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Topic: Abdominal thrusts

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	Choking
		Continue giving thrusts until the object blocking the airway is dislodged and the victim begins to breathe, or until the victim becomes unconscious.
		Continue giving thrusts until the airway is cleared and the child begins to breathe, or until the child becomes unconscious.
		Continue giving thrusts until the object is dislodged, or until the victim becomes unconscious.
	library.thinkquest.org /10624/choking.html (1273 words)

	PERFORM FIRST AID TO CLEAR AN OBJECT STUCK IN THE THROAT OF A CONSCIOUS CASUALTY
		Gave abdominal or chest thrusts until the casualty could talk and breathe normally, the soldier was relieved by a qualified person, or the casualty became unconscious requiring mouth-to-mouth resuscitation.
		Thrusts should be continued until the obstruction is expelled or the casualty becomes unconscious.
		Give abdominal or chest thrusts until the obstruction is clear, you are relieved by a qualified person, or the casualty becomes unconscious.
	www.medtrng.com /081-831-1003.htm (532 words)

	The Heimlich Maneuver (Site not responding. Last check: 2007-10-11)
		Chest and abdominal thrusts, because they refer to blows to unspecifed locations on the body, have resulted in cracked ribs and damaged spleens and livers, among other injuries...
		Regardless of considerations as to the effectiveness, chest thrusts were abandoned because of the voluminous literature reporting injuries and deaths resulting from chest thrusts used for cardiopulmonary resuscitation.
		Chest thrusts resulted in rib fractures in 44% of cases (21% being bilateral), and in two thirds these injuries were a significant factor in the clinical course.
	www.heimlichinstitute.org /besttechnique.html (3946 words)

	Cecil Whig
		This abdominal thrust forces the food or other object out of the windpipe, freeing the flow of air to the lungs.
		For adults the thrusts are directed at the area in the center of the ribcage toward the bottom, where the bones meet.
		For infants, however, the thrusts are directed at the chest and are conducted with less force.
	www.cecilwhig.com /articles/2006/10/12/news/03.txt (522 words)

	Heimlich Maneuver \| AHealthyMe.com
		After the abdominal thrusts, the rescuer repeats the process of lifting the chin, moving the tongue, feeling for and possibly removing the foreign material.
		The fists are placed against the middle of the breastbone, and the motion of the chest thrust is in and downward, rather than upward.
		The technique in children over one year of age is the same as in adults, except that the amount of force used is less than that used with adults in order to avoid damaging the child's ribs, breastbone, and internal organs.
	www.ahealthyme.com /topic/topic100586915 (1303 words)

	PREHOSPITAL POLICY
		Administer abdominal thrusts until foreign body becomes dislodged and expelled or until patient becomes unconscious.
		Administer abdominal thrusts (5 back thrusts and 5 chest thrusts for infant less than 1 year of age) until the foreign body becomes dislodged and expelled or until patient becomes unconscious.
		If unable to ventilate, perform 5 abdominal thrusts (5 back thrusts and 5 chest thrusts for infant less than 1 year of age) and reattempt to ventilate.
	www.fix.net /~sloemsa/policy/617-2004.htm (444 words)

	ILS - International Life Saving Federation : medical
		Because of the risk of precipitating gastro-oesophageal regurgitation and subsequent inhalation of stomach contents into the lungs, the Commission regards near drowning as an absolute contraindication to the use of upper abdominal thrusts unless a solid foreign body (not water) is present in the upper airway and cannot be dislodged by other means.
		In near drowning upper abdominal thrusts pose a great risk of precipitating gastro-oesophageal regurgitation and subsequent inhalation of stomach contents into the lungs.
		Therefore the Medical Commission of the International Life Saving Federation strongly recommends that in cases of near drowning the use of upper abdominal thrusts is contraindicated unless a solid foreign body (not water) is present in the upper airway and cannot be dislodged by other means.
	www.ilsf.org /medical/policy_01.htm (786 words)

	FirstAid_Choking_CPRcourse
		Ask her, "Are you pregnant?" If she is pregnant, do not do abdominal thrusts, because this could injure the unborn child.
		If you happen to be alone and choking, you may use the back of a chair to perform abdominal thrusts on yourself.
		If you arrive on the scene after a person has choked and is unconscious, use abdominal thrusts and the blind finger sweep to clear the airway.
	www.geocities.com /sssukhmeet/choking.html (1239 words)

	Abdominal thrusts - Wikipedia, the free encyclopedia
		The method of abdominal thrusts, also known as the Heimlich Maneuver, is a first aid procedure for clearing an obstructed airway.
		For unconscious victims, the new guidelines recommend chest thrusts, a method first recommended in a 1976 study by Charles Guildner MD whose results were duplicated in a year 2000 study by Audun Langhelle MD. The 2006 guidelines also eliminated the phrase "Heimlich maneuver" and replaced it with the more descriptive "abdominal thrust."
		The Resuscitation Council (UK) advise use of abdominal thrusts on children over a year old where five back slaps have failed to clear the airway; their recommended pediatric procedure [1] is similar to their recommended procedure for an adult [2].
	en.wikipedia.org /wiki/Abdominal_thrusts (1074 words)

