Heimlich Maneuver

2.2 Heimlich Manoeuvre
SCIENCE • Form 4 • Chapter 2: Emergency Help

2.2 Heimlich Manoeuvre

The Heimlich Manoeuvre is a life-saving emergency procedure performed without any equipment to help someone who is choking. Learning the signs of choking and mastering the correct technique ensures rapid emergency assistance, preventing severe brain damage or death.

Learning Objectives

  • State the definition of the Heimlich Manoeuvre and explain why it is important.
  • Identify the signs and situations of a victim requiring the Heimlich Manoeuvre.
  • Describe the correct step-by-step procedure to perform the Heimlich Manoeuvre on another individual.
  • Explain how to perform the Heimlich Manoeuvre on oneself when alone.

The Mechanism and Steps of the Heimlich Manoeuvre

Choking blocks the trachea. The Heimlich Manoeuvre uses upward abdominal thrusts to force the trapped object out.

The mechanism and steps of the Heimlich Manoeuvre A four-panel diagram showing the rescuer standing behind the victim, arms wrapped around the waist, a clenched fist placed between the navel and below the ribs, and an upward thrust that increases lung pressure to eject the foreign object. Step 1 Step 2 Step 3 Step 4 Stand behind and bend victim forward Wrap arms around and clench a fist Place fist between navel and ribs Press and jerk upwards quickly Prepare the victim Position your hands Target the soft area Eject the object

Short Explanation

Definition

Heimlich Manoeuvre is an emergency procedure carried out to save an individual who is choking.

Choking happens when an object or swallowed food slips into the trachea rather than the oesophagus. Because this cuts off the air supply, immediate action is vital.

History Corner

The Heimlich Manoeuvre was invented in 1974 by Dr. Henry Heimlich, a thoracic specialist surgeon.

Mechanism of Swallowing and Choking

When swallowing, the epiglottis folds down to block the trachea so food safely enters the oesophagus heading toward the stomach. If food accidentally enters and blocks the respiratory tract instead, the person chokes.

Importance of the Heimlich Manoeuvre

The human body and brain require a continuous supply of oxygen. Inhaled oxygen enters the lungs and is absorbed into body cells, including brain cells. A blocked respiratory tract prevents oxygen from entering the lungs, causing oxygen deprivation in the brain. Delayed emergency assistance can result in irreversible brain damage or death.

Signs of a Choking Victim

  • Holding the neck with both hands.
  • Unable to speak or cough.
  • Skin, lips, and nails appear bluish or blackish.
  • Experiencing difficulty in breathing.

Steps to Perform the Heimlich Manoeuvre on a Victim

The procedure does not require any specialized equipment.

  1. Step 1: Stand behind the victim and bend their body slightly forward.
  2. Step 2: Put your arms around the victim from behind and clench a fist with your right hand.
  3. Step 3: Place your right fist between the navel and below the ribs of the victim. Place your left hand on top of your right fist.
  4. Step 4: Press and jerk upwards with quick force. This action increases pressure inside the lungs, causing the lodged foreign object to be ejected.

Performing the Heimlich Manoeuvre on Oneself

If alone while choking, place your hands between the navel and below the ribs using the Heimlich Manoeuvre hand position, and exert pressure on that area by bending your body. If lacking strength, find a waist-height stationary object such as a chair or table, bend forward, and push your body against the object with all your strength.

Try to Answer First

Answer in your mind, then press “Check Answer”.

1

What happens to the epiglottis during normal swallowing, and why does choking occur?

Answer: During normal swallowing, the epiglottis folds down to block the trachea so food enters the oesophagus. Choking occurs when food enters and blocks the respiratory tract (trachea).
2

Where should a rescuer place their fist when performing the Heimlich Manoeuvre?

Answer: Between the navel and below the ribs of the victim.
3

How does an upward jerk dislodge a foreign object from the respiratory tract?

Answer: The upward pressure increases the air pressure inside the lungs, which forces the foreign object out of the respiratory tract.

Common Mistakes

  • !Placing the fist directly over the rib cage or sternum rather than in the soft area between the navel and below the ribs.
  • !Pulling straight backward into the abdomen instead of pressing and jerking upwards with quick force.
  • !Forgetting to bend the victim's body slightly forward before administering thrusts.
  • !Assuming equipment is needed to perform emergency relief for choking.

Concept Misunderstandings

Misconception

Choking only happens when eating too quickly.

Correct Concept

Choking occurs whenever any food or foreign object enters and obstructs the trachea, regardless of eating speed.

Misconception

You cannot perform the Heimlich Manoeuvre if you are alone.

Correct Concept

You can perform it on yourself by using your own fists or by pressing your upper abdomen against a waist-high object such as a chair or table edge.

Misconception

The Heimlich Manoeuvre is applied to restart the heart.

Correct Concept

The Heimlich Manoeuvre is used specifically to dislodge an obstruction in the respiratory tract; CPR is the procedure used when there is no heartbeat or breathing.

Summary

  • Definition: An emergency technique used to remove an obstruction from the respiratory tract of a choking individual.
  • Key Signs: Clutching the neck, inability to speak or cough, breathing difficulty, and bluish or blackish skin, lips, or nails.
  • Core Technique: Stand behind the victim, position a fist between the navel and rib cage, grasp it with the other hand, and thrust quickly inward and upward.
  • Action Mechanism: Rapid upward compression increases air pressure within the lungs, expelling the foreign object.
  • Self-Rescue: Bend over and press the abdomen with fists or lean forcefully against a waist-high solid object such as a chair.

Short Activity

A. Objective Quiz

1 What is the primary physiological effect of pressing and jerking upwards during the Heimlich Manoeuvre?

2 Which of the following is a clear sign that an individual is choking and requires the Heimlich Manoeuvre?

B. Fill in the Blanks

3 When performing the Heimlich Manoeuvre, the rescuer must place a clenched fist between the navel and below the of the victim.

 

4 If a choking person is left without oxygen for too long, the victim may suffer from damage or death.

 

C. Drag and Drop: Match Each Step to Its Action

Drag each step number to the correct action description. On a phone, tap a step first, then tap a matching box. Tap the Step Number area to return a selected item.

Step Number
Step 1
Step 2
Step 3
Step 4
Action Description
1 Stand behind the victim and bend his body slightly forward.
2 Put your arms around the victim from behind and clench a fist with your right hand.
3 Place your right fist between the navel and below the ribs, and place your left hand on top.
4 Press and jerk upwards with quick force to increase pressure in the lungs.

C. Match Each Step to Its Action

Write the correct step number next to each action description.

Action Description Step Number
1. Stand behind the victim and bend his body slightly forward.  
2. Put your arms around the victim from behind and clench a fist with your right hand.  
3. Place your right fist between the navel and below the ribs, and place your left hand on top.  
4. Press and jerk upwards with quick force to increase pressure in the lungs.  

Answer choices: Step 1 • Step 2 • Step 3 • Step 4

Keywords

Heimlich Manoeuvre Choking Trachea Epiglottis Oesophagus Upward jerk

Heimlich Maneuver

2.2 Heimlich Manoeuvre
SCIENCE • Form 4 • Chapter 2: Emergency Help

2.2 Heimlich Manoeuvre

The Heimlich Manoeuvre is a life-saving emergency procedure performed without any equipment to help someone who is choking. Learning the signs of choking and mastering the correct technique ensures rapid emergency assistance, preventing severe brain damage or death.

Learning Objectives

  • State the definition of the Heimlich Manoeuvre and explain why it is important.
  • Identify the signs and situations of a victim requiring the Heimlich Manoeuvre.
  • Describe the correct step-by-step procedure to perform the Heimlich Manoeuvre on another individual.
  • Explain how to perform the Heimlich Manoeuvre on oneself when alone.

The Mechanism and Steps of the Heimlich Manoeuvre

Choking blocks the trachea. The Heimlich Manoeuvre uses upward abdominal thrusts to force the trapped object out.

The mechanism and steps of the Heimlich Manoeuvre A four-panel diagram showing the rescuer standing behind the victim, arms wrapped around the waist, a clenched fist placed between the navel and below the ribs, and an upward thrust that increases lung pressure to eject the foreign object. Step 1 Step 2 Step 3 Step 4 Stand behind and bend victim forward Wrap arms around and clench a fist Place fist between navel and ribs Press and jerk upwards quickly Prepare the victim Position your hands Target the soft area Eject the object

Short Explanation

Definition

Heimlich Manoeuvre is an emergency procedure carried out to save an individual who is choking.

Choking happens when an object or swallowed food slips into the trachea rather than the oesophagus. Because this cuts off the air supply, immediate action is vital.

History Corner

The Heimlich Manoeuvre was invented in 1974 by Dr. Henry Heimlich, a thoracic specialist surgeon.

Mechanism of Swallowing and Choking

When swallowing, the epiglottis folds down to block the trachea so food safely enters the oesophagus heading toward the stomach. If food accidentally enters and blocks the respiratory tract instead, the person chokes.

Importance of the Heimlich Manoeuvre

The human body and brain require a continuous supply of oxygen. Inhaled oxygen enters the lungs and is absorbed into body cells, including brain cells. A blocked respiratory tract prevents oxygen from entering the lungs, causing oxygen deprivation in the brain. Delayed emergency assistance can result in irreversible brain damage or death.

