NREMT Advanced EMT

Category - Medical Knowledge

Abdominal thrusts are considered the most effective way to clear an obstructed airway in adults or children over the age of one. All of the statements below are true of abdominal thrusts to a responsive patient except one. Which statement about abdominal thrusts is incorrect?
  1. Position yourself behind the patient and place one fist just above the patient’s navel (thumb toward abdomen)
  2. Use your second hand to grip the fist on the patient’s abdomen and deliver inward and upward thrusts
  3. Deliver one to five thrusts in quick, rapid succession
  4. Look for signs of the object being cleared, such as the patient coughing or speaking
  5. If the object is not cleared, direct someone to call 9-1-1 and begin CPR
Explanation
Answer - E - All of the steps described related to the process of delivering abdominal thrusts to a patient with an obstructed airway except for attempting CPR on a responsive patient. Abdominal thrusts should be repeated in sets of one to five thrusts until the object is cleared or the patient becomes unresponsive. At that time, the paramedic should direct someone to call 9-1-1 and begin CPR. It is important to note that abdominal thrusts are not recommended on infants (under the age of 1). Infants should be treated using a combination of chest thrusts and back slaps.
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