Advanced Emergency Medical Technician (AEMT) Practice Test

Why is it critical to perform hard chest compressions?

1. Shallow compressions will be ineffective

2. The risk of vomiting is minimized

3. Harder compressions reduce the risk of hyperventilation

4. Deep compressions reduce the risk of injury

The correct answer is: Shallow compressions will be ineffective

Performing hard chest compressions during cardiopulmonary resuscitation (CPR) is essential because shallow compressions are indeed ineffective in generating adequate blood flow to the heart and brain. Deep compressions create the necessary pressure to circulate blood through the heart's chambers and vital organs. When compressed properly, the heart can effectively eject blood, which is vital for maintaining perfusion and oxygenation during cardiac arrest. Cardiac physiology dictates that each compression must sufficiently lower and then return the chest wall to facilitate venous return, making the depth and force of the compressions critical for achieving an effective cardiac output. It is well recognized in emergency medical practices that the quality and depth of chest compressions directly influence survival rates in cardiac arrest cases. Thus, ensuring compressions are hard (typically at least 2 inches deep in adults) optimizes the chance of successful resuscitation.