Developed in 1974 by Dr. Henry Heimlich, a Cincinnati, Ohio thoracic surgeon, the Heimlich maneuver has become the standard response for treating choking victims. While it has inarguably saved millions of lives in the past five decades, it does carry some risk if not performed correctly. Those risks include broken ribs, internal injuries, ruptured organs, or extreme pain and injury if performed on someone who is not actually choking. Proper training in the Heimlich maneuver technique from a certified instructor is highly recommended before attempting to perform it on a choking victim.