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When to use the Heimlich maneuver in drowning situations?

April 6, 2026

Quick Answer

The Heimlich maneuver is not typically used in drowning situations, as the priority is to remove the person from the water and start CPR. However, if a person is submerged in the water and unable to breathe, a series of back blows to the person's back between the shoulder blades can help dislodge an object causing the obstruction.

Drowning Rescue Techniques

When responding to a drowning situation, your primary goal is to remove the person from the water as quickly and safely as possible. This can be achieved by entering the water if necessary, using a flotation device or a rope to pull the person to safety, or by using a shore-based rescue technique. Once the person is out of the water, begin CPR if they are unresponsive with no pulse or breathing.

Back Blows for Obstruction

If a person is submerged in the water and unable to breathe, a series of back blows to the person’s back between the shoulder blades can help dislodge an object causing the obstruction. To perform a back blow, stand behind the person and use the heel of your hand to deliver a series of five blows, each separated by a 30-second pause. This can help dislodge foreign objects like food or coins that may be obstructing the airway.

CPR in Drowning Situations

After removing the person from the water and providing a series of back blows, begin CPR. Start by checking the person’s airway, breathing, and circulation (ABCs), and if they are not breathing or have no pulse, begin chest compressions and rescue breaths. Start with 30 chest compressions followed by two rescue breaths, and continue this pattern until the person is breathing on their own or medical help arrives.

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