#Heimlich Maneuver

[kme-2020]

7

“Cara? Cara, are you okay?” I hear Nadine’s voice call out from down the hallway. My fingers pause, hovering over my keyboard. There’s a muffled crash and I hear Nadine cry out again “Cara! What…are you choking?”

I jump to my feet and hurry around my desk and down the hall to the office foyer. I find Nadine behind Cara’s secretary desk, helping Cara to her feet. Cara looks dishevelled; her face is red and her hands are wrapped around her throat, her striped blouse slightly untucked from her skirt, tendrils of hair falling in her face. Nadine looks terrified and when she sees me she yells “Julie, Cara’s choking!” Nadine wraps her arms around Cara’s curvy belly and begins the Heimlich Maneuver. Cara winces and shakes her head, hands still at her throat. Nadine attempts another abdominal thrust to no avail, and Cara frantically bangs her fist against her chest, willing whatever is blocking her airway to come out. I notice a half eaten granola bar on Cara’s desk.

A weak cough escapes from Cara and Nadine releases her. She holds up an hand, gesturing Nadine to give space and tries to swallow, her face is turning from red to purple. A wheeze escapes her lips and she attempts to cough. I cross the room and place my hand on Cara’s back. “Cough Cara, just try to cough”. A gasping sound and a week cough, yet Cara still struggles to inhale. “Can you breathe?” I ask. Cara shakes her head. I turn briefly to Nadine and say “call 911, now!” Nadine nods and hurries to another desk and reaches for the phone.

I return my attention to Cara. “Lean forward” I tell her as I position myself to deliver back slaps. Supporting her busty chest with my left hand, I rest my right hand between her shoulder blades, finding the correct spot. I raise my hand and slam it between Cara’s shoulder blades, the force rocking her forward. I strike her back again and again, her body lurching with each blow. I check and see Cara is still choking as she clutches her throat, fear in her brown eyes. I pull her upright and move behind her, straining my arms around her chubby waist and searching for her belly button. Cara grabs my hands and maneuvers them into place, her shaky hands mimicking the abdominal thrust she so desperately needed. I pull my hands into her soft belly again and again, willing the blockage to dislodge. Nadine reappears in front of us. She grabs Cara’s shoulders and says “we’ve got you Cara, EMS are on their way, cough it up Cara!”. Nadine makes eye contact with me and I see worry etched in her face. I continue the Heimlich Maneuver, thrusting in and up into Cara, straining to keep my arms around her waist. My hands slip and we stumble, Nadine steadying us. Desperate, I move my fists up to Cara’s chest and pull back with sharp thrusts. I reposition my fists under her large breasts and squeeze repeatedly. Suddenly she gags. I perform another thrust and hear her grunt from the force. Nadine leans in and searches Cara’s face, “Breathe Cara! Breathe!”

I lower my arms but keep my arms around Cara’s waist and my hands in position for the Heimlich. Another wheeze and Cara falls silent again, so I thrust my fists into her abdomen again and again, willing the blockage to move. Another gag and a ragged gasp and I feel her body relaxing in my arms, her belly expanding with laboured breathe she takes.

“Can you breathe” I ask, leaning to the side and eyeing Cara’s profile. Her hands cover her mouth as she coughs hoarsely. Cara takes a step forward and braces herself against her desk, still struggling to inhale but moving air. Nadine comes to her side and slaps her back several times. Suddenly Cara lets out a loud cough and gags, leaning forward and spitting out the blockage. She coughs as Nadine continues thunking her back. Cara’s face is bright red and she stumbles, still struggling to breathe normally.

I grab her office chair and Nadine helps lower Cara into a seated position. Cara is wheezing and gasping, her large chest heaving, a hand still at her chest. Her face is flushed, her striped blouse bunched up and her skirt awry. She is still wheezing and struggling to move air. “Breathe Cara, in and out, deep breathes” Nadine urges. I kneel down in front of Cara and place my hand on her shoulder. “Can you speak?” I ask. Cara nods but struggles to reply. “Yes, but there’s…still…something in my throat…” she manages between laboured wheezes.

