Health
Choking emergency? How to do the Heimlich maneuver — and when to avoid it
A choking emergency can turn really scary, really quickly.
Whether it’s yourself or another person, knowing how to remove the blockage while staying calm can be the difference between life and death.
The Heimlich maneuver is a first-aid method recommended by most health organizations, which uses abdominal thrusts to dislodge an obstruction from a person’s windpipe.
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Mass General Brigham, a health care system in Boston, Massachusetts, shared on its website step-by-step guidance on how to effectively perform the Heimlich, provided by emergency medicine doctor Wendy Macias-Konstantopoulos, MD.
Before starting the Heimlich, check to make sure the person isn’t breathing, talking or coughing, experts advise. (iStock)
1. Call 911
In any choking emergency, Mass General Brigham suggests first calling 911 to report that someone may need the help of a medical professional.
If there is another person present, one person should call 911 while the other begins doing the Heimlich.
2. Assess the situation
The Heimlich maneuver should not be performed on someone who can still talk, breathe or cough, according to Macias-Konstantopoulos.
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In that case, encourage someone exhibiting these signs to continue coughing to dislodge the object.
If none of these signs are present, or if the person is exhibiting the universal choking sign, start by administering up to five sharp blows to the person’s back with the heel of your hand between their shoulder blades.
If the person is exhibiting the universal choking sign, shown here, it is best to begin administering the Heimlich, experts say. (iStock)
3. Initiate the Heimlich
If the person is still choking after a few blows to the back, experts recommend starting the Heimlich maneuver.
Macias-Konstantopoulos’ guidance is to first stand behind the choking person, or kneel if it’s a child.
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Wrap your arms around their torso from the back. Make a fist with one hand and grab it with the other.
Place your hands in between the person’s belly button and rib cage.
Place your fist above the belly button and below the rib cage when administering the Heimlich, a doctor instructed. (iStock)
Next, thrust in an inward and upward motion on the diaphragm. This will force air out of the lungs and remove the blockage. Repeat these abdominal thrusts up to five times, the doctor advised.
If the choking continues, go back to the five back blows followed by five abdominal thrusts until the airway is cleared or help has arrived.
For people who may be pregnant or obese, the Heimlich maneuver can be administered with five chest thrusts to the breastbone, or middle of the chest, instead of the abdomen.
What to do when a baby is choking
Mass General Brigham warned that the Heimlich maneuver should not be used on infants younger than 12 months.
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Instead, if a baby under a year old is choking, hold them face down along the length of your arm or thigh, keeping their head lower than their bottom.
Sharply hit the baby on their back, firmly but not hard enough to injure them, up to five times, the health care system advised.
Recommended Heimlich maneuvers vary between adults and children. (iStock)
Once the blockage is dislodged, check the baby’s mouth and remove any visible objects with a finger.
If the blows to the back don’t work, try performing chest thrusts by holding the baby face up in the same orientation.
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Keep their head lower than their body and support the baby’s neck and head with your hand, according to Macias-Konstantopoulos.
Place two to three fingers on the baby’s breastbone, or in the middle of their chest, and press sharply one inch downward and upward up to five times.
If you are choking and you’re alone, the same Heimlich technique can be performed on yourself. (iStock)
As children in particular run a high risk of choking, the doctor advised parents and guardians to be careful with foods like popcorn, nuts, grapes, hot dogs and hard candy.
“Cut children’s food into small pieces before they eat,” she recommended.
“Keep choking hazards out of children’s reach, keep a close eye on your child while they eat and supervise play time.”
What to do if you’re choking
If you’re choking while alone, the same Heimlich technique can be performed on yourself, according to Mass General Brigham.
Place your fists right above your belly button and pull inward and upward into your diaphragm.
Alternatively, try bending over a hard surface, such as the back of a chair or countertop, and shove yourself into the same area of your abdomen to create a similar force to your lungs.
If you are unable to speak, many states allow texts to be sent to 911, the health care system noted.
“Type the numbers ‘9-1-1’ into the ‘to’ or ‘recipient’ field,” Macias-Konstantopoulos instructed. “Text your location and the nature of your emergency right away.”
Health
New cancer vaccine delivers stunning result against one of the deadliest skin cancers
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A new injectable therapy is showing positive results in reducing melanoma throughout a five-year period.
