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	<title>Roy on Rescue &#187; choking</title>
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	<itunes:summary>This rescue podcast is hosted by Roy Shaw, CEO of ProTrainings.com and one of the Internet&#039;s most-watched instructors. Roy presents tips and tricks on staying safe and rescuing effectively, as well as investigating the philosophy behind the science of rescue.</itunes:summary>
	<itunes:author>Roy Shaw</itunes:author>
	<itunes:explicit>no</itunes:explicit>
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	<copyright>2011 ProTrainings, LLC</copyright>
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	<itunes:keywords>rescue, cpr, health, first aid, roy on rescue</itunes:keywords>
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		<title>Roy on Rescue &#187; choking</title>
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	<itunes:category text="Health" />
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		<rawvoice:location>Grand Rapids, Michigan</rawvoice:location>
		<item>
		<title>Infant Choking, Back Slaps or Chest Thrusts?</title>
		<link>http://www.royonrescue.com/2010/03/infant-choking-back-slaps-or-chest-thrusts/</link>
		<comments>http://www.royonrescue.com/2010/03/infant-choking-back-slaps-or-chest-thrusts/#comments</comments>
		<pubDate>Mon, 22 Mar 2010 20:10:51 +0000</pubDate>
		<dc:creator>Roy Shaw</dc:creator>
				<category><![CDATA[CPR for Instructors]]></category>
		<category><![CDATA[CPR for Providers]]></category>
		<category><![CDATA[Roy on Rescue]]></category>
		<category><![CDATA[Abdominal Thrusts]]></category>
		<category><![CDATA[back blows]]></category>
		<category><![CDATA[back slaps]]></category>
		<category><![CDATA[chest thrusts]]></category>
		<category><![CDATA[choking]]></category>
		<category><![CDATA[contradictions in care]]></category>
		<category><![CDATA[health care politics]]></category>
		<category><![CDATA[Heimlich Maneuver]]></category>
		<category><![CDATA[Infant Choking]]></category>

		<guid isPermaLink="false">http://www.royonrescue.com/?p=90</guid>
		<description><![CDATA[Ever wonder what to do if an infant began choking next to you?   Ever wonder if one procedure was more effective than another?  Well, one of our students did and emailed me a question about his topic.  In this video blog entry I open up the discussion about back slaps and chest thrusts, what they [...]]]></description>
			<content:encoded><![CDATA[<p>Ever wonder what to do if an infant began choking next to you?   Ever wonder if one procedure was more effective than another?  Well, one of our students did and emailed me a question about his topic.  In this video blog entry I open up the discussion about back slaps and chest thrusts, what they do, and how they work to help a choking victim.  Then at the end, I give you the secret about which one is more effective.  Enjoy!</p>
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<p>Clinical Pediatrics</p>
<h2>The Choking Child—A Life-Threatening Emergency</h2>
<h3>Evaluation of Current Recommendations</h3>
<p><strong> Susan B. Torrey, MD </strong></p>
<p><a href="http://cpj.sagepub.com/cgi/content/abstract/22/11/751">http://cpj.sagepub.com/cgi/content/abstract/22/11/751</a></p>
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<td width="70%"><a href="http://www.resuscitationjournal.com/issues?Vol=44">Volume 44</a>, <a href="http://www.resuscitationjournal.com/issues/contents?issue_key=S0300-9572%2800%29X0046-9">Issue 2</a>, Pages 105-108 (April 2000)</td>
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<h1>Airway pressure with chest compressions versus Heimlich</h1>
<h1>manoeuvre in recently dead adults with complete airway</h1>
<h1>obstruction</h1>
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<input type="hidden" name="restrictdesc_author" />A. Langhelleab, K. Sundeab, L. Wikc, P.A. Steend</form>
<p>Accepted 22 November 1999. published online 17 August 2004.</p>
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<p>In a previous case report a standard chest compression successfully removed a foreign body from the airway after the Heimlich manoeuvre had failed. Based on this case, standard chest compressions and Heimlich manoeuvres were performed by emergency physicians on 12 unselected cadavers with a simulated complete airway obstruction in a randomised crossover design. The mean peak airway pressure was significantly lower with abdominal thrusts compared to chest compressions, 26.4±19.8 cmH2O versus 40.8±16.4 cmH2O, respectively (<em>P</em>=0.005, 95% confidence interval for the mean difference 5.3–23.4 cmH2O). Standard chest compressions therefore have the potential of being more effective than the Heimlich manoeuvre for the management of complete airway obstruction by a foreign body in an unconscious patient. Removal of the Heimlich manoeuvre from the resuscitation algorithm for unconscious patients with suspected airway obstruction will also simplify training.</p>
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<p><a href="http://www.resuscitationjournal.com/article/S0300-9572%2800%2900161-1/abstract">http://www.resuscitationjournal.com/article/S0300-9572%2800%2900161-1/abstract</a></p>
<p><strong>Heimlich vs Back Blows/Chest Thrusts</strong></p>
<p><a href="http://medfraud.info/Koop.html">http://medfraud.info/Koop.html</a></p>
<p>Consensus Guidelines Not Followed in 1985 Release Encouraging Heimlich Maneuver</p>
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			<itunes:keywords>Abdominal Thrusts,back blows,back slaps,chest thrusts,choking,contradictions in care,health care politics,Heimlich Maneuver,Infant Choking</itunes:keywords>
		<itunes:subtitle>Ever wonder what to do if an infant began choking next to you?   Ever wonder if one procedure was more effective than another?  Well, one of our students did and emailed me a question about his topic.  In this video blog entry I open up the discussion ...</itunes:subtitle>
		<itunes:summary>Ever wonder what to do if an infant began choking next to you?   Ever wonder if one procedure was more effective than another?  Well, one of our students did and emailed me a question about his topic.  In this video blog entry I open up the discussion about back slaps and chest thrusts, what they do, and how they work to help a choking victim.  Then at the end, I give you the secret about which one is more effective.  Enjoy!



