Henry Heimlich

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Henry J. Heimlich MD

Born February 3, 1920 (1920-02-03) (age 88)
Wilmington, Delaware, USA
Profession Physician and medical researcher
Institutions Deaconess Associations
Known for Heimlich maneuver
Years active 1943-present
Education M.D., Cornell University
Notable prizes Lasker Award (1984)
Engineering and Science Hall of Fame (1985)
American Academy of Achievement Award (1985)
Safety and Health Hall of Fame (1993)

Henry Jay Heimlich MD (born Henry Judah Heimlich, February 3, 1920) is an American physician credited as the inventor of abdominal thrusts known as the Heimlich maneuver, though there is debate about his role in the development of the procedure. Heimlich is also an advocate for the controversial and unproven use of malaria to treat HIV.

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[edit] Personal life

Heimlich was born in Wilmington, Delaware to Philip and Mary (Epstein) Heimlich. He graduated from New Rochelle High School (NY) in 1937, graduated from Cornell University with a B.A. in 1941, and 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 co-authored a book on homeopathy and was sole author of What Your Doctor Won't Tell You, which advocated chelation therapy and other alternative therapies.

Heimlich is the second cousin of actor and director Anson Williams (née Anson Williams Heimlick), best known for his portrayal of Warren "Potsie" Weber on the long-running television series Happy Days.

[edit] Heimlich maneuver

Heimlich first published his findings 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 choking victim Irene Bogachus in Bellevue, Washington.

From 1976-1985, the American Heart Association and American Red Cross choking rescue guidelines taught rescuers to first perform a series of backblows to remove the FBAO (foreign body airway obstruction); if backblows failed, then rescuers were taught 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 1986-2005, the Heimlich maneuver was the only recommended treatment for choking in the published guidelines of the American Heart Association and the American Red Cross.

The choking rescue guidelines[1] published by the American Heart Association ceased referring to "the Heimlich maneuver" and instead called the procedure "abdominal thrusts." The new guidelines stated that chest thrusts and back blows may also be effective treatments for choking.

In Spring 2006, the American Red Cross "downgraded" the use of the Heimlich maneuver[2], 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 were to 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[3] whose results were duplicated in a year 2000 study by Audun Langhelle.[4] The 2006 guidelines also eliminated the phrase "Heimlich maneuver" and replaced it with "abdominal thrust."[5]

The 2005 drowning rescue guidelines of the American Heart Association[6] 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 and choking.[6]

In 2003 Heimlich's colleague Dr. Edward Patrick issued a press release stating he was the uncredited co-developer of the maneuver.[7][8]

"I would like to get proper credit for what I've done," Patrick told me. "But I'm not hyper about it." Patrick's ex-wife Joy tells a different story: Whenever my kids would say "Heimlich maneuver," he would correct them and say, "Patrick maneuver."[8]

[edit] Malariotherapy

See also: Victoria Wells Wulsin#Malariotherapy Controversy

Since the early 1980s, Heimlich has been an advocate of malariotherapy, the deliberate infection of a person with malaria in order to treat ailments such as cancer, Lyme disease and more recently, HIV. The treatments have to date been unsuccessful, and criticized for being both scientifically unsound and dangerous.[9] 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".[10][11] Sources have disclosed that the Heimlich Institute, a subsidiary of Deaconess Associations of Cincinnati, is conducting malariotherapy trials in Ethiopia, though the Ethiopian Ministry of Health was unaware of any such trials. Heimlich claims that his initial test with a small number of subjects (seven total) have produced positive results, but he refuses to disclose the location of the trials.[9] Funding for the research is drawn from private sources,[11][8] and includes no institutional review board oversight.[8]

Studies in Africa, where both HIV and malaria are common, indicate that malaria/HIV co-infection increases viral load and that malaria could increase the rate of spread of HIV as well as accelerating disease progression.[12][13] Based on such studies, Paul Farmer at Harvard Medical School 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”.[14]

[edit] References

  1. ^ 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. 
  2. ^ The American Red Cross Unveils Innovative New First Aid and CPR/AED Training Programs. American Red Cross (2006-04-04). Retrieved on 2008-05-03.
  3. ^ Guildner CW, Williams D, Subitch T (September 1976). "Airway obstructed by foreign material: the Heimlich maneuver". JACEP 5 (9): 675–7. PMID 1018395. 
  4. ^ 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. PMID 10767497. 
  5. ^ The American Red Cross 2005 Guidelines for Emergency Care and Education 1-31. American Red Cross (2005). Retrieved on 2008-05-03.
  6. ^ a b "Part 10.3: Drowning" (2005-11-25). Circulation 112 (24): 133-135. American Heart Association. 
  7. ^ Patrick, EM (2005-05-28). Dr. Edward A.Patrick & Dr. Henry J. Heimlich Regarding the Heimlich maneuver. The Patrick Institute. Retrieved on 2008-05-03.
  8. ^ a b c d Francis, T (2005-11-10). Outmaneuvered, Part I. Radar (magazine). Retrieved on 2008-05-02.
  9. ^ a b Zengerle, Jason. "The Choke Artist", The New Republic, 2007-04-23, pp. 23-36. 
  10. ^ Anglen, Robert. "Scientists linked to Heimlich investigated: Experiment infects AIDS patients in China with malaria", The Cincinnati Enquirer, 2003-02-16. Retrieved on 2008-01-27. 
  11. ^ a b "Heimlich's Audacious Maneuver", Los Angeles Times, 1994-10-30. Retrieved on 2008-01-27. 
  12. ^ 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. 
  13. ^ Kublin JG, Patnaik P, Jere CS, et al (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. 
  14. ^ Nierengarten MB (June 2003). "Malariotherapy to treat HIV patients?". 'The Lancet Infectious Diseases' 3 (6): 321. PMID 12781493. 

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