Henry Heimlich

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Henry J. Heimlich
BornHenry Judah Heimlich
(1920-02-03) February 3, 1920 (age 94)
Wilmington, Delaware
EducationM.D., Cornell University
Years active1943–present
Known forHeimlich maneuver
Medical career
ProfessionPhysician and medical researcher
InstitutionsDeaconess Associations
Notable prizesLasker Award (1984)
Engineering and Science Hall of Fame (1985)
American Academy of Achievement Award (1985)
Safety and Health Hall of Fame (1993)
 
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Henry J. Heimlich
BornHenry Judah Heimlich
(1920-02-03) February 3, 1920 (age 94)
Wilmington, Delaware
EducationM.D., Cornell University
Years active1943–present
Known forHeimlich maneuver
Medical career
ProfessionPhysician and medical researcher
InstitutionsDeaconess Associations
Notable prizesLasker Award (1984)
Engineering and Science Hall of Fame (1985)
American Academy of Achievement Award (1985)
Safety and Health Hall of Fame (1993)

Henry Judah Heimlich (born February 3, 1920) is an American thoracic surgeon widely credited as the inventor of the Heimlich maneuver,[1] a technique of abdominal thrusts for stopping choking,[2] described in the Journal of the American Medical Association in 1974. Other medical inventions include the Micro Trach portable oxygen system for ambulatory patients[3] and the Heimlich Chest Drain Valve, or "flutter valve," which drains blood and air out of the chest cavity.[4]

Personal life

Heimlich, born in Wilmington, Delaware, to Philip and Mary (Epstein) Heimlich, graduated from New Rochelle High School (NY) in 1937 and from Cornell University (where he served as drum major of the Cornell Big Red Marching Band) with a B.A. in 1941. He received his M.D. from the Weill Cornell Medical College in 1943. On June 4, 1951, Heimlich married Jane Murray, daughter of ballroom-dancing entrepreneur Arthur Murray. Heimlich's wife not only coauthored a book on homeopathy but also wrote What Your Doctor Won't Tell You, which advocated chelation therapy and other alternative therapies.

Heimlich and his wife have four children: Phil Heimlich, a former Cincinnati elected official turned conservative Christian radio talk-show host;[5] Peter Heimlich, whose website[6] describes what he calls his father's "wide-ranging, unseen 50-year history of fraud"; Janet Heimlich, a freelance reporter; and Elisabeth Heimlich.

Heimlich is the uncle of Anson Williams, who is known for his portrayal as Warren "Potsie" Weber on the 70s hit TV show Happy Days.[7]

The Heimlich maneuver

External audio
Heimlich's Maneuver, Radiolab, includes an interview with Dr. Heimlich, produced by Pat Walters

Heimlich first published his views about the maneuver in a June 1974 informal article in Emergency Medicine entitled, "Pop Goes the Cafe Coronary". On June 19, 1974, the Seattle Post-Intelligencer reported that retired restaurant-owner Isaac Piha used the procedure to rescue a choking victim, Irene Bogachus, in Bellevue, Washington.

From 1976 to 1985, the choking-rescue guidelines of the American Heart Association and of the American Red Cross taught rescuers to first perform a series of backblows to remove the FBAO (foreign body airway obstruction); if backblows failed, then rescuers learned to proceed with the Heimlich maneuver (aka "abdominal thrusts"). After a July 1985 American Heart Association conference, backblows were removed from choking-rescue guidelines. From 1986 to 2005, the published guidelines of the American Heart Association and the American Red Cross recommended only the Heimlich maneuver as the treatment for choking.

The choking-rescue guidelines[8] published by the American Heart Association ceased[when?] referring to "the Heimlich maneuver" and instead called the procedure "abdominal thrusts". The new guidelines stated that chest thrusts and back blows may also deal with choking effectively.

In Spring 2006, the American Red Cross "downgraded" the use of the Heimlich maneuver,[9] essentially returning to the pre-1986 guidelines. For conscious victims, the new guidelines (nicknamed "the five and five"), recommend first applying five backblows; if this method fails to remove the airway obstruction, rescuers will then apply five abdominal thrusts. For unconscious victims, the new guidelines recommend chest thrusts, a method first recommended in a 1976 study by Charles Guildner,[10] with results duplicated in a year 2000 study by Audun Langhelle.[11] The 2006 guidelines also eliminated the phrase "Heimlich maneuver" and replaced it with "abdominal thrust".[12]

Allegations of case fraud have dogged Heimlich's promotion of abdominal thrusts as a treatment for drowning.[13] The 2005 drowning rescue guidelines of the American Heart Association[14] did not include citations of Heimlich's work and warn against the use of the Heimlich maneuver for drowning rescue as unproven and dangerous, due to its risk of vomiting leading to aspiration.[14]

In 2003, Heimlich's colleague Dr. Edward Patrick issued a press-release portraying himself as the uncredited co-developer of the maneuver.[15][16] "'I would like to get proper credit for what I've done...but I'm not hyper about it.'"

Heimlich valve

In 1963, Heimlich introduced a chest drainage flutter valve (also called the Heimlich valve).[17] He claims his inspiration came from seeing a Chinese soldier die from a bullet wound to the chest during World War II. The design of the valve allows air and blood to drain from a collapsed lung.

