EMT-B Chapter 35 – Lifting and Moving Patients

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In order to facilitate a safe and coordinated move, the team leader should:

use preparatory commands to initiate any moves.

The proper technique for using the power grip is to

lift with your palms up

The direct carry is used to transfer a patient:

from a bed to the ambulance stretcher

Prior to applying medical restraints to a combative patient, you should:

evaluate the patient for potentially correctible cause of combativeness, such as head injury, hypoxia, or hypoglycemia

It is essential that you ____________ your equipment to prevent the spread of disease.

decontaminate

Which of the following statements regarding an emergency patient move is correct?

An emergency move is performed before the primary assessment and treatment.

A folding or portable stretcher is MOST beneficial when:

a second patient must be transported on the squad bench of the ambulance

The _________ is both the mechanical weight-bearing base of the spinal column and the fused central posterior section of the pelvic girdle.

sacrum

What is the MOST appropriate method to use when moving a patient from his or her bed to the wheeled stretcher?

draw sheet method

Which of the following statements regarding the neonatal isolette is correct?

The isolette serves to keep the neonate warm and protects from excess handling

Which of the following statements regarding patient weight distribution is correct?

The majority of a horizontal patient’s weight is in the torso

Which of the following statements regarding the scoop stretcher is NOT correct?

A scoop stretcher will provide adequate immobilization of a patient’s spinal column

When moving a conscious, weak patient down a flight of stairs, you should:

place the wheeled stretcher at the bottom of the stairs and carry the patient down the stairs with a stair chair.

The extremity lift would NOT be appropriate to use on a patient:

with a deformed humerus

With proper technique, you and your partner should be able to safely lift a patient who weighs up to ______ lb.

220

Which of the following conditions or situations presents the MOST unique challenge to the EMT when immobilizing an elderly patient on a long backboard?

abnormal spinal curvature

Upon arriving at the scene of a motor vehicle crash, you find a single patient still seated in his car. There are no scene hazards. As you approach the vehicle, you note that the patient is semiconscious and has a large laceration to his forehead. You should:

direct your partner to apply manual in-line support of the patient’s head

To avoid injury when pushing a patient or other object, you should

avoid pushing the patient with your elbows fully extended.

The MOST appropriate carrying device to use when moving a patient across rough or uneven terrain is the:

basket strecher

Which of the following MOST accurately describes the correct position of the EMTs who are executing the diamond carry technique?

one at the head, one at the feet, and one on each side of the patient’s torso

Which of the following situations would require an urgent patient move?

semiconscious patient with shallow respirations and signs of shock

An EMT may injure his or her back, even if it is straight, if the

back is bent forward at the hips.

You and your partner enter the residence of an elderly couple, both of whom are found unconscious in their bed. There is no evidence of trauma. As you begin your assessment, you and your partner notice the smell of natural gas in the residence. Which of the following should be your MOST appropriate action?

Rapidly remove the patients from their residence using a blanket or clothes drag

Which of the following statements regarding the power lift is correct?

It is the safest and most powerful method of lifting a patient.

Which of the following is the MOST appropriate device to use when immobilizing a patient with a suspected spinal injury?

long backboard

To minimize the risk of injuring yourself when lifting or moving a patient, you should:

keep the weight as close to your body as possible.

When using a body drag to pull a patient who is on the ground, you should

kneel to minimize the distance that you will have to lean over

The MOST serious consequence of a poorly planned or rushed patient move is:

injury to you or your patient.

Which of the following steps is NOT proper procedure when performing an emergency move?

lifting the patient by the belt to move him or her

You have two patients who were involved in a motor vehicle crash when their SUV struck a tree—one with neck and back pain, and the other with a deformed left femur. The patient with the deformed femur states that he does not want to be placed on a hard board, nor does he want a collar around his neck. What is the MOST appropriate and practical method of securing these patients and placing them into the ambulance?

Immobilize the patient with neck and back pain on a long backboard and place him on the wheeled stretcher; place the patient with the deformed femur on a folding stretcher secured to the squad bench

An 81-year-old female fell and struck her head. You find the patient lying on her left side. She is conscious and complains of neck and upper back pain. As you are assessing her, you note that she has a severely kyphotic spine. What is the MOST appropriate method of immobilizing this patient?

