What is the Heimlich Maneuver?
The
Heimlich maneuver is an emergency technique used to help clear the airway of a person who is choking. In pediatric cases, it is critical to understand the correct procedure for different age groups, as improper technique can cause injury.
When Should You Use the Heimlich Maneuver in Children?
The Heimlich maneuver should be employed when a child is choking on a foreign object that is blocking their airway. Signs that a child is choking include inability to speak, difficulty breathing, coughing ineffectively, or turning blue. Immediate intervention is necessary to prevent
asphyxiation.
How to Perform the Heimlich Maneuver on Infants?
For infants under one year old, the Heimlich maneuver is not recommended. Instead, perform the following steps:
1. Lay the infant face down on your forearm, supporting their head and neck.
2. Administer 5 back blows between the infant’s shoulder blades using the heel of your hand.
3. If the object does not dislodge, turn the infant face up and give 5 chest thrusts using two fingers placed at the center of the chest, just below the nipple line.
4. Repeat the sequence until the object is expelled or the infant becomes unresponsive.
How to Perform the Heimlich Maneuver on Toddlers and Older Children?
For children over one year old, follow these steps:
1. Stand or kneel behind the child, depending on their size.
2. Make a fist with one hand and place it just above the child’s navel.
3. Grasp your fist with your other hand and perform quick, inward and upward thrusts.
4. Repeat until the object is expelled or the child becomes unresponsive.
What to Do if the Child Becomes Unresponsive?
If the child becomes unresponsive, initiate
CPR immediately:
1. Lay the child on a flat surface and call for emergency medical assistance.
2. Begin chest compressions and rescue breaths, ensuring to check the airway for the obstructing object before each breath.
3. Continue CPR until professional help arrives or the child starts to breathe normally.
Are There Any Precautions or Contraindications?
Yes, there are precautions to consider:
1. Do not perform the Heimlich maneuver on infants under one year old.
2. Avoid using excessive force to prevent injuries such as broken ribs or damage to internal organs.
3. Always seek medical evaluation after a choking incident, even if the object is successfully removed.
Training and Awareness
It is crucial for parents, caregivers, and educators to be trained in basic life support techniques, including the Heimlich maneuver. Regular
first-aid training can equip individuals with the skills needed to act swiftly and effectively in emergency situations.
Conclusion
Understanding how to properly execute the Heimlich maneuver according to the child's age can make the difference between life and death in choking emergencies. Proper training and quick response are key to ensuring the safety and well-being of children in such critical situations. Always remember to consult with healthcare professionals for further guidance and training.