Malariotherapy

From the early 1980s, Heimlich advocated malariotherapy, the deliberate infection of a person with malaria in order to treat ailments such as cancer, Lyme disease and (more recently) HIV. As of 2009 the treatments were unsuccessful, and attracted criticism as both scientifically unsound and dangerous.[18] The United States Food and Drug Administration and Centers for Disease Control and Prevention have rejected malariotherapy and, along with health professionals and advocates for human rights, consider the practice "atrocious".[19][20] The Heimlich Institute, a subsidiary of Deaconess Associations of Cincinnati, conducted malariotherapy trials in Ethiopia, though the Ethiopian Ministry of Health was unaware of the activity. Reportedly the trials were supervised by Mekbib Wondewassen, an Ethiopian immigrant who works as a car rental agent in the San Francisco area. Heimlich claims that his initial trials with seven subjects produced positive results, but refused to provide details.[18] The experiments had no institutional review board oversight.[16]

Studies in Africa, where both HIV and malaria occur commonly, indicate that malaria/HIV co-infection increases viral load and that malaria could increase the rate of spread of HIV as well as accelerate disease progression.[21] Based on such studies, Paul Farmer described the idea of treating HIV with malaria by stating “it seems improbable. The places where malaria takes its biggest toll are precisely those in which HIV reaps its grim harvest”.[22]

References

  1. ^ "Henry Heimlich's Contributions". Infoplease.com. Retrieved 2014-03-23. 
  2. ^ "Choking: First aid". Mayo Clinic. 2011-10-13. Retrieved 2014-03-23. 
  3. ^ Heimlich, H. J. (1988). "Oxygen delivery for ambulatory patients. How the Micro-Trach increases mobility". Postgraduate medicine 84 (6): 68–73, 77–9. PMID 3054848.  edit
  4. ^ 4009 Heimlich valve 2005
  5. ^ Hard Truths, with Phil Heimlich
  6. ^ Outmaneuvered: How We Busted the Heimlich Medical Frauds
  7. ^ Williams, Anson. "Trivia". Retrieved 1 October 2011. 
  8. ^ International Consensus On Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC) Science With Treatment Recommendations (2005). "Section 1: Part 2: Adult Basic Life Support". Circulation 112 (III): 5–16. doi:10.1161/CIRCULATIONAHA.105.166472 (inactive 2014-03-23). Retrieved 2005-05-02. 
  9. ^ "The American Red Cross Unveils Innovative New First Aid and CPR/AED Training Programs". American Red Cross. 2006-04-04. Retrieved 2008-05-03. DEAD LINK
  10. ^ Guildner CW, Williams D, Subitch T (September 1976). "Airway obstructed by foreign material: the Heimlich maneuver". JACEP 5 (9): 675–7. doi:10.1016/S0361-1124(76)80099-8. PMID 1018395. 
  11. ^ Langhelle A, Sunde K, Wik L, Steen PA (April 2000). "Airway pressure with chest compressions versus Heimlich manoeuvre in recently dead adults with complete airway obstruction". Resuscitation 44 (2): 105–8. doi:10.1016/S0300-9572(00)00161-1. PMID 10767497. 
  12. ^ "The American Red Cross 2005 Guidelines for Emergency Care and Education" (PDF). American Red Cross. 2005. pp. 1–31. Retrieved 2008-05-03. 
  13. ^ Heimlich's son cites Dallas case in dispute. Wilkes-Barre News, August 22, 2007
  14. ^ a b "Part 10.3: Drowning". Circulation (American Heart Association) 112 (24): 133–135. 2005-11-25. doi:10.1161/CIRCULATIONAHA.105.166565. Retrieved 2008-04-04. 
  15. ^ Patrick, EM (2005-05-28). "Dr. Edward A. Patrick & Dr. Henry J. Heimlich Regarding the Heimlich maneuver". The Patrick Institute (via The Wayback Machine). Archived from the original on 2009-06-05. Retrieved 2012-01-07. 
  16. ^ a b Francis, T (2005-11-10). "Outmaneuvered, Part I". Radar (magazine). Archived from the original on 2005-11-24. Retrieved 2011-08-28. 
  17. ^ Elliott, J (2003-03-09). "Heimlich: Still saving lives at 83". BBC. Retrieved 2008-09-02. 
  18. ^ a b Zengerle, Jason (2007-04-23). "The Choke Artist". The New Republic. pp. 23–36. 
  19. ^ Anglen, Robert (2003-02-16). "Scientists linked to Heimlich investigated: Experiment infects AIDS patients in China with malaria". The Cincinnati Enquirer. Retrieved 2008-01-27. 
  20. ^ "Heimlich's Audacious Maneuver". Los Angeles Times. 1994-10-30. Retrieved 2008-01-27. 
  21. ^ Abu-Raddad L, Patnaik P, Kublin J (2006). "Dual infection with HIV and malaria fuels the spread of both diseases in sub-Saharan Africa". Science 314 (5805): 1603–6. doi:10.1126/science.1132338. PMID 17158329. 
    Kublin JG; Patnaik, P; Jere, CS; Miller, William C; Hoffman, Irving F; Chimbiya, Nelson; Pendame, Richard; Taylor, Terrie E; Molyneux, Malcolm E (2005). "Effect of Plasmodium falciparum malaria on concentration of HIV-1-RNA in the blood of adults in rural Malawi: a prospective cohort study". The Lancet 365 (9455): 233–40. doi:10.1016/S0140-6736(05)17743-5. PMID 15652606. 
  22. ^ Nierengarten MB (June 2003). "Malariotherapy to treat HIV patients?". The Lancet Infectious Diseases 3 (6): 321. doi:10.1016/S1473-3099(03)00642-X. PMID 12781493. 

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