Leave her on her side and use blanket rolls to immobilize her to the long backboard.

The FIRST rule of safe lifting is to:

keep your back in a straight, vertical position.

When a person is standing upright, the weight of anything being lifted and carried in the hands is FIRST reflected onto the:

shoulder girdle

In which of the following situations would a direct ground lift be the MOST appropriate method of moving a patient?

a conscious patient complaining of abdominal pain

Situations in which you should use the rapid extrication technique include all of the following, EXCEPT:

a patient who can be properly assessed while still in the vehicle

In which of the following situations is an emergency patient move indicated?

The EMT is unable to protect the patient from scene hazards.

A 56-year-old female is found supine in a narrow hallway of her mobile home. She complains of severe weakness and dizziness, and states that she is unable to walk. There is no evidence of trauma and the patient states that she did not fall. How should you and your partner move this patient to a more spacious area?

extremity lift

General guidelines for carrying a patient on a stretcher include:

constant communication with your partners

You should not attempt to lift a patient who weighs more than 250 lb with fewer than _______ rescuers, regardless of individual strength

four

When carrying a patient up or down stairs, you should avoid:

using a wheeled stretcher whenever possible

An unrestrained patient is sitting in his car after an automobile crash. He is conscious and alert, has no visible trauma, and is complaining of neck and back pain. Before removing him from his car, you should:

apply a cervical collar and immobilize him with a vest-style device

In most instances, you should move a patient on a wheeled ambulance stretcher by:

pushing the head of the stretcher while your partner guides the foot

A critical aspect of the rapid extrication technique is to

maintain stabilization of the spine at all times

When carrying a patient on a backboard up or down stairs

keep the head end elevated

When performing the rapid extrication technique to remove a patient from their vehicle, you should..

apply a cervical collar and remove the patient on a long backboard

When pulling a patient you should extend your arms no more than.

15’" to 20 " in front of your torso

These situations you should use the rapid extrication technique

a patient whose condition requires immediate transport a patient who needs immediate care that requires a supine position a patient who blocks access to another seriously injured patient

you and your partner respond to the scene of a 49 yr old male with acute abdominal pain. as you enter his residence, you find him lying on the floor in severe pain. he is conscious and alert. the patient appears to weigh in excess of 350 pounds your first action should be to?

request additional personnel before making any attempt to lift him

an emt may injure his or her back even if it is straight, if the?

back is bent forward at the hips

In contrast to typical wheeled ambulance stretchers, features of a bariatric stretcher include?

Increased stability due to a wider wheelbase

________ safety depends on the use of proper lifting techniques and maintaining a proper hold when lifting or carrying a patient.
a. your
b. your team’s
c. the patient’s
d. all of the above

d

You should perform an urgent move in all of the following situations except:
a. if a patient has an altered level of consciousness
b. if the patient is complaining of neck pain
c. in extreme weather conditions
d. if a patient has inadequate ventilation or shock

b

You may injure your back if you lift:
a. with your back curved
b. with your back straight, but bent significantly forward at the hips
c. with the shoulder girdle anterior to the pelvis
d. all of the above

d

When lifting, you should:
a. spread your legs past shoulder width
b. lift a patient while reaching far in front of your torso
c. keep the weight that you are lifting as close to your body as possible
d. use your back muscles by bending at the waist

c

Which of the follow statements is false regarding proper lifting?
a. avoid twisting
b. bend at the waist
c. keep the weight close to your body
d. bend at the knees

b

In lifting with the palm down, the weight is supported by the _________ rather than the palm.
a. fingers
b. forearm
c. lower back
d. wrist

a

When you must carry a patient up or down a flight of stairs or other significant incline, use a ___________ if possible.
a. backboard
b. stair chair
c. stretcher
d. short spine board

b

Because of the weight distribution on backboards and stretchers, the stronger the EMTs should be at the:
a. head
b. foot
c. side
d. front corner

a

A backboard is a device that provides support to patients who you suspect have:
a. hip injuries
b. pelvic injuries
c. spinal injuries
d. all of the above

