Chapter 8- Lifting and Moving Patients

An EMT may injure his or her back, even if it is straight, if the: A. back is bent forward at the hips. B. hands are held close to the legs. C. shoulder is aligned over the pelvis. D. force is exerted straight down the spine.

A

When the shoulder girdle is aligned over the pelvis during lifting: A. the weight is exerted straight down the vertebrae. B. the hands can be held further apart from the body. C. the muscles of the back experience increased strain. D. the risk of back injuries is significantly increased.

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 EMT at the patient's head will bear the least amount of weight.

A

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: A. reposition your hands and continue to move the patient. B. stop the move and request additional lifting assistance. C. stop the move and have the patient walk down the stairs. D. guide your partner while moving the chair backwards.

B

The extremity lift would NOT be appropriate to use on a patient: A. who complains of nausea. B. with a deformed humerus. C. without a spinal injury. D. with forearm lacerations.

B

To avoid injury when pushing a patient or other object, you should: A. push the patient from an overhead position if possible. B. avoid pushing the patient with your elbows fully extended. C. push from the area of your body between the knees and hips. D. kneel if you are pushing an object that is above waist level.

B

When moving a conscious, weak patient down a flight of stairs, you should: A. assist the patient in walking down the stairs and place him or her on the wheeled stretcher at the bottom of the stairs. B. place the wheeled stretcher at the bottom of the stairs and carry the patient down the stairs with a stair chair. C. collapse the undercarriage of the wheeled stretcher and carefully carry the patient down the stairs on the stretcher. D. secure the patient to a scoop stretcher and carry him or her headfirst down the stairs to the awaiting stretcher

B

Which of the following situations would require an urgent patient move? A. stable patient who is blocking access to a critically injured patient B. semiconscious patient with shallow respirations and signs of shock in a hazardous situation C. conscious patient with abrasions and a possibly fractured humerus D. imminent risk of nose bleed in a awake patient

B

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? A. scoop stretcher B. emergency move C. direct carry D. extremity lift

D

The FIRST rule of safe lifting is to: A. always lift with your palms facing down. B. spread your legs approximately 20″ apart. C. keep your back in a slightly curved position. D. keep your back in a straight, vertical position.

D

What is the MOST appropriate method to use when moving a patient from his or her bed to the wheeled stretcher? A. log roll B. direct carry C. extremity carry D. draw sheet method

D

When a person is standing upright, the weight of anything being lifted and carried in the hands is FIRST reflected onto the: A. pelvic girdle. B. spinal column. C. thigh muscles. D. shoulder girdle.

D

Which of the following conditions or situations presents the MOST unique challenge to the EMT when immobilizing an elderly patient on a long backboard? A. joint flexibility B. patient disorientation C. naturally deformed bones D. abnormal spinal curvature

D

With proper technique, you and your partner should be able to safely lift a patient who weighs up to ______ lb. A. 150 B. 175 C. 190 D. 220

D

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? A. Perform a rapid assessment and then move the patients from their residence. B. Request another ambulance to assist with lifting and moving the patients. C. