During the Heimlich maneuver, where are the inward and upward thrusts directed?

The inward and upward thrusts during the Heimlich maneuver are directed between the xiphoid process and above the umbilicus. This position is optimal as it targets the diaphragm and creates pressure in the abdominal cavity, which helps expel an object blocking the airway.

It is important to place the hands in this area to ensure that the thrusts are effective. Thrusts directed too high, for instance at the xiphoid process or below the sternum, might not generate sufficient upward force to generate the necessary pressure for dislodging an obstructing object. Thrusts directed too low may not effectively compress the diaphragm, which is crucial for generating the high-pressure expiratory force needed during the maneuver. Therefore, correct placement just above the umbilicus allows for maximum effectiveness in clearing the airway obstruction.