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Via Quick-thinking Taunton teen saves mom’s life during choking incident by Jordan Deschenes,

Taunton (MA) Daily Gazette, January 15, 2019

Had it not been for the quick thinking of her son, Holly Ussow believes that she would have
died last week.
Evan Ussow, 16, said that he was “a little nervous” last Wednesday night when his sister came
into his room to tell him that their mother was choking and turning blue.
Yet after three attempts using the Heimlich maneuver, he was quickly able to save her life.
...While Holly did sustain four fractured ribs and a swollen spleen as a result of the final
attempt, she said that nurses at Morton Hospital told her that such injuries are
common as a result of using the Heimlich maneuver.

Possibly incomplete chronological compilation of citations in the literature of articles


from 1975-2019 re: complications associated with “the Heimlich maneuver” (abdominal
thrusts), updated January 30, 2021

Visintine RE, Baick CH. Ruptured stomach after Heimlich maneuver. JAMA. 1975;234:415.

Agia GA, Hurst DJ. Pneumomediastinum following the Heimlich maneuver. JACEP. 1979;8:473-475.

Rich GH. Pneumomediastinum following the Heimlich maneuver. Ann Emerg Med. 1980;9:279-820.

Croom DW. Rupture of stomach after attempted Heimlich maneuver. JAMA. 1983;250:2602-2603.

Roehm EF, Twiest MW, Williams RC. Abdominal aortic thrombosis in association with an attempted
Heimlich maneuver. JAMA. 1983;249:1186-1187.

Haynes DE, Haynes BE, Yong YV. Esophageal rupture complicating Heimlich maneuver. Am J Emerg
Med 1984; 2: 507-509.

Ujjin V, Ratanasit S, Nagendran T. Diaphragmatic hernia as a complication of the Heimlich maneuver.


Int Surg.1984;69:175-176.

Kirshner RL, Green RM. Acute thrombosis of abdominal aortic aneurysm subsequent to Heimlich
maneuver: a case report. J Vasc Surg. 1985;2:594-596.

Feldman T, Mallon SM, Bolooki H. Fatal acute aortic regurgitation in a person performing the
Heimlich maneuver. N Engl J Med; 1986; 315: 1613.

Meredith MJ, Liebowitz R. Rupture of the esophagus caused by the Heimlich maneuver. Ann Emerg
Med. 1986;15:106-107.

Valero V. Mesenteric laceration complicating a Heimlich maneuver. Ann Emerg Med. 1986;15:105-
106.

Cowan M, Bardole J, Dlesk A. Perforated stomach following the Heimlich maneuver. Am J Emerg
Med. 1987;5:121-122.

Chapman JH, Menapace FJ, Howell RR. Ruptured aortic valve cusp: a complication of the Heimlich
maneuver. Ann Emerg Med 1983; 12: 446-448.

Orlowski JP. Vomiting as a complication of the Heimlich maneuver. JAMA. 1987; 258:512-513.

Fink JA, Klein RL. Complications of the Heimlich maneuver. J Pediatr Surg. 1989 May;24(5):486-7.

van der Ham AC, Lange JF. Traumatic rupture of the stomach after Heimlich maneuver. J Emerg Med.
1990;8:713-715.

Dupre MW, Silva E, Brotman S. Traumatic rupture of the stomach secondary to Heimlich maneuver.
Am J Emerg Med. 1993;11:611-612.

Bintz M, Cogbill TH. Gastric rupture after the Heimlich maneuver. J Trauma. 1996;40:159-160.

Majumdar A, Sedman PC. Gastric rupture secondary to successful Heimlich manoeuvre. Postgrad Med
J. 1998;74:609-610.

Nowitz A, Lewer BM, Galletly DC. An interesting complication of the Heimlich manoeuvre.
Resuscitation 1998;39:129-131.

Tung PH, Law S, Chu KM, Law WL, Wong J. Gastric rupture after Heimlich maneuver and
cardiopulmonary resuscitation. Hepatogastroenterology. 2001;48:109-111.

Wolf DA. Heimlich trauma: a violent maneuver. Am J Forensic Med Pathol. 2001;22:65-67.

Ayerdi J, Gupta SK, Sampson LN, Deshmukh N. Acute abdominal aortic thrombosis following the
Heimlich maneuver. Cardiovasc Surg. 2002;10:154-156.

Fearing NM, Harrison PB. Complications of the Heimlich maneuver: case report and literature review.
J Trauma. 2002 Nov;53(5):978-9.

