Abstract
To the Editor.— Heimlich maneuver is now taught by the American Red Cross and American Heart Association as a method for saving near-drowning victims. 1 A partial review of near-drowning literature by Dr Ornato 2 includes a section, The Need to Clear the Airway of Water With a Heimlich Maneuver. By selectively excluding data from references, it minimizes the pathophysiological significance of aspirated water and the effectiveness of the Heimlich maneuver in expelling that water from the airway and 3 Initially, the article acknowledges terminal gasping with flooding of the lungs. Its table shows that 85% of near-drowning victims weighing 68 kg (150 lb) aspirate as much as 1.5 L of freshwater (
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