July 20, 2006

ROTARY MOMENTS
E.J. Paul shared a "Rotary Moment" with the club.

Rotary was founded in Chicago, Illinois on February 23, 1905 by Paul P. Harris, a lawyer. On that day Paul met with three friends – Sylvester Schiele a coal dealer, Gustavus E. Loehr, a mining engineer, and Hiram E. Shorey, a merchant tailor.

Originally, Paul Harris’s idea was to promote fellowship among business acquaintances, but soon the purpose evolved into a higher calling, that of service to others. The first club met in rotation at the offices of the members; ergo the name ROTARY.

In 1911 Rotary became international, establishing clubs in Canada, England and Ireland. The first international convention was held in Atlanta in 1917.

Currently there are more than 30,000 Rotary Clubs around the world. Total Rotary membership is more than 1.2 million men and women.

AUCTION
Jimmy Horowitz auctioned: a painting, affectionately named, Moses With A Cell Phone (Jim Buividas); a riverboat needlework and fabric painting (Richard Lees); Rotary plaque (E.J.Paul).

STRIKE OUT HUNGER
Marv mentioned a few tickets are still available for Strike out Hunger night. The date is August 16th-- Phils vs the Mets. Play Ball!

August 17th, 8am--Rotary International Breakfast at the Crown Plaza Hotel on Route 70, Cherry Hill (formerly the Hilton). Speaker will be the current Rotary Foundation President--Luis Gia from Argentina.

SOFTBALL GAME
GSR vs Haddonfield in a rousing game of softball, July 27th, 6pm. Game to be played at Scout Field in Haddonfield located on Centre Street, Come support our players, cheer them on to victory. Practice is at the field on Monday, July 24th

EXCHANGE STUDENTS
Adam Majoros (milanello2@freemail.hu) will be our new exchange student. He is fifteen, currently resides in Hungary and will begin his school year here in the States with the Pang family. Adam will reside with two other families before his 2006-2007 school year is completed. He is expected to arrive the third or fourth week of August. Ilean suggested that we welcome him with email messages from members in our group before his arrival.

CLOTHING DRIVE
Alan Stein mentioned the clothing drive for "Image and Attitude." All used clothing should be dry cleaned before being donated. The "new" used clothing will provide individuals seeking jobs the opportunity to arrive at job interviews in professional attire. More details of the drop-off location, date, and time to follow.

CLASSIFICATION TALKS
Speakers last week were Roseanne Myers and Dotti Hammill. Rosanne spoke to the group on the importance of learning CPR and the Heimlich maneuver.

Heimlich maneuver

Definition

The Heimlich maneuver is an emergency procedure for removing a foreign object lodged in the airway that is preventing a person from breathing.

Purpose

Every year about 3,000 adults die because they accidentally inhale rather than swallow food. The food gets stuck and blocks their trachea, making breathing impossible. Death follows rapidly unless the food or other foreign material can be displaced from the airway. This condition is so common it has been nicknamed the "cafe coronary."

In 1974 Dr. Henry Heimlich first described an emergency technique for expelling foreign material blocking the trachea. This technique, now called the Heimlich maneuver or abdominal thrusts, is simple enough that it can be performed immediately by anyone trained in the maneuver. The Heimlich maneuver is a standard part of all first aid courses.

The theory behind the Heimlich maneuver is that by compressing the abdomen below the level of the diaphragm, air is forced under pressure out of the lungs dislodging the obstruction in the trachea and bringing the foreign material back up into the mouth.

The Heimlich maneuver is used mainly when solid material like food, coins, vomit, or small toys are blocking the airway. There has been some controversy about whether the Heimlich maneuver is appropriate to use routinely on near-drowning victims. After several studies of the effectiveness of the Heimlich maneuver on reestablishing breathing in near-drowning victims, the American Red Cross and the American Heart Association both recommend that the Heimlich maneuver be used only as a last resort after traditional airway clearance techniques and cardiopulmonary resuscitation (CPR) have been tried repeatedly and failed or if it is clear that a solid foreign object is blocking the airway.

Precautions

Incorrect application of the Heimlich maneuver can damage the chest, ribs, and internal organs of the person on whom it is performed. People may also vomit after being treated with the Heimlich maneuver.

Description

The Heimlich maneuver can be performed on all people. Modifications are necessary if the choking victim is very obese, pregnant, a child, or an infant.

Indications that a person's airway is blocked include:

  • The person can not speak or cry out.
  • The person's face turns blue from lack of oxygen.
  • The person desperately grabs at his or her throat.
  • The person has a weak cough, and labored breathing produces a high-pitched noise.
  • The person does all of the above, then becomes unconscious.

Performing the Heimlich maneuver on adults

To perform the Heimlich maneuver on a conscious adult, the rescuer stands behind the victim. The victim may either be sitting or standing. The rescuer makes a fist with one hand, and places it, thumb toward the victim, below the rib cage and above the waist. The rescuer encircles the victim's waist, placing his other hand on top of the fist.

