Choking is a common emergency problem. The Heimlich maneuver is unquestiona
bly effective in relieving airway obstruction. Serious and life-threatening
complications may arise, however, if the maneuver is applied incorrectly.
Two cases of gastric rupture after Heimlich maneuver are reported. Lay publ
ic, paramedics and the medical professionals should be educated with the co
rrect technique of Heimlich maneuver and its potential complications. All p
atients receiving Heimlich maneuver should be examined by an experienced ph
ysician.