d

Before any lifting is initiated, the team leader should do all of the following except:
a. give a command of execution
b. indicate where each team member is to be located
c. rapidly describe the sequence of steps that will be performed
d. give a brief overview of the stages

a

Special _________ are usually required to move any patient who weighs more than 350 pounds to an ambulance.
a. techniques
b. equipment
c. resources
d. all of the above

d

Which of the follow statements is false regarding the use of a stair chair?
a. keep your back in a locked-in position
b. lean back to help distribute the weight
c. keep the patient’s weight and you arms as close to your body as possible
d. flex at the hips, not at the waist

b

When you use a body drag to move a patient:
a. your back should always be locked and straight
b. you should encourage twisting so that the vertebrae can flex during the move
c. consider hyperextending to gain more leverage
d. drag the patient by the ankles

a

When pulling a patient, you should do all of the following except:
a. extend your arms no more than about 15"-20"
b. reposition your feet so that the force of pull will be balanced equally
c. when you can pull no farther, lean forward another 15"-20"
d. pull the patient by slowly flexing your arms

c

When log rolling a patient, you should do all of the following except:
a. kneel as close to the patient’s side as possible
b. lean solely from the hips
c. reach as far as possible to maintain stability
d. use your shoulder muscles to help with the roll

c

If the weight you are pushing is lower than your waist, you should push from:
a. the waist
b. a kneeling position
c. the shoulder
d. a squatting position

b

If you are alone and must remove an unconscious patient from a car, you should first move the patient’s:
a. legs
b. head
c. torso
d. pelvis

a

Situations in which you should use an emergency move include all of the following except:
a. when fire, explosives, or hazardous materials are present
b. when the patient feels like he or she might pass out
c. when you are unable to gain access to others in a vehicle who need lifesaving care
d. when you are unable to protect the patient from other hazards

b

You can move a patient on his or her back along the floor or ground by using all of the following methods except:
a. pulling on the patient’s clothing in the neck and shoulder area
b. placing the patient on a blanket, coat, or other item that can be pulled
c. pulling the patient by the legs if they are the most accessible part
d.placing your arms under the patient’s shoulders and through the armpits, and while grasping the patient’s arms, dragging the patient backward

c

The _________ is both the mechanical weight-bearing base of the spinal column and the fused central posterior section of the pelvic girdle.
a. lumbar spine
b. sacrum
c. coccyx
d. ileum

c

Which of the following is not an indication for use of the rapid extrication technique?
a. the patient is in severe pain
b. the patient’s condition cannot be properly assessed before being removed from the car
c. the patient blocks access to another seriously injured patient
d. the vehicle or the scene is unsafe

a

To avoid the strain of unnecessary lifting and carrying, you should use _________ or assist an able patient to the stretcher whenever possible.
a. the direct ground lift
b. the extremity lift
c. the draw sheet method
d. a scoop stretcher

b

You should use a rigid _______, often called a Stokes litter, to carry a patient across uneven terrain from a remote location that is inaccessible by ambulance or other vehicle.
a. basket stretcher
b. scoop stretcher
c. molded backboard
d. flotation device

a

You should not attempt to lift a patient who weighs more than ______ without a least four rescuers.
a. 220lbs
b. 230lbs
c. 240lbs
d. 250lbs

d

Which of the following is false regarding the lifting and moving of geriatric patients?
a. many geriatric patients have great fear when being transported
b. most patients will be able to lie supine on a backboard without problems
c. geriatric patients tend to have brittle bones
d. some patients may require you to use towels and blankets to assist with immobilization

b

Bariatrics is:
a. the branch of medicine concerned with the elderly
b. the branch of medicine concerned with the obese
c. the branch of medicine concerned with infants
d. the method used to access blood pressure

b

You have been called to the scene of a high-speed motor vehicle collision involving two compact cars. The first vehicle was a roll-over, ejecting the driver. The second vehicle contained both a driver and a front-seat passenger who cannot be reached because the door is up against a building. What device will you use to put the roll-over victim onto the wheeled ambulance stretcher?
a. extremity lift
b. scoop stretcher
c. short backboard
d. backboard

