Emergency Medical Technician (EMT) Basic Certification Practice Exam

What does see-saw breathing indicate in pediatric patients?

1. Normal respiratory health

2. Severe respiratory distress

3. Improvement in respiratory function

4. Minimal respiratory effort

The correct answer is: Severe respiratory distress

See-saw breathing in pediatric patients, also referred to as paradoxical breathing, is characterized by a noticeable movement where the abdomen and chest rise and fall in opposite directions during inhalation and exhalation. This type of breathing indicates that the child is experiencing severe respiratory distress. In healthy respiratory function, the chest and abdomen move in a coordinated manner, allowing for effective air exchange. However, when a child is in respiratory distress, the muscles that typically aid in breathing, such as the diaphragm, may become ineffective due to fatigue or obstruction. As a result, the body may revert to using compensatory mechanisms that can cause the chest and abdomen to move asymmetrically. At the point of see-saw breathing, the pediatric patient is likely struggling significantly for air, indicating a critical level of respiratory compromise that requires immediate medical attention. Therefore, observing see-saw breathing should prompt EMTs and other medical personnel to assess the situation further and take appropriate action to manage the patient's airway and oxygenation needs.