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the mandible and forcibly displacing the mandible forward, bringing the tongue with it. Material such as broken teeth or dentures, or vomitus containing fairly large particles of undigested food, can cause upper airway obstruction. The rescuer can usually find and remove such material by sweeping his index finger through the mouth and hypo-pharynx. opening the mouth if necessary with a scissors-like motion of the thumb and index finger of his other hand. This maneuver should be done quickly with the supine victim turned about 45° away from the rescuer and supported on the rescuer's thigh. The rescuer should then make another effort to ventilate the victim. If he is still unsuccessful, he should turn the victim toward him and deliver blows to the victim's back between the scapulae, in the hope of dislodging and removing any foreign material. Another effort at ventilation should then be made. These procedures should be repeated as necessary. If they are unsuccessful, an emergency crico-thyrotomy should be done to bypass the airway obstruction.This, however, is not considered basic CPR. An exception to the above routine is when a person is eating and is suddenly unable to breathe or speak. This form of arrested breathing is more likely to be due to obstruction from a piece of food, usually meat, than to a heart attack. It has been referred to as a "cafe coronary," since it frequently occurs when one is dining out. The food can usually be removed with the fingers in the manner described above. If not, an effort may be made to dislodge the obstructing material by applying sudden upward pressure on the epigastrium.^ on the theory that residual air in the lungs will "pop"' the foreign body out. This maneuver can be done with the victim standing, sitting or supine. The effectiveness and safety^ of the maneuver are under intensive investigation. and its role in basic resuscitation is still to be determined. In any case, it must not be used as a substitute for the basic CPR maneuvers outlined above. The additional time that the maneuver requires may cause a critical and dangerous delay in the initiation of artificial respiration and circulation. References 1. Standardstorfardiopulrnonary Resuscitation ((.PR) and hmergency Cardiac Care (HCC). JAVM 227 (Supplement):«33-86S, 1974 2. Goldberg AH: Cardiopulmonary arrest. N Hng J Med 2'X):3Sl-?85. 1974. 3 Heimlich HJ: A iite-saving maneuver to prevent food-choking. JAMA 234:39^-401. 1975. 4 Visintine RH. BaicK CH: Ruptured stomach after Heim-hch maneuver. JAMA 234:415-416, 1975 . . . of all physical causes of indigestion, our diet is the chief— so over this cause we fortunately have the greatest control. But sensuality and conviviality are perpetually seducing us from the paths of temperance, and seldom permit us to think of preservmg health till we have lost it. —An Lssay on Indigestion: or Morbid Sensibility of the Stomach & Bowels. James Johnson, 1836, p 53. f June 1976, NCMJ 301
Object Description
Rating | |
Fixed Title * | NCHH-17: North Carolina Medical Journal [1940-Present] |
Document Title | North Carolina Medical Journal [1940-Present] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1976 |
Identifier | NCHH-17-037 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 37 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-037.pdf |
Document Sort | all; nchh-17 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-037 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Revision History | done |
Description
Fixed Title * | Page 301 |
Document Title | North Carolina Medical Journal [1940-Present] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1976 |
Identifier | NCHH-17-037-0329 |
Form General | Periodicals |
Page Type | all; article |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | ncarolinamed371976medi_0329.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 37 |
Issue Number | 6 |
Page Number | 301 |
Health Discipline | Medicine |
Full Text | the mandible and forcibly displacing the mandible forward, bringing the tongue with it. Material such as broken teeth or dentures, or vomitus containing fairly large particles of undigested food, can cause upper airway obstruction. The rescuer can usually find and remove such material by sweeping his index finger through the mouth and hypo-pharynx. opening the mouth if necessary with a scissors-like motion of the thumb and index finger of his other hand. This maneuver should be done quickly with the supine victim turned about 45° away from the rescuer and supported on the rescuer's thigh. The rescuer should then make another effort to ventilate the victim. If he is still unsuccessful, he should turn the victim toward him and deliver blows to the victim's back between the scapulae, in the hope of dislodging and removing any foreign material. Another effort at ventilation should then be made. These procedures should be repeated as necessary. If they are unsuccessful, an emergency crico-thyrotomy should be done to bypass the airway obstruction.This, however, is not considered basic CPR. An exception to the above routine is when a person is eating and is suddenly unable to breathe or speak. This form of arrested breathing is more likely to be due to obstruction from a piece of food, usually meat, than to a heart attack. It has been referred to as a "cafe coronary" since it frequently occurs when one is dining out. The food can usually be removed with the fingers in the manner described above. If not, an effort may be made to dislodge the obstructing material by applying sudden upward pressure on the epigastrium.^ on the theory that residual air in the lungs will "pop"' the foreign body out. This maneuver can be done with the victim standing, sitting or supine. The effectiveness and safety^ of the maneuver are under intensive investigation. and its role in basic resuscitation is still to be determined. In any case, it must not be used as a substitute for the basic CPR maneuvers outlined above. The additional time that the maneuver requires may cause a critical and dangerous delay in the initiation of artificial respiration and circulation. References 1. Standardstorfardiopulrnonary Resuscitation ((.PR) and hmergency Cardiac Care (HCC). JAVM 227 (Supplement):«33-86S, 1974 2. Goldberg AH: Cardiopulmonary arrest. N Hng J Med 2'X):3Sl-?85. 1974. 3 Heimlich HJ: A iite-saving maneuver to prevent food-choking. JAMA 234:39^-401. 1975. 4 Visintine RH. BaicK CH: Ruptured stomach after Heim-hch maneuver. JAMA 234:415-416, 1975 . . . of all physical causes of indigestion, our diet is the chief— so over this cause we fortunately have the greatest control. But sensuality and conviviality are perpetually seducing us from the paths of temperance, and seldom permit us to think of preservmg health till we have lost it. —An Lssay on Indigestion: or Morbid Sensibility of the Stomach & Bowels. James Johnson, 1836, p 53. f June 1976, NCMJ 301 |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-037.pdf |
Document Sort | all; nchh-17 |
Article Title | Cardiopulmonary Resuscitation Cpr As Treatment Of Cardiac Arrest Ii. Basic Cpr |
Article Author | James T. Mcrae |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-037 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Revision History | done |
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