“Open your mouth” I say, and Cara shakes her head, struggling to cough. Nadine again hits Cara’s back and I crouch in front of Cara and bury my fists above her belly button. I use my body weight and thrust forcefully into her, trying to assist her cough. Cara winces with each coordinated back slap and thrust, until suddenly she grunts and folds over, spitting out the remainder of the blockage. She wheezes and inhales sharply, leaning back in her chair and clutching the armrest as she breathes air freely into her lungs. “I’m okay, I can breathe” Cara manages to get out between gasps.

“Just focus on breathing” Nadine says as she gently rubs Cara’s back. I press my fingers against the side of Cara’s neck and check her pulse- it is very rapid, and her brow shines with sweat. I watch her chest rise and fall quickly, her breathing laboured. Cara’s hands shake as they clutch her chest. I hear a commotion at the door and turn to see EMS entering and relief floods my body.

I let them in and give a run down of Cara’s choking incident to one paramedic as their partner assess Cara. Nadine remains at Cara’s side, helping with answers as Cara’s voice is weak. I feel the adrenaline of the moment pass and I start to relax knowing Cara is going to be okay.

[lichtberg]

Heimlich Manoeuvre

155 x 87 cm

2024

Instagram

[trunkards]

Trunkards #651. When in doubt, panic!

© 2024 Rick Hutchins

[trashyswitch]

Henrik Meets Jackie

Henrik ends up in a mandatory CPR course due to missing the CPR course provided by the hospital. But this unfortunate circumstance ends up providing Henrik a brand new friend...

This fanfic was suggested by Shannon. I hope you enjoy!!

This is how Henrik met Jackie: 

Henrik was due to get his CPR certificate renewed again for the next 5 years. And because of circumstances, Henrik had to miss the hospital’s colleague-specific CPR course. Later, his boss had told him the only other way to do the CPR course that was required for him, was to go through a 2-day similar course offered to the outsiders by the ambulance company. This meant he was put with a mix of college/Uni adults getting their certificates for school, as well as parents and EA’s, CYW’s and ECE’s. Henrik was originally dreading having to do the CPR course with complete strangers. Though he didn’t realize that things were about to get so much better for him. 

You see, a certain superhero was also going to be taking the 2-day CPR course. In fact, it would be the exact same day and time as Henrik’s CPR course would be. Jackie had been wanting to keep his own CPR course up to date. And thanks to the connections he’d made with the ambulance team over the years, Jackie was able to get into the class without having to worry about revealing his secret identity to the surrounding strangers…So long as he wore his super suit to the CPR course. That was the only downside. His suit was built for handling the weather outside! Not to be cooped up in a classroom for hours on end. But…you gotta do what you gotta do. 

When Henrik looked around the room before the course had started, he had quickly noticed the bright red suit and the blue mask the person was wearing. Wait a second…Was that Jackieboy Man?! THEE Jackieboy Man, the most well-known superhero of Brighton, England, was actually here in the room with him?! Doing a CPR course?! Who decided this?! What are the chances of ending up in this rare situation?! 

At the beginning of the course, the course teacher had taken the time to welcome everyone to the course, and especially welcome Jackie personally to the course. She was honored to be able to teach everyone in the room, and vowed to treat Jackie like a fellow student in the class. 

They went over the usual things like the heimlich maneuver (Or abdominal thrust, as it was now renamed), the CPR hand stance, the different types of CPR for different age groups, and steps for navigating a person with a lodged object in their throat. They made sure to go over what to do when the part of the airway is blocked and the person is conscious, when the object is completely blocking the airway while the person is conscious, and what to do when the person goes unconscious as a result of lack of airflow. They emphasized how important it was that everyone knew how to do the abdominal thrusts and CPR correctly, so people can be helped sooner, which in turn increases their chances of survival. 