d

You have been called to the scene of a high-speed motor vehicle collision involving two compact cars. The first vehicle was a roll-over, ejecting the driver. The second vehicle contained both a driver and a front-seat passenger who cannot be reached because the door is up against a building. For the passenger in the second vehicle, you may need to perform a(n) __________ on the driver in order to reach the patient.
a. extremity lift
b. emergency move
c. short backboard
d. you should do nothing different; treat each patient the same

b

You have been called to the scene of a high-speed motor vehicle collision involving two compact cars. The first vehicle was a roll-over, ejecting the driver. The second vehicle contained both a driver and a front-seat passenger who cannot be reached because the door is up against a building. Which of the following is an advantage of the diamond carry?
a. it uses an even number of people (less likely to drop)
b. it can be done with one person, freeing up others for patient care
c. the patient can be slid along the ground
d. it provides the best means of spinal immobilization

a

You have been called to the scene of a high-speed motor vehicle collision involving two compact cars. The first vehicle was a roll-over, ejecting the driver. The second vehicle contained both a driver and a front-seat passenger who cannot be reached because the door is up against a building. You’ll likely use the ________ to transfer the patient from your stretcher to the hospital bed.
a. diamond carry
b. scoop stretcher
c. portable stretcher
d. draw sheet method

d

T/F A portable stretcher is typically a lightweight folding device that does not have the undercarriage and wheel of a true ambulance stretcher.

T

T/F The term "power lift" refers to a posture that is safe and helpful for EMTs when they are lifting.

T

T/F If you find that lifting a patient is a strain, try to move the patient to the ambulance as quickly as possible to minimize the possibility of back injury.

F

T/F The use of adjunct devices and equipment, such as sheets and blankets, may make the job of lifting and moving a patient more difficult.

F

T/F One-person techniques for moving patients should be used only when immediate patient movement is necessary due to a life-threatening hazard and only one EMT is available.

T

T/F A scoop stretcher may be used alone for a standard immobilization of a patient with a spinal injury.

F

T/F When carrying a patient down stairs or on an incline, make sure the stretcher is carried with the head end first.

F

T/F The rapid extrication technique is the preferred technique to use on all sitting patients with possible spinal injuries.

F

T/F It is unprofessional for you to discuss and plan a lift at the scene in front of the patient.

F

T/F Bariatrics is a new field of medicine that deals with the care of the obese.

T

T/F A minimum of five personnel should be present when restraining a combative patient.

T

T/F An isolette is used to transport neonatal patients.

T

T/F The flexible stretcher is the most comfortable of all of the various lifting devices.

F

T/F Pneumatic stretchers were developed to increase patient comfort on the road.

F

T/F The most important feature of the bariatric stretcher is the increased weight-lifting capacity.

T

To avoid injury to you, the patient, or your partners, you will have to learn how to lift and carry the patient properly, using proper __________ _________ and a power grip.

body mechanics

The key rule of lifting is to always keep the back in a straight, ________ position and to lift without twisting.

upright

The safest and most powerful way to lift, lifting by extending the properly placed flexed legs, is called a(n) _______ _________.

power lift

The arm and hand have their greatest lifting strength when facing ________ up.

palm

Be sure to pick up and carry the backboard with your back in the ________ position.

locked-in

You should not attempt to lift a patient who weighs more than _____ pounds with fewer than four rescuers, regardless of individual strength.

250

During a body drag where you and your partner are on each side of the patient, you will have to alter the usual pulling technique to prevent pulling __________ and producing adverse lateral leverage against your lower back.

sideways

When you are rolling the wheeled ambulance stretcher, your back should be __________, straight, and untwisted.

locked

Be careful that you do not push or pull from a(n) ________ position.

overhead

Remember to always consider whether there is an option that will cause ________ ________ to you and the other EMTs.

less strain

The manual support and immobilization that you provide when using the rapid extrication technique produce a greater risk of _________ _________.

spine movement

The ________ ________ _________ is used for patients with no suspected spinal injury who are found lying supine on the ground.

direct ground lift

The _________ ________ ma be especially helpful when the patient is in a very narrow space or when there is not enough room for the patient and a team of EMTs to stand side by side.