The personalized mRNA cancer therapy, called intismeran autogene, combined with the cancer immunotherapy drug KEYTRUDA (pembrolizumab), is a collaboration between Merck and Moderna.
The results from the phase 2b KEYNOTE-942 study were presented at the American Society of Clinical Oncology (ASCO) Annual Meeting in Chicago on May 27.
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After about a five-year follow-up, the combo drug was found to reduce the risk of melanoma recurrence or death by 49% compared to pembrolizumab alone.
The researchers analyzed data from 157 patients with high-risk stage 3 and 4 melanoma whose cancer had been removed via surgery. The participants were split into two groups — one received the combo therapy and the other only received pembrolizumab, according to a press release.
The therapy was found to reduce the risk of melanoma recurrence or death by 49% compared to pembrolizumab alone after a five-year follow-up. (iStock)
The findings revealed that the combination group saw benefits that were “sustained and durable over time.”
Intismeran autogene is designed using mutations identified in a patient’s own tumor, with the intention of teaching the immune system what the cancer looks like so that it can recognize and attack it.
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According to the researchers, intismeran is “well-tolerated” with a “manageable” safety profile.
The most commonly cited side effects of the personalized mRNA vaccine plus KEYTRUDA were fatigue, injection-site pain, chills, fever and headache. The researchers reported no new long-term safety concerns and no severe vaccine-related adverse events.
The combination therapy is currently being evaluated in a phase 3 study — the final confirmation stage.
Patients with late-stage melanoma have a “significant risk” of cancer recurrence, according to an expert. (iStock)
In a Merck press release from January, Kyle Holen, MD, Moderna’s senior vice president and head of development, oncology and therapeutics, noted that this data highlights the “potential of a prolonged benefit … in patients with resected high-risk melanoma.”
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“We continue to invest in our platform in oncology because of encouraging outcomes like these, which illustrate mRNA’s potential in cancer care,” he said.
Dr. Marjorie Green, senior vice president and head of oncology, global clinical development at Merck Research Laboratories, also commented that for many patients with stage 3 or 4 melanoma, there is a “significant risk of recurrence following surgery.”
Researchers confirmed that the combination therapy is currently being evaluated in a phase 3 study. (iStock)
“As such, demonstrating the longer-term potential of intismeran autogene and KEYTRUDA to reduce the risk of recurrence for certain patients with melanoma is a meaningful milestone,” she said.
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The company cited encouraging five-year follow-up data and pointed to upcoming late-stage INTerpath trial results with Moderna in several hard-to-treat cancers.
Health
New ways to prevent flu revealed in ‘accidental’ lab breakthrough, study finds
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An accidental lab discovery has opened the door to entirely new ways of preventing the flu.
While investigating how influenza replicates, researchers discovered that different flu strains use completely different strategies to infiltrate human cells, SWNS reported.
By targeting the specific molecules the viruses rely on, scientists found that they could block them from entering new cells and halt their replication altogether.
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Researchers say these “fundamental insights” into seasonal influenza highlight a clear path toward developing better preventive medications.
“The hope is that fundamental, curiosity-based research like this helps to pave the way for novel strategies to treat and prevent influenza infections,” principal investigator Dr. Emily Bruce, from the University of Vermont’s Larner College of Medicine, said in the SWNS report.
While investigating how influenza replicates, researchers discovered that different flu strains use completely different strategies to infiltrate human cells. (iStock)
While several flu strains cause illness, H1N1 and H3N2 influenza A viruses are the most common. However, current flu tests cannot differentiate between them, and clinical treatments are identical for both.
Although vaccines and antivirals are available, Bruce noted a “dire” need for better medications to stop the virus from spreading cell to xxcell.
“You don’t get sick when a virus is in one cell,” he noted. “You get sick because a virus replicates itself and goes into many more cells.”
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The study, which was published in The Journal of Virology, originally aimed to map how viral RNA segments are transported within cells to create new viral particles.
The team used H1N1 and H3N2 viruses isolated from the nasal passages of positive patients in 2022.
Clinical treatments remain identical for both primary strains of the flu virus. (iStock)
During the investigation, the team unexpectedly stumbled upon a cellular pathway that blocked the virus from entering lung cells, SWNS reported.