Despite knowing this stuff like the back of his hand, Henrik still found it helpful to review some of these maneuvers. It helped remind him of the different mistakes people often make when doing these maneuvers, and helped him remember what reminders to give his surgical residents when he gets back. By the time they had finished going over that part of the curriculum, it was time for a 30 minute break. To be honest, Henrik had forgotten about how hungry he was until the break was ordered. When he pulled out his lunch, he quickly grew famished. He pulled out his sandwich and started scrolling on his phone while eating the sandwich. He was so busy scrolling, that he was barely even registering the taste of shaved roast beef and ham sandwich with mustard and lettuce that he had put together that morning. He was already halfway done with the sandwich and was quickly going down a rabbit hole of updates on Reddit. Right now, he was currently updating himself on the latest posts that filled the community known as r/medicalgore. It was a community for medical professionals, patients’ experiences and curious normies who love to see things like that. He was currently looking at a picture of the small intestines present outside the stomach from Abdominal Compartment Syndrome. 

Suddenly, he felt a finger touch his shoulder. 

“Whatcha up-” 

Henrik yelped and jumped, dropping his phone and freezing for a moment. 

The person who had talked and touched him, quickly wheezed and doubled over. “HAHAhahaha! Ohoho my god- Did I scare you? Ihi’m so sorry!” The person reacted. “That was not my intention.” The person said, walking into Henrik’s field of view. 

Henrik slowly groaned and sighed as he calmed down, rubbing his forehead. “Heilige Scheiße…” He mumbled to himself. “It’s fine, it’s fine. Just didn’t expect to-” Henrik looked up and widened his eyes when he saw who was talking to him…

It was Jackie! Jackie was not only looking at him, but was actually talking to him!

Jackie smiled and pulled up a chair. “Didn’t expect to get jumpscared today?” Jackie asked with a laugh as he sat down in the chair the wrong way. “Or didn’t expect to make friends?” Jackie asked as he leaned his arms on the back rest in front of him. 

Henrik thought for a moment and shrugged his shoulders. “B-Both.” He replied as casually as he could muster. 

“Do…you have a name?” Jackie asked him. 

“Oh!” The doctor quickly cleared his throat and nodded. “Ja. I’m Henrik.” He said. “Henry?” Jackie asked, holding out his hand.

“No, Henrik.” Henrik corrected, shaking his hand. “Henrik Von Schneeplestein.” Henrik replied. 

Jackie widened his eyes and gasped as he slowly covered his mouth. “W-Wait…The German doctor from Brighton General?!” Jackie asked. 

Henrik widened his eyes. “V-Vait…You know-” Henrik had to pause. 

“Yes! People rave about you all over the city!” Jackie said. 

Henrik smiled a bit and scratched the back of his head. “O-Oh…” He mumbled.

“And yet, no one seems to be able to tell me where to find you, how to get ahold of you...” Jackie explained. “Hell, there are people who barely know what you look like!” Jackie added. 

Henrik bit his lip. “I try to keep a low profile.” Henrik admitted. 

Jackie looked down and picked up something, before handing it to Henrik. “You kinda suck at that, by the way.” Jackie told him. 

Henrik tilted his head as he took his phone, before looking at it. He widened his eyes when he saw the graphic picture that was still visible on his phone. Henrik chuckled awkwardly and closed it before putting it back into his pocket. “Ups…” Henrik muttered, sounding out the U as more of an OO sound. 

“So…” Jackie leaned in slightly. “I don’t have anyone as a partner for practicing abdominal thrusts or CPR.” Jackie admitted. “You uh…” He bit his lip. “...You interested?” Jackie asked. 

“You…vant me to vork vizh you?” Henrik asked. 

Jackie nodded. “A MD with a PHD? and a superhero who uses it daily?” Jackie reacted. “We would be unstoppable.” Jackie told him quietly. 

Henrik chuckled. “You sound like a villain yoining forces vizh ozher villains.” Henrik chuckled. 

Jackie shrugged his shoulders. “I hear the monologues constantly.” Jackie replied. “I could play the part of a villain for a movie, and be given the award for ‘most accurate villainy’.” Jackie joked. Henrik hung his head and laughed at him. “Vhyhy can I see zhat?” Henrik asked. 

Jackie laughed as well. “Ohouch! My reputation is in shambles!” Jackie joked. 

“Alright everyone, break will be over in 5 minutes.” The leader told the room. 