Clinical Pediatrics
The Choking Child—A Life-Threatening Emergency
Evaluation of Current Recommendations
 Susan B. Torrey, MD 

http://cpj.sagepub.com/cgi/content/abstract/22/11/751







Volume 44, Issue 2, Pages 105-108 (April 2000)
























Airway pressure with chest compressions versus Heimlich
manoeuvre in recently dead adults with complete airway
obstruction
     A. Langhelleab, K. Sundeab, L. Wikc, P.A. SteendAccepted 22 November 1999. published online 17 August 2004.

Abstract


In a previous case report a standard chest compression successfully removed a foreign body from the airway after the Heimlich manoeuvre had failed. Based on this case, standard chest compressions and Heimlich manoeuvres were performed by emergency physicians on 12 unselected cadavers with a simulated complete airway obstruction in a randomised crossover design. The mean peak airway pressure was significantly lower with abdominal thrusts compared to chest compressions, 26.4±19.8 cmH2O versus 40.8±16.4 cmH2O, respectively (P=0.005, 95% confidence interval for the mean difference 5.3–23.4 cmH2O). Standard chest compressions therefore have the potential of being more effective than the Heimlich manoeuvre for the management of complete airway obstruction by a foreign body in an unconscious patient. Removal of the Heimlich manoeuvre from the resuscitation algorithm for unconscious patients with suspected airway obstruction will also simplify training.




http://www.resuscitationjournal.com/article/S0300-9572%2800%2900161-1/abstract

Heimlich vs Back Blows/Chest Thrusts

http://medfraud.info/Koop.html

Consensus Guidelines Not Followed in 1985 Release Encouraging Heimlich Maneuver</itunes:summary>
		<itunes:author>Roy Shaw</itunes:author>
		<itunes:explicit>no</itunes:explicit>
		<itunes:duration>4:26</itunes:duration>
	</item>
		<item>
		<title>Should I Use Abdominal Thrusts or Chest Compressions?</title>
		<link>http://www.royonrescue.com/2010/03/should-i-use-abdominal-thrusts-or-chest-compressions/</link>
		<comments>http://www.royonrescue.com/2010/03/should-i-use-abdominal-thrusts-or-chest-compressions/#comments</comments>
		<pubDate>Mon, 01 Mar 2010 23:07:04 +0000</pubDate>
		<dc:creator>Roy Shaw</dc:creator>
				<category><![CDATA[CPR for Providers]]></category>
		<category><![CDATA[Roy on Rescue]]></category>
		<category><![CDATA[Abdominal Thrusts]]></category>
		<category><![CDATA[Chest Compressions]]></category>
		<category><![CDATA[choking]]></category>
		<category><![CDATA[choking victim]]></category>
		<category><![CDATA[Heimlich Maneuver]]></category>
		<category><![CDATA[ProFirstAid.com]]></category>
		<category><![CDATA[Red Cross]]></category>