In a series of 6-10 sharp and distinct thrusts upward and inward, the rescuer attempts to develop enough pressure to force the foreign object back up the trachea. If the maneuver fails, it is repeated. It is important not to give up if the first attempt fails. As the victim is deprived of oxygen, the muscles of the trachea relax slightly. Because of this loosening, it is possible that the foreign object may be expelled on a second or third attempt.

If the victim is unconscious, the rescuer should lay him or her on the floor, bend the chin forward, make sure the tongue is not blocking the airway, and feel in the mouth for foreign objects, being careful not to push any farther into the airway. The rescuer kneels astride the victim's thighs and places his fists between the bottom of the victim's breastbone and the navel. The rescuer then executes a series of 6-10 sharp compressions by pushing inward and upward.

After the abdominal thrusts, the rescuer repeats the process of lifting the chin, moving the tongue, feeling for and possibly removing the foreign material. If the airway is not clear, the rescuer repeats the abdominal thrusts as often as necessary. If the foreign object has been removed, but the victim is not breathing, the rescuer starts CPR.

Performing the Heimlich maneuver under special circumstances

OBVIOUSLY PREGNANT AND VERY OBESE PEOPLE

The main difference in performing the Heimlich maneuver on this group of people is in the placement of the fists. Instead of using abdominal thrusts, chest thrusts are used. The fists are placed against the middle of the breastbone, and the motion of the chest thrust is in and downward, rather than upward. If the victim is unconscious, the chest thrusts are similar to those used in CPR.

CHILDREN

The technique in children over one year of age is the same as in adults, except that the amount of force used is less than that used with adults in order to avoid damaging the child's ribs, breastbone, and internal organs.

INFANTS UNDER ONE YEAR OLD

The rescuer sits down and lays the infant along his or her forearm with the infant's face pointed toward the floor. The rescuer's hand supports the infant's head, and his or her forearm rests on his or her own thigh for additional support. Using the heel of the other hand, the rescuer administers four or five rapid blows to the infant's back between the shoulder blades.

After administering the back blows, the rescuer sandwiches the infant between his or her arms, and turns the infant over so that the infant is lying face up supported by the opposite arm. Using the free hand, the rescuer places the index and middle finger on the center of the breastbone and makes four sharp chest thrusts. This series of back blows and chest thrusts is alternated until the foreign object is expelled.

SELF-ADMINISTRATION OF THE HEIMLICH MANEUVER

To apply the Heimlich maneuver to oneself, one should make a fist with one hand and place it in the middle of the body at a spot above the navel and below the breastbone, then grasp the fist with the other hand and push sharply inward and upward. If this fails, the victim should press the upper abdomen over the back of a chair, edge of a table, porch railing or something similar, and thrust up and inward until the object is dislodged.

Preparation

Any lay person can be trained to perform the Heimlich maneuver. Knowing how may save someone's life. Before doing the maneuver, it is important to determine if the airway is completely blocked. If the person choking can talk or cry, Heimlich maneuver is not appropriate. If the airway is not completely blocked, the choking victim should be allowed to try to cough up the foreign object on his or her own.

Aftercare

Many people vomit after being treated with the Heimlich maneuver. Depending on the length and severity of the choking episode, the choking victim may need to be taken to a hospital emergency room.

Risks

Incorrectly applied, the Heimlich maneuver can break bones or damage internal organs. In infants, the rescuer should never attempt to sweep the baby's mouth without looking to remove foreign material. This is likely to push the material farther down the trachea.

Normal results

In many cases the foreign material is dislodged from the throat, and the choking victim suffers no permanent effects of the episode. If the foreign material is not removed, the person dies from lack of oxygen.

Diaphragm

The thin layer of muscle that separates the chest cavity containing the lungs and heart from the abdominal cavity containing the intestines and digestive organs.

Trachea

The windpipe. A tube extending from below the voice box into the chest where it splits into two branches, the bronchi, that lead to each lung.

For Your Information

Books

* "Heimlich Maneuver." In Everything You Need to Know About Medical Treatments. Springhouse, PA: Springhouse Corp., 1996.

Periodicals

* Dworkin, Gerald "The Heimlich Maneuver Controversy in Near-Drowning Resuscitation." Parks and Recreation 32, no. 11 (Nov. 1997): 16.

Organizations

* American Heart Association. 7320 Greenville Ave. Dallas, TX 75231. (214) 373-6300. http://www.americanheart.org

Source: Gale Encyclopedia of Medicine, Published December, 2002 by the Gale Group

DOTTI HAMMILL
Dotti Hammill is our newest bride, married last month, June 10th to Vince Schnell. She has been in the banking industry for forty years.

Currently she works for Liberty Bell Bank. Has one daughter, Janice who is thirty five years of age and mother of a 14 and a 2 year old. Dotti and Vince together share a total of eight grandchildren. She wanted us all to know how much she "loves Rotary." Prior to joining GSR she was a member of Mt. Laurel Rotary.


July Birthdays
Marv Axler July 23

Today's Speaker: TBA