Jackie sighed with overly dramatic annoyance on his face, while Henrik smiled slightly. “Ound yes.” Henrik said. “I vould love to be your partner.” He replied as he stood up and closed his lunch bag. 

Jackie smiled brightly as he closed his own lunch bag, before putting it back into his big backpack. 

When the class started up again, the teacher placed down CPR dummies in front of everyone. “Before we start with practicing on each other, we’re going to help you figure out how much you need to push down on the chest to get the heart pumping. To momentarily save everyone the pain of experiencing CPR in person, we will do this by practicing CPR on the dummies first.” The teacher told them. 

Henrik put the CPR dummy down onto the ground and started pushing down on the dummy while watching Jackie do the same thing. The teacher walked around the room, making sure everyone was pushing down in the middle of the sternum until the plastic click went off in the middle of the dummy’s chest. Henrik was doing CPR on the dummy, but the teacher noticed that he was actually pushing slightly too hard. “Careful, careful Henrik.” The teacher stopped him and sat down in front of him. “You’re pushing too hard. If you keep going, you’ll break a rib and cause internal bleeding.” The teacher told him. 

Henrik looked at the teacher, and intertwined his fingers before placing his palms on the chest again, waiting for the teacher’s instruction. 

“Now: Push down lightly, to see how much pressure you really need.” She said softly. 

Henrik pushed down a bit lighter, and found that the middle piece still clicked in the chest. 

“Good, good. Now keep up that same pressure.” She said. 

Henrik nodded and kept up a similar pressure. “Okay.” He replied. 

She moved onto someone else before moving onto Jackie. 

“Wow…Not bad at all, Jackie. But your elbows are bending a bit when you’re pushing.” She told him. 

Jackie stopped pushing, and adjusted his elbows so they were a little more straight. 

“Good.” She said. Now make sure you push with your body, not just your arms.” She said. 

Jackie nodded and kept going. 

She went over everyone else, before stopping the group CPR lesson. “Wonderful job, everyone. You can take a break.” She told them. 

The students all stopped practicing on the dummies, and sat back into their seats. 

“Put the dummies onto the floor under your desk.” She told them. When the students did as instructed, she cleared her throat. “Now, I would like you all to get into partners. We are going to try acting out the abdominal thrusts as well as the CPR. HOWEVER:” She spoke louder to make them listen. “You will not actually put force onto your partner, especially for practicing CPR. We don’t want to have to get an ambulance over here because one of you broke a rib while practicing.” She told them, making the class laugh slightly. She continued. “I would like you all to focus more on your hand placement rather than how deep your hands are going.” She added. 

Henrik turned around to look behind him and smiled at Jackie. Jackie waved to him, and walked up to him when they were given permission to disperse. 

Jackie looked at Henrik, and bit his lip. “Wanna go first?” He asked. 

“As vhat? Zhe victim? Or zhe bystander?” Henrik asked. 

“The bystander.” Jackie replied. 

“Ok.” Henrik replied. “Heimlich? Or CPR?” Henrik asked. 

“Heimlich first.” Jackie replied. 

Jackie started to pretend to be choking. Henrik was about to cringe at first because…you don’t need to act it out…but…he quickly jumped into gear when he realized he was ‘wasting time’. Plus, Henrik quickly took back his initial reaction when he noticed Jackie’s choking act was eerily realistic. Henrik placed his right fist on the diaphragm, and placed his left hand over the fist to stabilize his position. Then, he started pretending to do abdominal thrusts before leaning Jackie forward and giving him 5 back blows. 

Henrik continued this a couple more times before Jackie stopped him. “Okay, okay.” Jackie said. “I lost consciousness, and my lips are turning blue.” Jackie said, laying himself onto the ground. 

“Right into zhe CPR, huh?” Henrik asked. 

Jackie grabbed Henrik’s arm and pulled on it. “Dude, I’m gonna die!” Jackie reacted with a slight laugh.

“Okay, okay, mein Gott.” Henrik said before kneeling down and starting chest compressions. He did 30 of them, before pausing for a moment and starting another 30 chest compressions. 

When Henrik finished the third 30 chest compressions, Jackie sat up and patted his shoulder. “Okay. That’s enough. Good job.” Jackie said. 

