New York State Basic Emergency Medical Technician (EMT-B) Practice Exam

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During infant 2 rescuer CPR, what is the appropriate hand placement?

  1. Heel of one hand on the chest

  2. Fingers on the lower abdomen

  3. 2 thumbs encircling hands in the center of the chest

  4. Flat palm on the left side of the chest

The correct answer is: 2 thumbs encircling hands in the center of the chest

The appropriate hand placement for infant CPR when using the two-rescuer technique is the two thumbs encircling hands in the center of the chest. This method is specifically designed for infants because it allows for effective compressions while minimizing the risk of injury due to the smaller size and more delicate structure of an infant's chest. By using the two thumbs to apply pressure, the rescuers can maintain a more stable and consistent force directly over the heart. This hand placement also enables better coordination between the two rescuers: one can provide compressions while the other manages the airway and provides breaths. The encircling technique ensures that both thumbs are used effectively, optimizing the compression depth and allowing for a rapid, rhythmic pattern that is crucial for effective CPR in infants. This method contrasts with other techniques that may be utilized for adult CPR or single-rescuer infant CPR, which emphasizes the need for adaptations based on the age and size of the patient being treated.