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Article
November 18, 1983

Rupture of Stomach After Attempted Heimlich Maneuver

Author Affiliations

Morganton, NC

JAMA. 1983;250(19):2602-2603. doi:10.1001/jama.1983.03340190016011
Abstract

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

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