Why YSK:
Despite choking being an emergency, until recently there has been limited high-quality evidence to guide bystanders on the most effective way to help. Techniques like abdominal thrusts (formerly known as the Heimlich maneuver), back blows and chest compressions or thrusts have existed since the mid-1900s but, until recently, recommendations were largely based on case reports rather than rigorous scientific data. This evidence gap is dangerous.
Bystander response is the primary driver of a choking person’s outcome, so ensuring people know the safest and most effective way to care for a choking person can save lives.
Please see the article for the full piece, it’s not long.
Article authors:
- Cody Dunne - Emergency Medicine Physician and PhD Candidate, University of Calgary
- Andrew McRae - Associate Professor, Departments of Emergency Medicine and Community Health Sciences, University of Calgary
- Khara Sauro - Associate professor, Cumming School of Medicine, Department of Surgery, University of Calgary
If you need more motivation to open the article, here is an interesting fact:
New research suggests back blows cleared choking obstructions in 72 per cent of cases, superior to both abdominal thrusts (59 per cent) and chest thrusts (27 per cent).
The more eyes the better and this seems to be the recommendation:
I’m still looking for what to do if I’m alone and something happens.
The article also uses the text “In the updated guidelines, our Canadian study was cited to inform this critical change, and was the only study directly comparing different choking techniques.” to link here:
https://cpr.heart.org/en/resuscitation-science/cpr-and-ecc-guidelines/adult-basic-life-support
But I see no mention of any of these directions there. If someone does, let me know where I’m scanning over.
Edit: Failing at adding an underline to signal the actual link while having the URL readable.
How to unchoke yourself if you’re dying alone.
This video is surprisingly good and covers:
Back when I was in Boy Scouts, we learned how to do abdominal thrusts, and how to do it to yourself. You make the same hand shape (IIRC, one hand clasped over the other with your thumb knuckles forming a triangle into the abdomin), and place your hand in the back of a chair (assuming you’re near a chair, which is likely). You then press yourself into it.
the extra information is pretty important too… afaik most remediation for choking should be avoided early on because it’s actually fairly likely the person can clear the obstruction themselves, but if you time a thrust with their breath it can be very bad, and actually cause them to suck the object further in when they gasp for air
not a doctor or anyone with medical training, but i heard it at some point and it kinda makes sense
I agree with your callout on specific info. Disagree with the sentiment because I missed that info in the first pass because most of the article talks about the research (and doesn’t seem to link accurately). I’ll add the preceding paragraph that you mentioned. Thanks
If you’re alone. Call 911 (or your regions equivalent) and wait outside for emergency services. Keep trying to cough while you wait. If you see anyone flag them down but don’t go searching for people. I know you’re looking for a self heimlich but your safest bet is to keep trying to cough and to wait for emergency services or for other help to come along. Getting the thrust you need to clear your airway, especially while starved for oxygen, is not guaranteed. So if you ever find yourself in that situation call for help. If you start choking and you’re a healthy adult you’ll have 3 to 5 minutes of consciousness. Use it wisely.
I had to wait 45 minutes for an ambulance when I thought I was about to die. You’ll fall unconscious within 5 minutes. Die within the next 5. Even if you manage to make the call, they won’t know what the hell is wrong with you because you can’t talk. Learning to save yourself in that situation is extremely important, because actual first responders won’t make it there on time.
that seems… atypical? in australia at least, the average response time for a code 1 (most critical) emergency is 15-16min depending on the state
which is still super problematic for complete obstruction (your 5+5min might even be too high for a complete obstruction)
but 45min would make the ambulance service as a whole basically a useless concept
You can do abdominal thrusts on yourself, or you can use something like the back of a chair or a railing to rest your fists on and use your body weight to basically perform the same action