Henrik rolled his eyes and shook his head with a small smile. “You’re a leetle bossypants.” Henrik teased. 

“Well, yeah. Someone’s gotta be the boss when the world’s in danger.” Jackie added. 

Henrik chuckled and helped Jackie up onto his feet. Henrik smiled and cleared his throat. “Okay. Your turn.” Henrik said. 

“You gotta act it out first.” Jackie told him. 

Henrik shook his head. “No can do.” He replied. 

Jackie rolled his eyes. “Fine.” He wrapped his arms around Henrik’s belly and felt around. “Okay. So where is-” 

“eEK! Jahackiestop-!” Henrik yelled. 

Jackie grumbled slightly. “Dude, stop wiggling around! I’m trying to save your life!” Jackie reacted. 

Henrik grunted and tried to pull himself together. “Okayokay. You got the posi-hihition- HAHAHahaha!” Henrik doubled over and started laughing. “Jesus christ, you’re ticklish. Are you sure you can handle this?” Jackie asked with a laugh. 

A few of the students had stopped practicing, and started giggling at the boys. Jackie quickly noticed this, and smiled a bit as he shrugged his shoulders. The man was going crazy, even though Jackie wasn’t even moving his fingers anymore. He was being all dramatic for no reason, and his drama was creating a crowd of gossipy women.  

“Okayokahay-” Henrik pushed himself out from Jackie’s hands and turned around. “You did zhat on purpose.” Henrik spat at him, clearly angry. 

Jackie chuckled. “I really didn’t. I was trying to make sure that my hands were in the right spot.” Jackie admitted. “And you’re just being a big baby about it.” Jackie added, crossing his arms. 

Henrik narrowed his eyes at him, before freezing when he heard giggles from the other side of the room. Henrik looked over, and noticed a few of the other students were watching him, and either whispering to each other or giggling at Henrik. 

Henrik quickly grunted and sighed. “Fine. Ve’ll try it again. But NO tickles.” Henrik ordered as he turned himself around. “I am embarrassed enough as it is.” Henrik added. 

Jackie wrapped his arms around Henrik. “No guarantees.” Jackie said. This just made Henrik roll his eyes. “But if you don’t wiggle around too much, we might get this done faster.” Jackie said. “Now…” Jackie placed the side of his fist on the upper abs. “Here?” Jackie asked. 

“Ja.” Henrik replied. 

Jackie started pretending to do the abdominal thrusts before bending Henrik over in front and doing the 5 back blows to the back. 

Jackie did this a couple more times before watching Henrik bring himself to the ground. “Okay. I passed out from lack of oxygen.” Henrik told him. 

Jackie knelt down and interlocked his fingers before placing his palms in the middle of Henrik’s upper chest. Jackie focused more on placement instead of how deep he was going, and pretended to do 30 chest compressions. When he was done, Jackie paused for a moment before starting up another 30 chest compressions. 

“Not bad, Yackie.” Henrik said. 

Jackie chuckled. “You’re supposed to be unconscious.” He reacted. 

“Eeeh.” Henrik waved his hand. “It’s yust a demonstration.” Henrik mentioned. 

Jackie smirked and poked Henrik’s belly in response. 

This just made Henrik jump and sit up super quickly. “HeY-” Henrik lightly punched Jackie’s shoulder, which made the superhero laugh. 

“Sorry, sorry. Couldn’t resist.” Jackie admitted with a giggle. 

“Alright everyone, stop what you’re doing.” The teacher said. 

“Aw man…” Jackie muttered. 

Henrik got up onto his feet. “It’s time to go back to your seats and begin learning about medical conditions and assistive devices like inhalers and EpiPens.” She told the class. 

Jackie and Henrik sat at their tables again, and continued to pay attention as the teacher moved onto the next thing. The teacher went over the assistive devices before telling them what they would learn the next day. After the class, the teacher gave the students all tests. If they pass the test, then they earn their first part of the certificate. And once they finished the test, they were free to go. Jackie and a few others finished their tests early, meaning they could go home early. When Henrik finished his test, he handed it to the teacher and let her mark it. “Thank you, Henrik.” She said before going over the test. It didn’t take long for the teacher to mark it, and tell Henrik that he passed. “Congratulations, Henrik. You can go home now. See you tomorrow.” She said with a smile. 