extremity lift

The mattress on a stretcher must be _________ ________ so that it does not absorb any type of potentially infectious material, including water, blood, or other body fluid.

fluid resistant

A(n) ________ ________ may be used for patients who have been struck by a motor vehicle.

scoop stretcher

Lifting device that separates into two or four pieces

scoop stretcher

Tubular framed stretcher with rigid fabric stretched across it

portable stretcher

Used for patients who are supine or sitting without an extremity or spinal injury

extremity lift

Specifically designed stretcher that can be rolled along the ground

wheeled ambulance stretcher

Commonly used in technical and water rescues; stokes litter

basket stretcher

Used for patients who are found lying supine with no suspected spinal injury

direct ground lift

Concerned with management of obesity

bariatrics

Used to carry patients up and down stairs

stair chair

Spine board or longboard

backboard

Can be folded or rolled up

flexible stretcher

A(n) ___________ stretcher is a rigid carrying device when secured around a patient but can be folded or rolled when not in use

flexible

A lifting technique in which the EMT’s back is held upright, with legs bent, and the patient is lifted when the EMT straightens the legs to raise the upper body and arms

power lift

A(n) ___________ lift is used for patients who are supine or in a sitting position with no suspected extremity or spinal injuries

extremity

A lightweight folding device that is used to carry a conscious, seated patient up or down stairs

stair chair

A branch of medicine concerned with the management (prevention of control) of obesity and allied diseases

bariatrics

The _________ carry technique involves one EMT at the head end of the stretcher or backboard, one at the foot end, and one at each side of the patient; all are able to face forward as they walk

diamond

A(n) ___________ ambulance stretcher is a specially designed stretcher to be rolled along the ground

wheeled

A device used to provide support to a patient who is suspected of having a hip, pelvic, spinal, or lower extremity injury

backboard

The __________ ground lift is used for patients who are found lying supine on the ground with no suspected spinal injury

direct

A technique in which the litter or backboard is gripped by inserting each hand under the handle with the palm facing up and thumb extended

power grip

In a(n) _________ move, the patient is dragged or pulled from a dangerous scene before assessment and care are provided

emergency

A(n) _________ extrication technique is used to move a patient from a sitting position inside a vehicle to supine on a backboard in less than 1 minute

rapid

A(n) __________ stretcher features a strong rectangular tubular metal frame with rigid fabric stretched across it

portable

A(n) _________ stretcher is commonly used in technical and water rescues

basket

A(n) __________ stretcher is designed to be split into two or four sections that can be fitted around a patient who is lying on the ground or other relatively flat surface

scoop

What are the 6 one-rescuer drags, carries, and lifts?

1. body drag 2. fire fighter’s drag 3. front cradle 4. one-person walking assist 5. fire fighter’s carry 6. pack strap

What are the 7 situations where the rapid extrication technique is used?

1. vehicle/scene is unsafe 2. explosives/HazMat on scene 3. fire 4. patient can’t be assessed before being moved 5. patient needs immediate intervention 6. patient blocks the EMT’s access to other injured patient

What are the 3 guidelines for loading the stretcher into the ambulance?

1. have enough lifting power 2. safe and proper use of stretcher 3. ensure stretcher and patient are secured before driving ambulance

What are the 5 guidelines for carrying a patient on a stretcher?

1. know weight of patient and weight limit of equipment 2. coordinate movements 3. do not twist body while moving patient 4. keep weight close to your body and back locked 5. flex at hips and bend knees

What is the key rule of lifting?

keep your back straight

What patients need special lifting techniques?

Suspected head/spinal injury/shock, pregnant patients, obese patients

Where does force go during a proper lift?

Straight down the spinal column

How far apart should your legs be when lifting?

15"

How far apart should your hands be when doing the power grip?

10"

What is the Illinois law regarding straps on backboards and stretchers?

Three straps on backboards, five on stretchers

How much does a wheeled ambulance stretcher weigh?

40-145 lbs

When should a backboard be used?

Cardiac arrest, must be moved supine, must be immobilized

At what weight must 4 EMTs be used?

250 lbs

When should an emergency move be used?

