Red Cross Lifeguard Practice Test

When giving abdominal thrusts to an adult who is choking, where should your fist be positioned?

1. In the center of the breastbone

2. In the middle of the abdomen, just above the navel

3. In the middle of the abdomen, just below the navel

4. On the rib cage

The correct answer is: In the middle of the abdomen, just above the navel

The correct positioning of your fist when administering abdominal thrusts to an adult who is choking is crucial for the effectiveness of the maneuver. In this case, the recommended position is in the middle of the abdomen, just above the navel. This placement is ideal as it allows for the thrusts to generate the maximum amount of pressure in the abdominal area, which can help to expel the obstructing object from the airway. Placing the fist just above the navel ensures that the thrust can push upward into the diaphragm and create enough force to force air rapidly from the lungs, potentially dislodging whatever is causing the blockage. Other options suggest locations that are not as effective for delivering the thrusts. For instance, the center of the breastbone would not facilitate the upward force necessary to clear the airway, and areas below the navel or on the rib cage may not provide the right leverage or pressure needed to safely dislodge the obstruction. Therefore, positioning your fist just above the navel is the best practice for executing abdominal thrusts in a choking emergency.