Henrik nodded and waved to her before leaving the room. He left the building through the front door, and started to walk to his car. But the man paused when he felt a tap on his shoulder. He turned around to see who it was, but found there was no one. But Henrik wasn’t stupid. He looked up and turned around enough to find Jackie flying in the air above him. “Vell look who it is.” Henrik said. 

“Finally finished, doc?” Jackie teased. 

“Ja. Vhy are you still here?” Henrik asked. 

“Because maybe I wanted to wait for my new friend!” Jackie reacted. 

Henrik raised an eyebrow. “You…vant me to be your friend?” Henrik asked. 

Jackie shrugged his shoulders. “Only if you want to be.” Jackie explained. 

Henrik slowly smiled and shrugged his shoulders. “Okay.” Henrik replied. “See you tomorrow?” He asked. 

“Right-o!” Jackie replied. 

“Okay.” Henrik hopped into his car and closed the door. “Tschüss.” Henrik said. 

“Gute Heimfahrt!” Jackie replied before flying away. 

Henrik had to do a double-take when he heard Jackie. Did he just speak almost-perfect German?! 

Henrik quickly looked out the window, and opened his car door, hoping to catch him again. But he was gone…Completely gone. Nowhere to be found. It was…a little freaky, to be honest. 

Henrik blinked and looked down. How did Jackie know German?! And…how much German did he know?! Does he know the basics? Or a lot more than that? And why did he wait until NOW to speak his native tongue?! Henrik now had to wait until tomorrow to ask these questions. 

[littleelectric]

Y'all go look at how to do the self Heimlich maneuver please. Just so you know. Or better yet get yourself one of those choking rescue devices. Just had a scare with my mother and I am not tall enough to do the Heimlich on her and she didn't understand when I was trying to get her to do it herself in the middle of choking. Because ya know she was busy not having air so it's understandable. My sister came to the rescue and we didn't break any ribs but jesus it was scary.

[askdaisydandfriemly]

I forgot how to breathe

Nurse Shea Butter to the rescue!

Thanks for the ask, @thedumbguywithaheart43 !

[megankoumori]

Took a First Aid Class for work

[nyc-uws]

How to Survive Choking When Alone

*

[kme-2020]

6

I walked into our living room, watching as you scribbled something on a piece of paper and folded it before placing it inside a bowl. I placed two glasses of red wine on the coffee table. I knew that this meant, and I felt my cheeks flush. I sat beside you and rubbed your back. “So, what’s the plan for tonight?” I asked. Your green eyes meet mine and you smirk, “to be determined, but it’s your turn to find out, pick two” you say, gesturing to the pieces of folded paper in the bowl. I select two pieces and unfold them. They read:

“one stethoscope” and “choking RP”

I loved resus play and you were a cardiophile- a perfect pairing. “What else was an option tonight?” I asked, curios. You unfold the remaining pieces one by one: “rescue breathing” “two stethoscopes” “vibrator” “CPR RP” “Ryan’s choice” “drowning RP” and “Claire’s choice”.

I smile and look at you. You take another sip of wine and smile back, a gentle laugh escaping your lips before saying “your turn to be the victim too, lucky lady”. My eyes lower to his chest and I place a hand over your heart, recalling last time when Ryan was the victim and I was the rescuer. I loved pumping his chest, the way the intensity of the compressions built, the feeling of elation when we both reached our max. “I really liked the two stethoscopes last time” I said. It has been a big turn on for Ryan to know he was listening to my heart while I listened to his. I found it quite sexy too, to hear his body react to my performance. Ryan smirked and replied “I’ll make sure you like the Heimlich maneuver tonight”. My face flushed- Ryan knew I was partial to abdominal thrusts.

I got to my feet and made my way to our bedroom. “Any requests…” I trailed off, raising my eyes brows. You bit your lip, considering. “No, I don’t think so…maybe something black?” I nod and slip into our room. I quickly put on a black satin slip. I take my blonde hair out of its bun and shake it out.