	Choking
		Pregnant/obese people: Abdominal thrusts may not be effective in people who are in the later stages of pregnancy or who are obese.
		The thrusts should be quick and forceful to remove the object.
		If at all possible, subdiaphragmatic abdominal thrusts should be used in the pregnant woman, especially if there is still room between the enlarging uterus and the rib cage to perform the maneuver.
	www.emedicinehealth.com /choking/page6_em.htm (1287 words)

	The Toads Favorite Fire Pads - Removing Airway Obstruction Adults, Children, Infants
		Several such thrusts may be needed to dislodge the object and clear the airway.
		With an unconscious pregnant or especially obese victim, substitute chest thrusts for abdominal thrusts.
		If the airway is still not open, back blows, abdominal (or chest) thrusts, finger sweeps, and rescue breathing should be repeated rapidly as many times as is necessary to remove the obstruction.
	www.toadspad.net /ems/cpr-choking.html (784 words)

	NASCO CPR Guidelines proposal (Site not responding. Last check: 2007-10-11)
		The jaw thrust accomplishes the same goal of opening the airway, but is not as easily accomplished as the head tilt.
		With hands in appropriate position, administer thrusts in an upward motion until the airway is clear or until the person loses consciousness.
		To open the airway with the jaw thrust the head is maintained in line with the body while the jaw is pulled forward by putting pressure on the angle of the jaw at the back of the mandible.
	userpages.umbc.edu /~adeboc1/NASCO_CPR.htm (7197 words)

	[No title]
		At the closing session of the 1985 conference on CPR and ECC, Roger D. White, MD, chairman of the panel on choking, was asked his committee's opinion as to whether the risk of liver laceration in infants may be greater with the "abdominal thrust" (Heimlich maneuver) than with the chest thrust.
		The panel's opinion was based on the many documented case reports of infants who were saved by the Heimlich maneuver and on the well-established scientific evidence for expelling an object by that method (figure 2).
		The technique of chest thrusts has no scientific basis and, along with backslaps and abdominal thrusts, was cited by Surgeon General Koop as being "hazardous, even lethal."
	www.iglou.com /heimlich/pg87hmc.htm (3954 words)

	First Aid for Choking (Site not responding. Last check: 2007-10-11)
		If the victim CANNOT speak, cough, or breathe, give subdiaphragmatic abdominal thrusts (the Heimlich maneuver) until the foreign body is expelled or the victim becomes unconscious.
		Repeat both back blows and chest thrusts until foreign body is expelled or the infant becomes unconscious.
		Perform subdiaphragmatic abdominal thrusts (the Heimlich maneuver) as described for adults.
	www.woodstock.edu /students/campus/info/police/choke.html (712 words)

	Dawg Tracks-Safety Talk Newsletter: October 2005 (Site not responding. Last check: 2007-10-11)
		To give abdominal thrusts, stand behind the person and wrap your arms around their waist.
		Repeat these thrusts until the object in his throat is forced out or he becomes unconscious.
		Give abdominal thrusts to some one who is talking or coughing.
	msucares.com /newsletters/safety/05/10.html (710 words)

	Dr. Henry Heimlich Widely Criticized
		Previous guidelines have not promoted abdominal thrusts for drowning, but had allowed them if it was suspected that a foreign body was aspirated as part of the drowning.
		Moreover, abdominal thrusts were not encouraged or promoted as first treatment for drowning in the CPR guidelines.
		Abdominal thrusts in some people can squeeze the lungs a bit and produce pressure to expel the object, but scientific studies with actual measurements show that chest thrusts are more effective, as one would expect.
	www.quackwatch.org /11Ind/heimlich.html (1004 words)

	Child CPR Comprehensive Test (Site not responding. Last check: 2007-10-11)
		Give abdominal thrusts until the object is removed or the child goes unconscious.
		Abdominal thrusts are given to a conscious, choking child...
		Give abdominal thrusts until the item is removed.
	members.aol.com /safescene/child_cpr_overall_test.html (438 words)

	Pediatric Advisor 2006.2: Choking
		If breathing has not resumed, lay the child on the floor and apply 5 rapid chest compressions (chest thrusts) over the lower third of the breast bone (sternum) using 2 fingers.
		Reason to avoid abdominal thrusts and the true Heimlich maneuver under the age of 1 year: Risk of liver or spleen laceration)
		If mouth-to-mouth breathing doesn't move the chest, repeat the abdominal thrusts or chest compressions.
	www.med.umich.edu /1libr/pa/pa_choking_hhg.htm (798 words)

	Abdominal thrust technique
		When the back blows are unsuccessful, use the abdominal thrust.
		Following the cycle of 6 to 10 abdominal thrusts, turn the victim's head to one side, and check for loose foreign matter with a sweeping movement of the index finger inside the mouth, then ventilate.
		Repeat cycles of 6 to 10 abdominal thrusts, finger sweeps, and ventilation until the obstruction is dislodged or until a rescue team arrives.
	www.tpub.com /seabee/5-40.htm (211 words)

