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First, don't hold your 4 year old child upside down when performing abdominal thrusts for choking. This is what you (and any bystander) should do for a choking child (Note that intervention for a choking child is appropriate for any individual to perform, though one should obtain consent from a parent if they are there. You do not need to be a healthcare ...


2

If someone is truly in need of the Heimlich manoeuvre, that means they are dying and cracked ribs are not a consideration in this case. The same goes for cracked ribs after CPR. However... the Heimlich manoeuvre as such is far more than is required to dislodge a foreign body in a small child, so it's not used. Instead, you give back blows and chest thrusts, ...


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