C: CH3: Lifting and moving patients
Short backboards or vest-style devices are most appropriate to use for patients who: a: have neck or back pain and are in a sitting position; b: are in need of CPR and movement down the stairs; c: require rapid movement from an unsafe scene; d: are injured and found in a lying position
a: have neck or back pain and are in a sitting position
Which of the ff statements regarding the two-person chair carry technique is correct? a: the patient generally feels more secure with this carry than with the seat carry; b: the folding chair should be used whenever possible; c: the rescuer at the foot end of the chair should be facing away from the patient; d: it is of minimal use when moving a patient through a narrow hallway
a: the patient generally feels more secure with this carry than with the seat carry
You are the first emergency medical responder to arrive at the scene of a 49-year-old man in cardiac arrest. The patient clearly weighs more than you do and is in an area that makes it extremely difficult for you to perform CPR. You should: a: tie the patient's wrists together, place his arms around your neck, and drag the patient to an area where you can begin CPR; b: slide a long backboard under the patient and move him to a larger area where you can begin CPR; c: not attempt to move the patient until sufficient help is available to move the patient safely to a larger area; d: begin CPR to the best of your ability and continue until additional rescuers arrive at the scene
a: tie the patient's wrists together, place his arms around your neck, and drag the patient to an area where you can begin CPR
You are the first medically trained person to arrive at the scene of an ill person. You find the patient, a 350-pound man, sitting in a small bathroom. The patient tells you that he is extremely weak and is unable to walk. You should: a: wait for additional rescuers to arrive before trying to move him; b: carefully lift the patient and move him to a more open area; c: apply a cervical collar and position the patient on his left side; d: use the one-person walking assist technique to move the patient
a: wait for additional rescuers to arrive before trying to move him
Which of the ff situations would the use of a stair chair be ideal? a: a patient who is unconscious with poor breathing effort; b: a patient with shortness of breath and no history of trauma; c: a patient with trouble breathing following trauma to the chest; d: a patient with neck and back pain following a motor vehicle crash
b: a patient with shortness of breath and no history of trauma
In which of the ff situations would it be most appropriate to use an improvised device instead of a commercially prepared backboard? a: an injured patient in a safe area has an unstable airway that requires immediate treatment; b: an injured patient must be moved immediately to prevent further injury or death; c: an unstable patient with severe injuries requires immediate transportation to the hospital; d: a commercially prepared backboard is not immediately available to move a stable patient
b: an injured patient must be moved immediately to prevent further injury or death
If you and your partner must remove a patient from a vehicle immediately, you should a: request at least two more rescuers for assistance; b: have your partner manually support the patient's head; c: place a long backboard under the patient's buttocks; d: move the patient forward to check the back for injuries
b: have your partner manually support the patient's head
You are asked to accompany a paramedic in the back of the ambulance to assist in the care of a critically injured patient. The patient, who is semiconscious, is fully immobilized on a long backboard. What is the most important thing that you should be doing? a: taking the patient's vital signs; b: monitoring the patient for airway problems; c: manually stabilizing the patient's head; d: performing a head-to-toe assessment
b: monitoring the patient for airway problems
In addition to ensuring your own safety, the most important guideline to follow when moving a patient is to: a: move the patient's body as a unit; b: move the patient only when necessary; c: move the patient as little as possible; d: do no further harm to the patient
d: do no further harm to the patient
If a patient is lying on the floor or ground in an unsafe environment, you should a: disregard the possibility of spinal injury and move the patient quickly; b: push the patient to safety using the long axis of his or her body; c: grab the patient by the pants and quickly drag him or her to a safe area; d: drag the patient away from the scene instead of trying to lift or carry him or her
d: drag the patient away from the scene instead of trying to lift or carry him or her
The direct ground lift should not be performed if the patient a: weighs more than 175 pounds; b: is unconscious and not breathing; c: has a back injury and is able to walk; d: has experienced a traumatic injury
d: has experienced a traumatic injury
An appropriately sized cervical collar is designed to a: replace manual stabilization of a patient's head and neck; b: be applied after the patient has been placed onto a blackboard; c: completely immobilize the patient's head and neck; d: minimize head and neck movement and prevent further injury
d: minimize head and neck movement and prevent further injury
When moving a deceased person, your priority should be: a: avoid covering the body in case the death was caused by homicide; b: move the body in a manner that creates a respectful image for the family; c: move the body in a manner that does not expose it directly to the media; d: move the body in a manner that minimizes your risk of personal injury
d: move the body in a manner that minimizes your risk of personal injury
In contrast to the straddle lift technique, the straddle slide technique involves: a: moving the backboard rather than the patient; b: lifting the patient at least 12 inches off the ground; c: placing the patient onto a short backboard device; d: moving the patient rather than the backboard
d: moving the patient rather than the backboard
An elderly woman must be moved from an unsafe environment quickly. The patient is unconscious and is wearing a thin nightgown. What is the most rapid and effective way for you and your partner to move her? a: quickly log roll her onto a backboard, secure her to the board with straps, and move her to safety; b: grasp the patient by the collar of her nightgown and pull her in the direction of the long axis of her body; c: place her in a chair and rapidly move her to a place of safety while protecting her head and neck; d: place a blanket or rug on the ground , roll her onto it, and quickly remove her from the unsafe environment
d: place a blanket or rug on the ground , roll her onto it, and quickly remove her from the unsafe environment
When immobilizing the patient's head to the long blackboard, you should a: rightly secure the patient's head to the board with cravats; b: secure the head to the board before securing the torso and legs; c: stabilize both sides of the head prior to applying a cervical collar; d: place rolled blankets on both sides of the patient's head
d: place rolled blankets on both sides of the patient's head
Who should give the commands to move a patient with a suspected spinal injury? a: the rescuer who will bear the most weight; b: the rescuer with the most experience; c: the rescuer at the patient's torso; d: the rescuer at the patient's head
d: the rescuer at the patient's head
When determining whether to use one or two rescuers to provide walking assistance to an ambulatory patient, you should a: ask the patient how much he or she weighs; b: ask the patient to walk a short distance to assess for pain; c: assess the patient's condition and the incident scene; d: use one rescuer initially and then a second of needed
c: assess the patient's condition and the incident scene
If you suspect that a patient has suffered a head or spine injury, you should a: carefully move the patient in a sitting position to avoid further injury; b: allow the patient to move slowly as you stabilize his or her head; c: keep the patient's head and spine immobilized to avoid movement; d: move the patient quickly so that his or her spine can be immobilized
c: keep the patient's head and spine immobilized to avoid movement
The recovery position is used for patients who are a: semiconscious with a neck injury; b: severely obese and not breathing; c: unconscious and not injured; d: experiencing respiratory distress
c: unconscious and not injured