I hear Ryan approaching and I sit on the edge of the bed, ready. You enter, wearing only your boxers. You lean in for a kiss and I breathe in your scent- cologne mixed with red wine. We linger here and I feel tipsy from both the wine and the anticipation of what was coming next.

I pull away from Ryan and search his face, and he nods, ready. I take several deep breaths, purposely arching my chest in his direction before I wrap my hands around my throat and and let out a strangled cough. You stand up and appraise me. I cough again and clutch my chest, feigning an airway obstruction. I let out a wheeze and gesture to my throat, opening and closing my mouth silently. You place a hand on my chest and another on my shoulder. “Keep coughing” your low voice commands me. I nod and play along, gasping for air, my hands still at my throat. You pull me to my feet and position yourself beside me. You lean me forward and settle your hand in between my shoulder blades. A firm back blow rocks me forward and I stumble slightly, letting you support some of my weight. You strike my back again as I gagged.

You move behind me and run your hands down to my crotch but tease me by quickly repositioning your hands for the Heimlich maneuver. Your strong arms wrapped around my waist, holding me tight before thrusting them in and up into my abdomen. A real grunt escapes my lips and I let my head fall back onto your shoulder, lolling with each thrust. I feel warmth building between my legs and the start of a heady rush. Each thrust sends me closer to the edge. “Harder” I manage to gasp, and you follow my command. I am lifted slightly off the ground as you thrust into my abdomen again and I moan with pleasure. I close my eyes and enjoy the feeling as you continue to work on me, eventually doing the Heimlich maneuver with such force that if I were choking for real, it may have actually dislodged an airway obstruction. I let myself to limp after a particularly strong thrust and we fall into bed. I’m face down and you pause to grab my ass, temporarily distracted. You then pull me onto my my hands and knees, your hands circling around my waist once again. You resume abdominal thrusts, and I swoon. I love the feeling as your strong fists press deep into me. First slow and sensual, then building in frequency and intensity, my breath exhaling sharply with each thrust. I raise one hand and rest it on your fists circled around my waist. You pull me off of all fours into a kneeling position, my back flat against your stomach. I can feel your cock growing hard as you grind against my ass while delivering another abdominal thrust. I moan with pleasure as our bodies continue this dance-you’re grinding in synch with each abdominal thrust. I lean back into you, dropping my arms at my sides and gripping your thighs, enjoying the feeling as you compressed my diaphragm and forced air out of my lungs.

Slowly your focus shifts to grinding only and I lean forward onto all fours again. You grind so hard I am pushed onto my stomach and lie there, gasping for breath. I feel your breath at the back of my neck as you whisper “I need to check your airway”. I grin as you swing yourself off of me and roll me onto my back. We lock eyes, your hand cupping my face, strands of my blonde hair stuck to my flushed cheeks. You brush my hair aside and lean in for a kiss and I kiss back with equal force. Our lips part and you turn your head, my breath causing strands of your dark hair to move back and forth.

You grab my wrist in your hand, feeling my pulse throb against your fingertips. You kiss my wrist and move your hands to my neck, feeling my pulse there. “Hmm…” you mutter, leaning in to press your lips to my neck, kissing your way down to my collarbone. Your hands move down my body next, pausing at my breasts, then my hip bones, and finally at my femoral pulse point, feeling my pulse beat strong.

I grab the stethoscope from the bedside table and put the tips in my ears and press the bell to your chest. Your heart is racing too, and I know you’re hard. You place your hand over mine on your chest, your other hand again finding my wrist and feeling my pulse as you close your eyes. We enjoy this for a moment, and I sigh.

Your eyes open and you move the bell to my chest, and my heartbeat fills my ears. You watch for a moment as I listen to my own heart. “Here” I say as I remove the ear pieces and pass them to you. You slip them into your ears and I keep the bell pressed to my chest. I move it around my bare chest a few times, watching your face, never breaking eye contact. A mischievous look comes across your face and you straddle my hips, stethoscope still in your ears listening to my heart.

