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
Loneliness may be silently eroding your memory, new research reveals
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Feeling lonely may take a toll on older adults’ memory — but it may not speed up cognitive decline, according to a new study.
Researchers from Colombia, Spain and Sweden analyzed data from more than 10,000 adults ages 65 to 94 across 12 European countries and found those who reported higher levels of loneliness did worse on memory tests at the start of the study, according to research published this month in the journal Aging & Mental Health.
Over a seven-year period, however, memory decline occurred at a similar rate regardless of how lonely participants felt.
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“The finding that loneliness significantly impacted memory, but not the speed of decline in memory over time was a surprising outcome,” lead author Dr. Luis Carlos Venegas-Sanabria of the School of Medicine and Health Sciences at the Universidad del Rosario said in a statement.
Loneliness may be linked to memory performance in older adults, a new study suggests. (iStock)
“It suggests that loneliness may play a more prominent role in the initial state of memory than in its progressive decline,” Venegas-Sanabria said, adding that the findings highlight the importance of addressing loneliness as a factor in cognitive performance.
The findings add to debate about whether loneliness contributes to dementia risk. While loneliness and social isolation are often considered risk factors for cognitive decline, research results have been mixed.
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The study looked at data from the long-running Survey of Health, Ageing and Retirement in Europe (SHARE), which tracked 10,217 older adults between 2012 and 2019. Participants were asked to recall words immediately and after a delay to measure memory performance.
Social isolation and loneliness could play a surprising role in cognitive health among seniors. (iStock)
Loneliness was assessed using three questions about how often participants felt isolated, left out or lacking companionship.
About 8% of participants reported high levels of loneliness at the outset. That group tended to be older, more likely to be female and more likely to have conditions such as depression.
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Researchers found that those with higher loneliness had lower scores on both immediate and delayed memory tests at baseline. Still, all groups — regardless of loneliness level — experienced similar declines in memory over time.
The results suggest loneliness may not directly accelerate the progression of memory loss, though it remains linked to poorer cognitive performance overall.
Researchers look at a brain scan at the National Institutes of Health in Bethesda, Maryland. (Saul Loeb/AFP/Getty Images)
Experts warn, however, that the findings should not be interpreted to mean loneliness is harmless.
“The finding that lonely older adults start with worse memory but don’t decline faster is actually the most interesting part of the paper, and I think it’s easy to misread,” said Jordan Weiss, Ph.D., a scientific advisor and aging expert at Assisted Living Magazine and a professor at NYU Grossman School of Medicine.
“It likely means loneliness does its damage earlier in life, well before people show up in a study like this at 65-plus,” Weiss told Fox News Digital.
By older age, long-term social patterns may already be established, making it harder to detect when the effects of loneliness first took hold, an aging expert says. (iStock)
He suggested that by older age, long-term social patterns may already be established, making it harder to detect when the effects of loneliness first took hold.
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“By the time you’re measuring someone in their late 60s, decades of social connection patterns are already baked in,” he said.
Weiss, who was not involved in the research, added that loneliness may coincide with other health conditions, and noted that participants who felt more isolated also had higher rates of depression, high-blood pressure and diabetes. The link, he said, may reflect a cluster of health risks rather than a direct cause.
“While they can go hand-in-hand, it’s not clear that loneliness contributes to dementia,” a psychotherapist says. (iStock)
Amy Morin, a Florida-based psychotherapist and author, said the findings reflect a broader pattern in research on loneliness and brain health, and that the relationship may be more complex than it appears.
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“The evidence shows there’s a link between loneliness and cognitive decline but there’s no direct evidence of a cause and effect relationship,” she said. “So while they can go hand-in-hand, it’s not clear that loneliness contributes to dementia.”
Morin added that loneliness, which can fluctuate, may not be the root of the problem, but rather a symptom of other underlying mental or physical health issues.
Researchers suggested screening for loneliness be incorporated into routine cognitive assessments as one way to support healthy aging. (iStock)
She said staying socially and mentally engaged is crucial for overall brain health.
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“It’s important to be proactive about social activities,” Morin said. “Joining a book club, having coffee with a friend, or attending faith-based services can be a powerful way to maintain connections in older age.”
The researchers also suggested screening for loneliness be incorporated into routine cognitive assessments as one way to support healthy aging.
Fox News Digital reached out to the researchers for comment.
Health
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Health
Intermittent fasting’s real benefit may come after you start eating again
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Research continues to uncover new details on how fasting may help extend life.
A new study published in the journal Nature Communications investigated how intermittent fasting can boost longevity in small worms often used in aging research.
Researchers from the University of Texas Southwestern Medical Center in Dallas compared worms that were fed normally to those that underwent a 24-hour fast in early adulthood and were then fed again, according to a press release.
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The scientists measured a variety of factors, including stored fat, gene activity related to fat metabolism and lifespan.
The results showed that the life-boosting benefit did not depend on the fasting itself but on the body’s behavior after eating again.
Experts say sustainability is key when choosing a long-term weight-loss strategy. (iStock)
Study lead Peter Douglas, associate professor of molecular biology and a member of the Hamon Center for Regenerative Science and Medicine at UT Southwestern, suggested that these discoveries “shift the focus toward a neglected side of the metabolic coin – the re-feeding phase.”
“Our data suggest that the health-promoting effects of intermittent fasting are not merely a product of the fast itself, but are dependent on how the metabolic machinery recalibrates during the subsequent transition back to a fed state,” he said.
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“Our findings bridge a gap between lipid metabolism and aging research,” he added. “By targeting aging, the single greatest risk factor for human disease, we move beyond treating isolated conditions toward a preventive model of medicine that enhances quality of life for all individuals.”
Lauri Wright, director of nutrition programs at the University of South Florida’s College of Public Health, called this a “high-quality” study that adds an “important nuance to how we think about fasting and longevity.”
Intermittent fasting typically involves limiting meals to an eight-hour daily window or fasting every other day. (iStock)
The benefits of the refeeding phase after fasting were “especially interesting,” Wright, who was not involved in the study, told Fox News Digital.
“The researchers showed that longevity was linked to the body’s ability to turn off fat breakdown after fasting, allowing cells to restore energy balance,” she reiterated.
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“From a scientific standpoint, that’s a meaningful shift because it suggests fasting is not just about burning fat, but about metabolic flexibility.”
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Fasting may support longevity through triggering metabolic switching, enhancing cellular repair and stress resistance and improving markers like insulin sensitivity, research shows.
Limitations and cautions
Although this study provides “important insight” on the power of refeeding, Wright noted that the findings should be approached with caution, as the study was done on worms and cannot always be translated to humans.
“Additionally, it explains how a process might work in a controlled lab condition rather than real-world eating behaviors,” she added as a limitation. “Finally, the study is short-term and doesn’t give us the long-term translation on lifespan outcomes.”
The review found intermittent fasting was barely more effective than doing nothing, according to the study authors. (iStock)
Wright cautioned that fasting is “not a magic solution for longevity, and how you eat overall matters more than when you eat.”
“I advise, first and foremost, to focus on diet quality, including a variety of fruits and vegetables, healthy fats and minimally processed foods,” she said.
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For those who are considering fasting, it’s better to stick with a moderate plan — like a 12- to 14-hour overnight fast — rather than going to extremes, Wright said. After fasting, she recommends focusing on well-balanced meals.
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Several groups of people should be cautioned against fasting, according to Wright, including those with diabetes who are on insulin or hypoglycemic medications, those who are pregnant or breastfeeding, anyone with a history of eating disorders and older adults at risk of malnutrition.
Anyone considering intermittent fasting should consult with a doctor before starting.
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