Abstract
In early 1975, H.J. Heimlich demonstrated external compression of the diaphragm as a first-aid measure in the event of threatening death by suffocation.A controversial debate developed in the ensuing years. What speaks infavorof the so-called “Heimlich Maneuver,” which should be applied only when:• the foreign substance sits too deep or too tight to be removed by other means; and• the trachea is completely closed by the foreign substance and breathing has ceased entirely,is the dramatic situation which leaves a helper only a few minutes to save life in view of imminent unconsciousness and threatening hypoxic cardiac arrest.What speaksagainstapplying the maneuver are possible lesions of the intrathoracic organs (including fractures of the osseous thorax) and ruptures of internal organs, also the application without an existing indication or inadequate mastery of the manipulation.
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