In modified abdominal thrusts, also known as the Heimlich maneuver for conscious individuals, the rescuer should position their hands slightly above the person's navel. One hand is placed in a fist, with the thumb side against the abdomen, and the other hand is grasping the fist. The thrusts are delivered inward and upward in a quick motion to help expel an obstructing object from the airway. This technique is typically used when the person is unable to cough or breathe effectively due to choking.
If abdominal thrusts (Heimlich maneuver) are performed, ensure that the person is truly choking and unable to breathe, cough, or speak. Stand behind the person, place your arms around their waist, make a fist with one hand, and position it just above the navel. Grasp your fist with your other hand and thrust inward and upward sharply. After several thrusts, if the person does not become unblocked, call emergency services for further assistance.
For clearing a severe airway obstruction in an obese or pregnant adult, the correct hand position involves placing the heel of one hand just above the patient's navel and the other hand on top of it. Perform abdominal thrusts (Heimlich maneuver) by pulling inward and slightly upward, ensuring to adjust your thrusts to accommodate the patient's size. If the patient is in a seated position, you may also consider chest thrusts as an alternative technique. Always prioritize calling for emergency medical help.
When performing abdominal thrusts (the Heimlich maneuver) on a choking victim, stand behind the person and wrap your arms around their waist. Make a fist with one hand and place the thumb side against the middle of their abdomen, just above the navel. Grasp your fist with your other hand and thrust inward and upward sharply. Repeat until the object is expelled or the victim can breathe or cough.
The Heimlich maneuver (now called abdominal thrusts by the American Red Cross) is done by making a fist (pac-man / thumb facing the stomach) with one hand and on the stomach and the other hand, open-faced, helping to push the fist up into the diaphragm. That in-and-up ("J") motion applies pressure to the diaphragm, essentially knocking the wind out of you (your goal, of course). That motion should be done as hard as possible. To give you an idea of the amount of force needed, a colleague of mine did abdominal thrusts on his brother's son, an 8 year old boy who had choked on a piece of hot dog. He did four abdominal thrusts with no success. On the fifth try, the thought that he said went through his mind was "Oh my God - if I do this any harder, I'm going to break this kid's spine" and sure enough, the piece of hot dog came flying out. It takes a lot of force!
To perform abdominal thrusts (Heimlich maneuver) on an adult, stand behind the person and wrap your arms around their waist. Make a fist with one hand and place the thumb side against the middle of their abdomen, above the navel. Grasp your fist with your other hand and thrust inward and upward rapidly, repeating until the object is expelled or the person can breathe again. If the person becomes unconscious, call for emergency help and start CPR.
You must first ask the victim to cough, if they are able to cough they should try and expell the blockage in this way. If this fails or they are unable to cough, 5 back blows ( a firm strike with the palm of the hand between the shoulder blades) should be performed, checking between each blow to see is the blockage has cleared. If the blockage has still not cleared then abdominal thrusts should be carried out. Stand behind the victim make a fist with one hand and place it above the victims belly button, with your other hand hold your fist and pull firmly in and upwards repeat 5x checking between each. If the blockage is still in place then you should alternate between 5x back blows and 5x abdo thrusts- after 3 sets of back blows and abdo thrusts if the blockage is not cleared dial 999/ 911, and continue the blows and thrusts. If you manage to clear the blockage the victim should always be sent to see a doctor is check for internal injuries. If and any point the victim becomes unconscious CPR at a rate of 30compressions 2rescue breaths should be carried out immediately and 999/ 911 dialled
If a person is choking and has a serious obstruction in the airway call for an ambulance immediately. If a person is choking but still conscious: * Support the persons chest and lean them forwards (to allow gravity to help) and give five back slaps. * This should be done with the heel of your hand, between the shoulder blades and they should be sharp slaps in order to dislodge the piece of food/object they are choking on. * If the obstruction is not cleared after 5 back slaps, then give 5 abdominal thrusts. * This should be done by standing behind the person and placing a fist in the upper part of the abdomen (between the breastbone and the navel). Then hold your fist with the other hand. * Lean the choking person forward * Then pull sharply inwards and upwards * Repeat this five times * If the obstruction is still not cleared give 5 more back slaps and continue to alternate between backslaps and abdominal thrusts until obstruction is cleared or they become unconscious. If the person becomes unconscious at any time, gently lower them to the ground and commence CPR.
It is more difficult to use the Heimlich maneuver (abdominal thrusts) while sitting or on a sitting person. But the same technique is used: From behind the victim, reach around to the abdomen, placing one fist in the middle of the abdomen and the other hand forcing it inward. Press in and lift upward sharply to compress the lungs. For a person lying down, crouch over while facing them and press inward and forward from the abdomen.
If a patient is choking and unable to breathe, perform the Heimlich maneuver (abdominal thrusts). Stand behind the person, wrap your arms around their waist, and make a fist with one hand, placing it just above the navel. Grasp your fist with the other hand and thrust inward and upward until the object is expelled or the person can breathe. If the person becomes unconscious, call for emergency help and begin CPR.
In the Heimlich maneuver (or abdominal thrust), place your hand one fist length above the victim's navel. Cover your fist with your other hand and thrust using an "up and out" motion. In this motion, do not lift your hand off the victim, but thrust inward (at a slight angle) and roll your fist.
The side plank can be modified to be more accessible by bending the bottom knee for support or by placing the forearm on the ground instead of the hand. To make it more challenging, you can lift the top leg or arm, or add a hip dip motion while holding the plank position.
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