Potential for danger before assessment/management (fire, explosives, etc.), when the patient’s location prevents assessment

What types of emergency moves can be used to prevent aggravation of potential spinal injuries?

Clothes drag, blanket drag, arm drag, arm-to-arm drag

When should urgent moves be used?

Patient as altered level of consciousness, inadequate ventilation, shock

What is rapid extrication?

Urgent move where patient can be moved in less than 1 minute, could increase damage if there is a spinal injury

When should nonurgent moves be used?

When both scene and patient are stable

When should a direct ground lift be used?

No suspected spinal injury and supine, EMTs by sides

When should an extremity lift be used?

No suspected spinal injury and supine/sitting, helpful when patient is in small place, EMTs – one at head, one at feet

What are the three methods for transporting a patient from bed to stretcher?

Direct carry, draw sheet method, scoop stretcher

What are kyphosis and spondylosis?

Both are spinal curvatures, kyphosis is more severe

What is bariatrics?

Management of obese patients

When would a patient be secured to a stretcher while on a backboard?

Suspected spinal injury, multisystem trauma, in need of CPR

How much weight can a bariatric stretcher hold?

850-900 lbs

What are the different kinds of stretchers?

Flexible stretcher, backboard, basket stretcher, scoop stretcher, stair chair, neonatal isolette

What factors should you consider before lifting or moving patient?

weight patient weighing 250 or more needs 4 rescuers distance moving patient to

Why is knowledge of body mechanics important when lifting + moving patient?

standing upright lifted or carried with hands reflected in shoulder girdle, spinal column, pelvis, then legs. BACK INJURIES occur when your back curved forward @ hips. weight supported by back muscles RULE # 1 Always keep your back in a straight upright (vertical) position + lift without twisting.

Should you + your partner attempt to lift the patient and move hime back to his bed?

No this patient weighs 280 lbs. You need 4 rescuers to equally distribute this weight. Patient is unable to provide assistance you will be lifting dead weight.

What type of carrying device should you use for this patient?

SCOOP STRETCHER split into two sections, slide under patient on each side + reconnect. eliminates need to roll patient. used for patients with hip fractures,brittle bones or moving patient up + down stairs. stabilize + secure patient before moving.

What steps can you take to maximize safety while LIFTING patient?

keep your legs shoulder width apart. keep you back in straight, locked in position. keep weight as close to your body as possible. bend at the knees, not at the waist, when lifting avoid lifting + reaching at same time. avoid twisting your body as you are lifting lift with your palms facing up (power grip) communicate with partner at all times

How is patient’s weight distributed when she is on a carrying device?

important to know patient’s weight to equally distribute it. supine on backboard or scoop stretcher semi-sitting position weight is NOT equal Horizontal 68% to 78% weight in torso so STRONGEST rescuer should be @ HEAD of device.

How will your team safely carry the patient DOWN STAIRS?

Use a stair chair if patient can sit up. use a backboard or scoop stretcher foot end first. two rescuers @ head + 2 rescuers @ feet ensure patient’s weight is equally distributed. one rescuer @ base of stairs to guide + ensure safety. efforts must be coordinated + communication to ensure safety

How can you minimize the risk of injury moving a patient on a WHEELED AMBULANCE STRETCHER?

make sure it is ELEVATED so you don’t have to bend down, increases chance for back injury stretcher is top heavy so hold it firmly when guiding stretcher from FOOT END, arms are held close to your body. do not reach keep elbows flexed + use arm muscles. guiding stretch from HEAD END, push with your arms + bend your elbows so that hands are 12" to 15" in front of torso.

1st Key to Lifting

Always keep your back in upright position + lift without twisting.

Power Lift

safest + most powerful way to lift

Safety of You + Team

depends on lifting techniques maintaining proper hold

What is better than Pushing?

pulling

What happens if you do not have a proper hold?

You will not be able to share the weight may lose grasp of one hand resulting in lower back injury

How should you move a patient?

on a wheeled device If one isn’t available use a stretcher

Why should you coordinate your movement with team?

communicate with them to avoid accidents

What is ideal for lifting?

