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Dorwyn W. Croom, MD
Morganton, NC

JAMA. 1983;250(19):2602-2603.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

I refer to the recent report by Roehm et al entitled "Abdominal Aortic Thrombosis in Association With an Attempted Heimlich Maneuver" (1983;249:1186). I recently performed a medical examiner autopsy on a patient with rupture of the stomach after an attempted Heimlich maneuver.

Report of a Case.—

A 39-year-old man was a rest home resident with cerebral palsy, organic brain syndrome, epilepsy, and diabetes mellitus. During a noon meal, he collapsed and ceased breathing. The Heimlich maneuver was attempted several times by a food service employee making a delivery to the rest home. No foreign body was obtained. A rest home employee then performed mouth-to-mouth resuscitation with restoration of spontaneous respirations. During transport to a hospital by emergency medical personnel, the patient vomited or coughed up a mass of food material 3.8 cm (1.5 in) in diameter.

On arrival at the emergency room, the patient was cyanotic and . . . [Full Text PDF of this Article]

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