Wesleyan University Philippines
College of Nursing and Allied Medical Sciences
NCM 106: Care of the Client with Cellular Aberrations, Acute
Biologic Crisis Including Emergency and Disaster Nursing
Name of Student: ____________________________________________ Date: __________
Year and Block: __________
HEIMLICH MANEUVER
Purpose: To remove upper airway obstruction by a foreign object
PROCEDURE:
CONSCIOUS INFANT (younger than one year)
PREPARATION 5 4 3 2 1 Remarks
1. Assess the infant.
a. If a baby cannot breathe, cough or make
sound, perform Heimlich Maneuver.
Note: Do no try Heimlich Maneuver unless you are sure that
the infant is choking.
2. Grab the infant. Put the baby facedown on the
forearm so the baby's head is lower than his or
her chest.
3. Support the baby's head in your palm, against
your thigh. (Don't cover the baby's mouth or
twist his or her neck.)
4. Use the heel of one hand to give up to 5 back slaps
between the baby's shoulder blades.
5. If the object does not pop out, support the baby's
head and turn him or her on your thigh
positioning the head lower than his body.
6. Do chest compressions. Place 2 or 3 fingers just
below the nipple line on the baby's breastbone
Push for approximately one inch deep.
7. Give 5 quick chest thrusts.
8. Repeat giving 5 back slaps and 5 chest thrusts
until the object comes out or the baby faints.
9. If the object comes out, put in the recovery
position; if the baby faints, call for help.
UNCONSCIOUS INFANT (younger than one year)
5 4 3 2 1 Remarks
1. If infant becomes unconscious, call for help.
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Wesleyan University Philippines
College of Nursing and Allied Medical Sciences
2. Carefully lower the infant onto a firm, flat
surface and give care for an unconscious
choking infant.
3. Look for the object blocking the airway. If the
object is visible, remove by finger sweeping. If
not, do not attempt.
4. Give two rescue breaths. Do head-tilt/chin lift
maneuver.
a. Make complete seal over infant’s mouth and
nose.
a. If the chest does not clearly rise with rescue
breaths, the airway could be blocked. Retilt the
head and give another rescue breath.
5. Using your two fingers, give 30 chest
compressions about one inch deep in between
the nipple at the rate of 100 chest compressions
per minute.
6. Open the infant’s mouth.
a. If you see the object, remove it with your little
finger.
i. Using your two fingers, give 30 chest
compressions about one inch deep in
between the nipple at the rate of 100
chest compressions per minute.
ii. Give another two rescue breaths, if the
air goes in, check for the breathing and
pulse no more than 10 seconds.
iii. Put the infant in to recovery position.
b. If the object does not come out, give another two
rescue breaths.
i. Using your two fingers, give 30
chest compressions about one inch
deep in between the nipple at the
rate of 100 chest compressions per
minute.
ii. Continue the cycle of modified CPR
until the object comes out or any help
arrived.
CONSCIOUS ADULT AND CHILD (older than one year)
5 4 3 2 1 Remarks
1. Assess the patient.
a. Ask the patient if he/she is choking.
b. If the patient is coughing, allow him or her
to expel the foreign object by himself.
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Wesleyan University Philippines
College of Nursing and Allied Medical Sciences
c. If the patient cannot respond, look for the
universal choking signal (hands clutched to
throat).
Note: Do no try Heimlich Maneuver unless you are sure that
the person is choking.
2. Stand/kneel behind the patient.
3. Wrap your arms around the patient’s waist.
4. If a person is standing, place one of your legs
between the patient’s legs so you can support
the person if he/she faints.
5. Make a fist with one hand.
6. Place the thumb side of your fist above the
navel and below the breast bone.
7. Cover your fist with your other hand.
8. Give a quick in and upward thrust into the
belly.
9. Repeat thrust until the object pops out or the
patient faints.
10. If the child or adult faints, call for help.
UNCONSCIOUS ADULT AND CHILD (older than one year)
5 4 3 2 1 Remarks
1. If infant becomes unconscious, call for help.
2. Carefully lower the patient onto flat surface
and give care for an unconscious choking child
or adult.
3. Look for the object blocking the airway. If the
object is visible, remove by finger sweeping. If
not, do not attempt.
4. Deliver two rescue breaths. Do head-tilt/chin
lift maneuver.
a. Pinch the nose shut and place your mouth
over the person's mouth to make a complete
seal. Blow into the person's mouth to make
the chest rise.
b. If the chest does not clearly rise with rescue
breaths, the airway could be blocked. Retilt the
head and give another rescue breath.
5. Give 30 chest compressions.
a. Push hard, push fast. Place your hands, one
on top of the other, in the middle of the
chest. Use your body weight to help you
administer compressions that are at least 1 ½
to 2 inches deep and delivered at a rate of at
least 100 compressions per minute.
6. Open the patient’s mouth.
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Wesleyan University Philippines
College of Nursing and Allied Medical Sciences
c. If you see the object, remove it with your finger.
i. Deliver two rescue breaths. If the air
goes in, check for the breathing and
pulse no more than 10 seconds.
ii. Put the infant in to recovery position.
d. If the object does not come out, give another two
rescue breaths.
iii. Give 30 compressions.
iv. Continue the cycle of modified CPR
until the object comes out or any help
arrived.
Student’s Signature :___________________________________________
Date: ___________
Instructor’s Name and Signature: ________________________________
Date: ___________
Comments and Suggestions:
______________________________________________________________________________
______________________________________________________________________________
Prepared by:
CHEENA P. BERBER, RN MAN LPT
NCM 104 Instructor/ 4-2
A.Y 2017-2018 1st Semester
Subject for revisions. Open for comments and suggestions.
References:
American Heart Association – http://www.heart.org/HEARTORG/
American Red Cross - http://www.redcross.org
http://www.mayoclinic.org/first-aid/first-aid-cpr/basics/art-20056600
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