You begin thrusting and grinding in synch with my heartbeat, causing my heart rate to increase slightly. I gasp in pleasure, my back arching. The stethoscope slides from my chest but you grab it and press it firmly to my chest again. I run my hands up and down your strong arms as you interlock your hands and nestle them between my breasts and begin gentle chest compressions. A tiny “huff” escapes from me each time you compress my chest. I feel my belly rippling against your thighs with each compression. I unsuccessfully stifle a moan as you again grind in synch with my pulse while simultaneously compressing my chest.

We continue like this for some time before you dismount me and lay beside me in bed. We’re both breathless as we take turns listening to each others hearts. “Thanks for saving me, babe” I joke, pressing my body against yours. “Anytime Claire” you say, wrapping your arms around me, “and I can’t wait for next time” you whisper in my ear.

[themovementgeneration]

Man i miss minecraft... me & steve go way back

quik maeths

I still dont get it, but they look like chalkolate so by default either im dying or lying, either way white chalkolate still chocolate. I get that 2 piece at popeyes, with a pair of skull candies.

I ask for peazza they give me applejuice and Cranberrie juice. These footnotes are disgusting bleh.Jak 3 was crayz though back in the day

I still dont get Charlotte's Web or the Color Purple. my grandmother got type 2 diabetes with O negative blood while im AB positive shiet doesnt add up smh...what is the kaws

EA SPORTZ ITS IN DA GAME. OH NO LOOK IT MAYO. mhmm turkey sandwhiches have a nigga remminiscing bout collagen/thanksgiving & boomerangs...

Mhmm when life gives you apples make limeade

Venom fiendin for candy like numbah 5 from kids next door

[allthegoodbobdylanlyricsaretaken]

Just recently got my own BLS license renewed, this question came up! If the person is too large for you to wrap your arms around their waist, you wrap their arms around their chest and perform chest thrusts instead. This goes double for pregnant women.

I'm not sure what the protocol is if you cannot wrap your arms around their chest either. I would assume back slaps, its not as effective but at least you're helping somehow.

What I do know is that, in the worst case scenario, if a choking patient falls unconscious you will begin chest compressions immediately, and check the airway for visible blockage.

I'm saddened your BLS trainers didn't tell you about this, but not entirely surprised. When I was getting my renewal after working at volunteer EMS organization, I was really shocked how lax they were about stuff. They really should have higher standards.

This is not like a fully completed thought but yk

So I've done my first aid + CPR a few times. And every single time I try and bring up scenarios for fat folks

Specifically like 'what if someone is too large for me to wrap my arms around then to do the heimleich'

And its incredibly rare I get a decent answer.

How absolutely insane is it that me, as a fat person, is asking how to have MY life saved or to save ANOTHER life, is an impossible feat if someone is fat.

Most of the time they tell me to 'just try anyways uwu'

There has got to be a better option.

Edit: as this post is huge now, I'm begging you all to check the notes!!! There's tons of visuals, videos and even sources in there

It's been great seeing everyone band together with their own tips and tricks so it's really worth it to check the notes

[alarminglybad]

YOUR NEW HEAVYWEIGHT MEDICAL PROFESSIONAL CHAMPION

[bigcatbulges]

Source - Komboochie (CursedMark)

(Artist's Patreon and Telegram for art)

[itsrainingbubbles]

Law and Luffy meeting in a modern au because Luffy choked on a piece of food and law did the heimlich maneuver on him

Idk where it goes from there I just know that's how it starts

[smilesrobotlover]

It was really 4 minutes and 43 seconds but who’s timing this right?

[hospitalhelper]

Great force on the pull, should place hands a bit lower below the ribcage but that is small when good force is applied.

Good alternating between abdominal thrusts and back blows.

Good striking location for back blows and good amount. Use more force, you're not comforting a buddy who breathed a little of his drink you're trying to save a life. Wind up and hit like you mean to knock a vertebra forward.

All in all anything that works works though. Save a life and worry about efficiency and technique once breathing starts up again.

Man saves a kid's life at work with the Heimlich Maneuver. (VIA)

Learn to perform the Heimlich Maneuver.