to perform the Heimlich maneuver on a baby has been a priority for me. Here’s how it’s done.

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