To the Editor.—
I refer to the recent report by Roehm et al entitled "Abdominal Aortic Thrombosis in Association With an Attempted Heimlich Maneuver" (1983;249:1186). I recently performed a medical examiner autopsy on a patient with rupture of the stomach after an attempted Heimlich maneuver.
Report of a Case.—
A 39-year-old man was a rest home resident with cerebral palsy, organic brain syndrome, epilepsy, and diabetes mellitus. During a noon meal, he collapsed and ceased breathing. The Heimlich maneuver was attempted several times by a food service employee making a delivery to the rest home. No foreign body was obtained. A rest home employee then performed mouth-to-mouth resuscitation with restoration of spontaneous respirations. During transport to a hospital by emergency medical personnel, the patient vomited or coughed up a mass of food material 3.8 cm (1.5 in) in diameter.On arrival at the emergency room, the patient was cyanotic and
Croom DW. Rupture of Stomach After Attempted Heimlich Maneuver. JAMA. 1983;250(19):2602–2603. doi:10.1001/jama.1983.03340190016011
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