EMT same height + strength

What must you do to carry a loaded backboard or stretcher up or down stairs?

patient is secured tightly to device to prevent sliding

Which way should you carry the backboard or stretcher?

foot first so patient’s head is elevated

What is important for safe lifting + carrying?

directions + commands

Why should your team anticipate every move?

execute it in a coordinated manner

Who is responsible for coordinating moves?

team leader

How many rescuers should you have?

4

What should you do if weight is greater than what you can lift?

call for help

The same basic body mechanics for applying safe reaching + pulling are for

lifting + carrying

What should you do with your back?

keep it straight + locked avoid twisting

Why shouldn’t you do when reaching overhead?

hyperextend

How should you move a non-urgent patient?

unhurried manner orderly planned methods that involve least lifting

When should you provide an urgent move?

patient unconscious inadequate ventilation shock extreme weather conditions

What are devices to lift + carry patients?

portable stretchers flexible stretchers back boards basket stretchers (Stokes litters) scoop stretcher stair chairs

What is the most common device used to move + transport patients?

wheeled stretcher

What is required for all equipment?

training + practice

Why must you practice techniques?

to perform them quickly, safely + efficiently

backboard

provides support for hip, pelvic, spinal or lower extremity injury.

bariatrics

branch of medicine management of obesity

basket stretcher or Stokes litter

used in water rescues surrounds + supports patient water drains through holes

diamond carry

rescuer @ head of stretcher rescuer @ foot of stretcher rescuers @ each side of stretcher face forward when walking

direct ground lift

patient found lying supine on ground no spinal injury

emergency move

patient is dragged or pulled from a dangerous scene before care

extremity lift

supine or sitting position with no extremity or spinal injuries

flexible stretcher

secured around patient but can be folded or rolled when not in use

portable stretcher

strong rectangular tubular metal frame + rigid fabric stretched across it

power grip

litter or backboard is gripped insert each hand under the handle palm facing up thumb extended

power lift

EMT back upright with legs bent patient is lifting with when EMT straightens legs to raise the upper body + arms

rapid extrication technique

sitting position inside vehicle to supine on backboard for standard immobilization

scoop stretcher or orthopedic stretcher

split into 2 or 4 sections fitted around patient who is lying on ground

stair chair

lightweight folded up device that is used to carry conscious, seated patient up or down stairs

wheeled ambulance stretcher

can be rolled along ground. collapsible undercarriage allows it to be loaded into ambulance

When lifting the patient you should use the

power lift

What is the best method for carrying a patient up the steps

head first slightly elevated

Where should you place the wheeled stretcher for easy access?

outside front door

The POWER LIFT should be done with your body in what position?

knees bent straight back

What is the best carry for this patient?

end to end carry

To perform POWER GRIP your palms should be facing?

up with your thumbs curled over your fingers

The SCOOP STRETCHER is also known as

orthopedic stretcher

What is the safest way to lift a patient?

POWER LIFT

Describe how constant communication between team members can avoid rescuer injury.

Anticipate moves, coordinated manner. follows direction + commands

What are three questions you should ask yourself before lifting a patient?

How much does the patient weigh? Should I reach for that? Should I lift using only one side? What grip should I use?

Lifting Patient by Bed Sheet

center the patient on the sheet + tightly roll up excess fabric on each side. Cylindrical handle that provides a strong way to grasp fabric.

How many rescuers are needed for Diamond Carry?

4

What is a backboard used for?

transfer patients who must be moved in supine or immobilized position.

What do you use to carry a patient up or down stairs?

wheeled stair chair

How do you reach or pull patient?

kneel to pull patient on ground when pulling, your elbows should only be extended just beyond torso bend you knees to pull a patient who is @ a different height than you are .position feet.

The proper technique for using the power grip is to:

lift with your palms up.

With proper technique, you and your partner should be able to safely lift a patient who weighs up to ______ lb.

220

As you and your partner are carrying a stable patient down a flight of stairs in a stair chair, you feel a sudden, sharp pain in your lower back. You should:

stop the move and request additional lifting assistance.

When the shoulder girdle is aligned over the pelvis during lifting:

the weight is exerted straight down the vertebrae.

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