Chapter 8: lifting and moving patients

In order to facilitate a safe and coordinated move, the team leader should: be positioned at the feet so the team can hear. B. use preparatory commands to initiate any moves. C. speak softly but clearly to avoid startling the patient. D. never become involved in the move, just direct the move.

B

The MOST serious consequence of a poorly planned or rushed patient move is: A. unnecessarily wasting time. B. injury to you or your patient. C. causing patient anxiety or fear. D. confusion among team members.

B

When carrying a patient on a backboard up or down stairs: A. keep your palms facing down. B. keep the head end elevated. C. carry the patient headfirst. D. keep the foot end elevated.

B

You should not attempt to lift a patient who weighs more than 250 lb with fewer than _______ rescuers, regardless of individual strength. A. three B. four C. five

B

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? A. Apply a cervical collar and place her in a sitting position on the wheeled stretcher. B. Immobilize her in a supine position on a long backboard and secure her with straps. C. Leave her on her side and use blanket rolls to immobilize her to the long backboard. D. Move her to a supine position and immobilize her with a scoop stretcher and padding.

C

Which of the following MOST accurately describes the correct position of the AEMTs who are executing the diamond carry technique? A. Two at the head, two at the feet, and a fifth EMT balancing the torso B. One at the head, two at the feet, and a fourth EMT balancing the torso C. One at the head, one at the feet, and one on each side of the patient's torso Correct D. Two at the head, one at the feet, and one on the left side of the patient's torso

C

Which of the following situations would require an urgent patient move? A. Conscious patient with abrasions and a possibly fractured humerus B. Imminent risk of a fire or explosion in or near the patient's vehicle C. Semiconscious patient with shallow respirations and signs of shock D. Stable patient who is blocking access to a critically injured patient

C

General guidelines for carrying a patient on a stretcher include: A. maintaining slight flexion of your back. B. leaning back from your waist when lifting. C. slightly twisting your body when carrying. D. constant communication with your partners.

D

Which of the following steps is NOT proper procedure when performing an emergency move? A. Using a long-axis body drag during the move B. Pulling the patient on a blanket or similar object C. Pulling the patient's clothing in the shoulder area D. Lifting the patient by the belt to move him or her

D

You and your partner respond to the scene of a 49-year-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 lb. Your FIRST action should be to: A. request the fire department if one attempt to move him fails. B. encourage the patient to walk himself to the awaiting ambulance. C. assess him and then move him to the stretcher with a direct carry. D. request additional personnel before making any attempts to lift him.

D

extremity lift

for supine or sitting PTs with no suspected spinal or extremity injuries

direct ground lift is used for:

patients who are lying supine on the ground with no suspected spinal injury

Pushing is better than ____________

pulling

emergency move

the PT is dragged or pulled from a dangerous scene before assessment and care are provided

bariatrics

the branch of medicine concerned with the prevention and control of obesity and associated diseases

body mechanics

the relationship between the body's anatomical structures and the physical forces associated with lofting, moving, and carrying.

In which of the following situations would a direct ground lift be the MOST appropriate method of moving a patient? A. A conscious patient complaining of abdominal pain B. A patient who complains of hip pain following a fall C. A pedestrian with back pain after being struck by a car D. An unconscious patient with a possible ischemic stroke

A

Which of the following statements regarding patient weight distribution is correct? A. The majority of a horizontal patient's weight is in the torso. B. Most of the patient's weight rests on the foot end of the stretcher. C. A semi-sitting patient's weight is equally distributed on both ends. D. The AEMT at the patient's head will bear the least amount of weight.

A

basket stretcher

A rigid stretcher commonly used in technical and water rescues that surrounds and supports the patient yet allows water to drain through holes in the bottom. Also called a Stokes litter.

what is a backboard?

a long, flat board used to provide support to a PT suspected of having a hip, pelvic, spinal, or lower extremity injury.