Signs of a Choking Victim

  • Holding the neck with both hands.
  • Unable to speak or cough.
  • Skin, lips, and nails appear bluish or blackish.
  • Experiencing difficulty in breathing.

Steps to Perform the Heimlich Manoeuvre on a Victim

The procedure does not require any specialized equipment.

  1. Step 1: Stand behind the victim and bend their body slightly forward.
  2. Step 2: Put your arms around the victim from behind and clench a fist with your right hand.
  3. Step 3: Place your right fist between the navel and below the ribs of the victim. Place your left hand on top of your right fist.
  4. Step 4: Press and jerk upwards with quick force. This action increases pressure inside the lungs, causing the lodged foreign object to be ejected.

Performing the Heimlich Manoeuvre on Oneself

If alone while choking, place your hands between the navel and below the ribs using the Heimlich Manoeuvre hand position, and exert pressure on that area by bending your body. If lacking strength, find a waist-height stationary object such as a chair or table, bend forward, and push your body against the object with all your strength.

Try to Answer First

Answer in your mind, then press “Check Answer”.

1

What happens to the epiglottis during normal swallowing, and why does choking occur?

Answer: During normal swallowing, the epiglottis folds down to block the trachea so food enters the oesophagus. Choking occurs when food enters and blocks the respiratory tract (trachea).
2

Where should a rescuer place their fist when performing the Heimlich Manoeuvre?

Answer: Between the navel and below the ribs of the victim.
3

How does an upward jerk dislodge a foreign object from the respiratory tract?

Answer: The upward pressure increases the air pressure inside the lungs, which forces the foreign object out of the respiratory tract.

Common Mistakes

  • !Placing the fist directly over the rib cage or sternum rather than in the soft area between the navel and below the ribs.
  • !Pulling straight backward into the abdomen instead of pressing and jerking upwards with quick force.
  • !Forgetting to bend the victim's body slightly forward before administering thrusts.
  • !Assuming equipment is needed to perform emergency relief for choking.

Concept Misunderstandings

Misconception

Choking only happens when eating too quickly.

Correct Concept

Choking occurs whenever any food or foreign object enters and obstructs the trachea, regardless of eating speed.

Misconception

You cannot perform the Heimlich Manoeuvre if you are alone.

Correct Concept

You can perform it on yourself by using your own fists or by pressing your upper abdomen against a waist-high object such as a chair or table edge.

Misconception

The Heimlich Manoeuvre is applied to restart the heart.

Correct Concept

The Heimlich Manoeuvre is used specifically to dislodge an obstruction in the respiratory tract; CPR is the procedure used when there is no heartbeat or breathing.

Summary

  • Definition: An emergency technique used to remove an obstruction from the respiratory tract of a choking individual.
  • Key Signs: Clutching the neck, inability to speak or cough, breathing difficulty, and bluish or blackish skin, lips, or nails.
  • Core Technique: Stand behind the victim, position a fist between the navel and rib cage, grasp it with the other hand, and thrust quickly inward and upward.
  • Action Mechanism: Rapid upward compression increases air pressure within the lungs, expelling the foreign object.
  • Self-Rescue: Bend over and press the abdomen with fists or lean forcefully against a waist-high solid object such as a chair.

Short Activity

A. Objective Quiz

1 What is the primary physiological effect of pressing and jerking upwards during the Heimlich Manoeuvre?

2 Which of the following is a clear sign that an individual is choking and requires the Heimlich Manoeuvre?

B. Fill in the Blanks

3 When performing the Heimlich Manoeuvre, the rescuer must place a clenched fist between the navel and below the of the victim.

 

4 If a choking person is left without oxygen for too long, the victim may suffer from damage or death.

 

C. Drag and Drop: Match Each Step to Its Action

Drag each step number to the correct action description. On a phone, tap a step first, then tap a matching box. Tap the Step Number area to return a selected item.

Step Number
Step 1
Step 2
Step 3
Step 4
Action Description
1 Stand behind the victim and bend his body slightly forward.
2 Put your arms around the victim from behind and clench a fist with your right hand.
3 Place your right fist between the navel and below the ribs, and place your left hand on top.
4 Press and jerk upwards with quick force to increase pressure in the lungs.

C. Match Each Step to Its Action

Write the correct step number next to each action description.

Action Description Step Number
1. Stand behind the victim and bend his body slightly forward.  
2. Put your arms around the victim from behind and clench a fist with your right hand.  
3. Place your right fist between the navel and below the ribs, and place your left hand on top.  
4. Press and jerk upwards with quick force to increase pressure in the lungs.  

Answer choices: Step 1 • Step 2 • Step 3 • Step 4

Keywords

Heimlich Manoeuvre Choking Trachea Epiglottis Oesophagus Upward jerk