		<guid isPermaLink="false">http://www.royonrescue.com/?p=77</guid>
		<description><![CDATA[Ever wonder what to do if someone chokes near you?   Should you give them the Heimlich Maneuver or Chest Compressions?   In this video Blog, Roy Shaw, EMT-Paramedic answers a students question about what to do if someone chokes and if Abdominal Thrusts or Chest Compressions are better.  Roy takes a look at when to use [...]]]></description>
			<content:encoded><![CDATA[<p>Ever wonder what to do if someone chokes near you?   Should you give them the Heimlich Maneuver or Chest Compressions?   In this video Blog, Roy Shaw, EMT-Paramedic answers a students question about what to do if someone chokes and if Abdominal Thrusts or Chest Compressions are better.  Roy takes a look at when to use abdominal thrusts as in the Heimlich Maneuver and when to use Chest Compressions for a person who is definitely choking.</p>
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			<itunes:keywords>Abdominal Thrusts,Chest Compressions,choking,choking victim,Heimlich Maneuver,ProFirstAid.com,Red Cross</itunes:keywords>
		<itunes:subtitle>Ever wonder what to do if someone chokes near you?   Should you give them the Heimlich Maneuver or Chest Compressions?   In this video Blog, Roy Shaw, EMT-Paramedic answers a students question about what to do if someone chokes and if Abdominal Thrusts...</itunes:subtitle>
		<itunes:summary>Ever wonder what to do if someone chokes near you?   Should you give them the Heimlich Maneuver or Chest Compressions?   In this video Blog, Roy Shaw, EMT-Paramedic answers a students question about what to do if someone chokes and if Abdominal Thrusts or Chest Compressions are better.  Roy takes a look at when to use abdominal thrusts as in the Heimlich Maneuver and when to use Chest Compressions for a person who is definitely choking.</itunes:summary>
		<itunes:author>Roy Shaw</itunes:author>
		<itunes:explicit>no</itunes:explicit>
		<itunes:duration>5:08</itunes:duration>
	</item>
		<item>
		<title>Person Dying and You Can Help, So What&#8217;s Stopping You?</title>
		<link>http://www.royonrescue.com/2010/01/person-dying-and-you-can-help-so-whats-stopping-you/</link>
		<comments>http://www.royonrescue.com/2010/01/person-dying-and-you-can-help-so-whats-stopping-you/#comments</comments>
		<pubDate>Thu, 28 Jan 2010 17:04:46 +0000</pubDate>
		<dc:creator>Roy Shaw</dc:creator>
				<category><![CDATA[CPR for Instructors]]></category>
		<category><![CDATA[CPR for Providers]]></category>
		<category><![CDATA[American Heart Association Statistics]]></category>
		<category><![CDATA[Cardiac Arrest]]></category>
		<category><![CDATA[choking]]></category>
		<category><![CDATA[CPR]]></category>
		<category><![CDATA[CPR Training]]></category>
		<category><![CDATA[Death]]></category>
		<category><![CDATA[fear]]></category>
		<category><![CDATA[finding spouse dead]]></category>
		<category><![CDATA[Heart attack]]></category>
		<category><![CDATA[heart stops]]></category>
		<category><![CDATA[kids and cpr]]></category>
		<category><![CDATA[loss of loved ones]]></category>
		<category><![CDATA[not breathing]]></category>
		<category><![CDATA[online cpr]]></category>
		<category><![CDATA[parents and cpr]]></category>
		<category><![CDATA[Person Dying]]></category>
		<category><![CDATA[procpr training]]></category>
		<category><![CDATA[procpr.org]]></category>
		<category><![CDATA[spouse died]]></category>
		<category><![CDATA[spouse dies]]></category>
		<category><![CDATA[Sudden Cardiac Arrest]]></category>
		<category><![CDATA[trauma]]></category>

		<guid isPermaLink="false">http://www.royonrescue.com/?p=10</guid>
		<description><![CDATA[An estimated 294,851 emergency medical services-treated out-of-hospital cardiac arrests occur in the United States each year.(http://www.americanheart.org/presenter.jhtml?identifier=4741) And only 10% of people do something to help.  What stops people from providing life saving techniques during a tragedy?  In this video podcast Roy Shaw, Paramedic  and BLS/ACLS/PALS instructor gets to the bottom of why people don&#8217;t get [...]]]></description>
			<content:encoded><![CDATA[<p>An estimated 294,851 emergency medical services-treated out-of-hospital cardiac arrests occur in the United States each year.(http://www.americanheart.org/presenter.jhtml?identifier=4741)<br />
And only 10% of people do something to help.  What stops people from providing life saving techniques during a tragedy?  In this video podcast Roy Shaw, Paramedic  and BLS/ACLS/PALS instructor gets to the bottom of why people don&#8217;t get involved and what can be done increase the survival rate from cardiac arrest, regardless of what causes it.</p>
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			<itunes:keywords>American Heart Association Statistics,Cardiac Arrest,choking,CPR,CPR Training,Death,fear,finding spouse dead,Heart attack,heart stops,kids and cpr,loss of loved ones</itunes:keywords>
		<itunes:subtitle>An estimated 294,851 emergency medical services-treated out-of-hospital cardiac arrests occur in the United States each year.(http://www.americanheart.org/presenter.jhtml?identifier=4741) And only 10% of people do something to help.</itunes:subtitle>
		<itunes:summary>An estimated 294,851 emergency medical services-treated out-of-hospital cardiac arrests occur in the United States each year.(http://www.americanheart.org/presenter.jhtml?identifier=4741)
And only 10% of people do something to help.  What stops people from providing life saving techniques during a tragedy?  In this video podcast Roy Shaw, Paramedic  and BLS/ACLS/PALS instructor gets to the bottom of why people don&#039;t get involved and what can be done increase the survival rate from cardiac arrest, regardless of what causes it.</itunes:summary>
		<itunes:author>Roy Shaw</itunes:author>
		<itunes:explicit>no</itunes:explicit>
		<itunes:duration>8:59</itunes:duration>
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