We are a commune of inquiring, skeptical, politically centrist, capitalist, anglophile, traditionalist New England Yankee humans, humanoids, and animals with many interests beyond and above politics. Each of us has had a high-school education (or GED), but all had ADD so didn't pay attention very well, especially the dogs. Each one of us does "try my best to be just like I am," and none of us enjoys working for others, including for Maggie, from whom we receive neither a nickel nor a dime. Freedom from nags, cranks, government, do-gooders, control-freaks and idiots is all that we ask for.
At dinner last night, with my lad, we observed the bartender administer the Heimlich Maneuver, successfully, to a person choking on a bite of steak. Seemed like quite a coincidence with our Heimlich post yesterday.
Turned out that the bartender, Manuel, is a part-time EMS guy and had performed this a number of times. Perhaps everybody thinks they know how to do it, but it doesn't hurt to review it all. Of course, the trick is to determine whether choking is a person's emergency, or whether it is something else.
They call choking a "Cafe Coronary" for good reason. Can look like a bad heart attack. Choking can kill you quicker than a heart attack.
As a former executive chef, and current RN, I
have done this twice. Determine first if the
person can say anything. If so, don't do it.
Next, it requires a lot of force, A LOT. And
may have to be done several times.
My (then pregnant) wife did it to me once.
There is a lot of adrenaline involved!
As for the tipping question- nada, you just
gave him a great story, and made him a hero.
To be picky, the procedure described is a crycothyroidotomy rather than a tracheotomy. It is a desperate procedure but it is much less risky than attempting the procedure lower, where the surgical tracheotomy is usually performed.
I once heard a surgeon say, "A tracheotomy is not an emergency procedure". The point was that a cryco stick is for immediate airway help and a tracheotomy is for long-term management of airway problems.
Persons with permanent damage to their breathing centers often have a permanent tracheotomy even though their airways are open because the ventilator has to go somewhere and the mouth provides only a temporary route. This was part of Christopher Reeves' treatment regimen.
When I was an Air Force medic, I was trained in the cryco procedure but you didn't want to be the person I had to try it on.