	Health Info (Site not responding. Last check: 2007-10-11)
		- If no other person is persent, a choking victim can perform abdominal thrusts on himself or herself by leaning over the back of a chair or over the edge of a table.
		this action is known as a cest thrust.
		-alternate administering back blows and chest thrusts until the object is dislodged.
	www.gobantams.com /health/hinfo.htm (281 words)

	Practicing new-format NCLEX questions Nursing - Find Articles
		Administer abdominal thrusts until effective or until the client becomes unresponsive.
		Next, she should administer abdominal thrusts or chest thrusts (if the client is obese or pregnant).
		She should continue thrusts until they're effective or until the client becomes unresponsive.
	www.findarticles.com /p/articles/mi_qa3689/is_200408/ai_n9444981 (775 words)

	BLS TREATMENT PROTOCOL (Site not responding. Last check: 2007-10-11)
		subdiaphragmatic abdominal thrusts (chest thrusts in the markedly obese or late stages of pregnancy.
		Place victim supine, apply five subdiaphragmatic abdominal thrusts (chest thrusts in the markedly obese or advanced stages of pregnancy).
		Use five back blows and five chest thrusts in infants <1 year.
	www.fix.net /~sloemsa/policy/511.html (93 words)

	First Aid for Choking (Heimlich Maneuver) - American Institute for Preventive Medicine - HealthWorld Online
		Using 2 or 3 fingers (see illustration for finger position), deliver four thrusts in the sternal (breastbone) region.
		After each sequence of back blows and chest thrusts, look for the foreign body and, if visible, remove it.
		Perform abdominal thrusts (the Heimlich maneuver) as described for adults.
	www.healthy.net /scr/article.asp?id=1790 (613 words)

	Relief of Choking in Children
		When a child is choking and can't breathe or speak, you must give abdominal thrusts (the Heimlich maneuver). The Heimlich maneuver pushes air from the child's lungs like a cough. This can help remove the blocking object. You should give abdominal thrusts until the object is forced out or the victim becomes unresponsive.
		Grasp the fist with your other hand and fie quick upward thrusts into the child's abdomen.
		Give thrust until the object is forced out or the child becomes unresponsive.
	www.americanheart.org /presenter.jhtml?identifier=3025002 (384 words)

	CPR PROCEDURES
		Supporting the head, sandwich the infant between your hands and arms and turn the infant on his or her back, keeping the head lower than the trunk.
		Using two fingers, deliver up to 5 thrusts over the lower half of the breastbone (sternum).
		Repeat the sequence of 5 back blows and 5 chest thrusts until the object is expelled or until the infant becomes unconscious.
	www.wavelandfiredepartment.com /TrainEquip/cpr_procedures.htm (946 words)

	Perform Mouth-to-Mouth Resuscitation (Site not responding. Last check: 2007-10-11)
		NOTE: Abdominal Thrusts Should Be Used Unless The Casualty Is In The Advanced Stages Of Pregnancy, Is Very Obese, Or Has A Significant Abdominal Wound.
		NOTE: Each Thrust Should Be Given Slowly, Distinctly, And With The Intent Of Relieving The Obstruction.
		Open the mouth by grasping the tongue and lower jaw to lift the jaw open or crossing the fingers and thumb to push the teeth apart.
	www.atsc.army.mil /itsd/comcor/md1042s.htm (1169 words)

	Tampa Fire Fighters Local 754
		Continue giving abdominal thrusts until the object is dislodged or until the victim loses consciousness.
		CAUTION: If the victim is pregnant or obese, for the Heimlich maneuver place your fist on the middle of the victim's breastbone; do not place your hands on the ribs or on the lower edge of the breastbone.
		Repeat this sequence of abdominal thrusts, sweeps of the mouth and slow breaths until the object is dislodged or until medical help arrives.
	www.tampafirefighters.com /first_aid/choking.htm (430 words)

	Message (Site not responding. Last check: 2007-10-11)
		Henry Heimlich, M.D., who is credited with promoting abdominal thrusts for dislodging solid bodies in the airway (sometimes called the Heimlich Maneuver), is also advocating this method for treating drowning.
		Because abdominal thrusts do not open the airway and can cause fatal aspiration of stomach contents, the American Heart Association has concluded that their use is “unnecessary and potentially dangerous.” [American Heart Association.
		On May 27, the Cincinnati Enquirer ran a full-page graphic highlighting abdominal thrusts as a first treatment for drowning.
	www.usla.org /forum/b.asp?m=2331 (190 words)

	Adult
		Perform abdominal thrusts until object comes out or until victim becomes unconscious.
		Healthcare providers may perform abdominal thrusts on an unconscious victim.
		For an infant, support head, neck, and back, and use back blows and chest thrusts instead of abdominal thrusts.
	www.funcpr.com /adultchildinfantcprchart.htm (502 words)

	Assisting the Adult Choking Victim
		Five abdominal thrusts, followed by five back blows, a finger sweep, and two breaths.
		Five abdominal thrusts, a finger sweep, and two breaths.
		Fifteen abdominal thrusts, look for a foreign object in the mouth, and give two breaths
	members.aol.com /safescene/choking_adult.html (286 words)

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