Mack L, Forbes TL, Harris KA. Acute aortic thrombosis following incorrect application of the Heimlich
maneuver. Ann Vase Surg. 2002;16:130-133.

Gallardo A, Rosado R, Ramirez D, Medina P, Mezquita S, Sanchez J. Rupture of the lesser gastric
curvature after a Heimlich maneuver. Surg Endosc. 2003;17:1495.

Rakotoharinandrasana H, Petit E, Dumas P, Vandermarcq P, Gil R, Neau JP. Internal carotid artery
dissection after Heimlich maneuver. Ann Fr Anesth Reanim. 2003;22:43-45.

Lin PH, MD, Bush RL, Lumsden AB. Proximal aortic stent-graft displacement with type I endoleak due
to Heimlich maneuver, J Vascular Surgery, Volume 38, Issue 2, August 2003, p. 380–382

Olenchock SA, Rowlands DM, Reed JF, Garzia FM, Zasik JM. Dysphagia after Heimlich maneuver.
Chest 2004; 125: 302-304.

Feeney SN, Pegoli W, Gesting ML. Pancreatic transection as a complication of the Heimlich maneuver:
case report and literature review. J Trauma 2007; 62: 252-254.

Martin TJ, Bobba RK, Metzger R, Madalina M, Bollu M, Patel BG, Kazemi MM. Acute abdominal
aortic thrombosis as a complication of the Heimlich maneuver. J Am Geriatr Soc 2007; 55: 1146-1147.

Palleiro MMO, López CB, Pretel MCF, Fernández JS Hepatic rupture after Heimlich maneuver. Annal
Emerg Med 2007; 49: 825-826.

Desai SC, Chute DJ, Desai BC, Koloski ER. Traumatic dissection and rupture of the abdominal aorta as
a complication of the Heimlich maneuver. J Vasc Surg 2008; 48: 1325-1327.

Drinka P. Broken ribs following CPR or the Heimlich maneuver. J Am Med Directors Association
2009;10:283-284.

Kösser A, Lehmkuhl L, Gutberlet M. Aortocaval fistula after administering the Heimlich maneuver--
diagnosis with multislice CT. Rofo. 2009 Nov;181(11):1089-90. Epub 2009 Oct 14.

Lee SL, Kim SS, Shekherdimian S, Ledbetter DJ. Complications as a result of the Heimlich maneuver.
J Trauma 2009;66:E34-E35.

Chillag S, Krieg J, Bhargava R. The Heimlich maneuver: breaking down the complications. South Med
J. 2010 Feb;103(2):147-50.

Cecchetto G, Viel G, Cecchetto A, Kusstatscher S, Montisci M. Fatal splenic rupture following Heimlich
maneuver: case report and literature review. Am J Forensic Med Pathol. 2011 Jun;32(2):169-71.

Chao C, Lai C, Tan C, MD. Gastric Perforation after Heimlich Maneuver. The American Journal of
Medicine - June 2012, Vol. 125, Issue 6, Pages e7-e8.

Matharoo, Gurdeep & Kalia, Amit & Phatak, Tej & Bhattacharyya, Nishith. (2012). Diaphragmatic
Rupture with Gastric Volvulus after Heimlich Maneuver. European journal of pediatric surgery :
official journal of Austrian Association of Pediatric Surgery, 23. 10.1055/s-0032-1330850.

Herman, Andrew & Maiti, Abhishek & Cherian, Sujith & M. Estrada-Y-Martin, Rosa. (2018). Heimlich
Maneuver Induced Diaphragmatic Rupture and Hiatal Hernia. The American Journal of the Medical
Sciences. 355. 10.1016/j.amjms.2017.11.009.

Tiffany Truong, MD, Kevin Salire, MD, Ignacio De Cicco, MD, Sujit Cherian, MD, and Gabriel
Aisenberg, MD, Incarcerated diaphragmatic hernia following Heimlich maneuver, Proc (Bayl Univ
Med Cent). 2018 Jan; 31(1): 48–50.

Silent Aortic Dissection after the Heimlich Maneuver: A Case Report. Lee KY, Wu YL, Ho
SW.J Emerg Med. 2019 Feb;56(2):210-212. doi: 10.1016/j.jemermed.2018.09.053. Epub 2018
Nov 9.

Ebrahimi M, Mirhaghi A. Heimlich Maneuver Complications: A Systematic Review. Eurasian J Emerg


Med. 2019;18(3):157-65.

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