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The data revealed that when a specific human protein called Rab11B was depleted, H3N2 viruses failed to enter human lung cells. H1N1 viruses were completely unaffected.
Using reverse genetics, the team mapped this defect and uncovered a brand-new, H3N2-specific role for Rab11B during viral entry.
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This discovery challenged the scientific assumption that all flu viruses enter cells the same way.
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“Viruses are like pirates from different countries hijacking someone’s ship,” Bruce said. “Different viruses, like different types of pirates, use different methods to get onboard.”
This discovery challenged the scientific assumption that all flu viruses enter cells the same way. (iStock)
“We had previously thought that all flu viruses used the same way to get into a cell, but we discovered that this is not true,” she went on. “H1N1 and H3N2 need different proteins to get in, and if you get rid of the right protein, a specific virus can’t get in.”
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While these findings identify a critical cellular pathway for viral entry, the study was conducted using isolated cells, the researchers acknowledged.
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Further research is needed to determine whether blocking the protein is safe and effective within a live, complex human respiratory system.
Bruce and the team hope to conduct further research to determine whether this Rab11B-dependency is a fundamental property of H3N2, or if it’s a trait unique to currently circulating flu strains.
Health
One extra serving of processed meat a day linked to higher cancer risk
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Eating processed meat like ham, sausage and bacon may be linked to a higher risk of certain types of cancer, according to new research.
While health organizations have already confirmed that processed meat can contribute to colon cancer, this study looked closer at cancers in the upper digestive tract, where the link has historically been less clear.
To understand these connections, researchers from the European Prospective Investigation into Cancer and Nutrition (EPIC), one of the world’s largest long-term nutrition and cancer cohorts, tracked the health and diets of 450,112 people across Europe for an average of 14 years.
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The study group included 131,426 men and 318,686 women, according to the study’s press release.
During the follow-up period, 876 people developed stomach cancer and 215 people developed esophageal adenocarcinoma, which is cancer of the tube connecting the mouth to the stomach.
For female participants, eating both processed meat and white meat was linked to an increased risk of developing the disease. (iStock)
Researchers tracked where the stomach cancers grew, separating them into the upper part of the stomach near the throat and the lower part of the stomach.
The researchers also sorted the tumors into two categories based on how the cancer cells appeared under a microscope: intestinal, which forms more organized structures, and diffuse, in which the cells are more scattered throughout the tissue.
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After adjusting for other lifestyle factors, the researchers found that for every extra 30 grams of processed meat a person ate per day, their overall risk of stomach cancer went up by 9%. Eating that same extra 30 grams a day was also linked to a 13% higher risk of esophageal adenocarcinoma.
A standard single slice of regular deli-sliced ham or lunch meat averages around 28 grams, according to USDA data and nutritional tracking databases.
An extra 20 grams of white meat, such as chicken and turkey, was linked to a 12% higher risk of cancer in the main body of the stomach. (iStock)
An extra 20 grams of white meat, such as chicken or turkey, was linked to a 12% higher risk of cancer in the main body of the stomach, the researchers noted.
The study also revealed differences between men and women. For male participants, only processed meat showed a clear, statistically significant link to a higher risk of stomach cancer. For female participants, however, eating both processed meat and white meat was linked to an increased risk.
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These findings align with global health benchmarks, particularly those established by the World Health Organization’s International Agency for Research on Cancer.
The agency has long classified processed meat as a known human carcinogen, primarily due to its strong, well-documented links to colorectal cancer.
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However, health organizations have also consistently pointed to a potential, yet less definitive, relationship between these meats and cancers of the stomach.
Eating 30 grams of processed meat a day, or the equivalent to one slice of ham, was linked to a 13% higher risk of esophageal adenocarcinoma. (iStock)
Further scientific investigation is needed to confirm the findings and to account for other underlying risk factors, such as certain stomach infections, which could interact with dietary habits.
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A key limitation of the study is its reliance on self-reported diets, which can sometimes lead to inaccuracies in how participants recall their meat consumption over time, the researchers noted.
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The findings were published in the International Journal of Cancer.
Fox News Digital reached out to the researchers requesting comment.
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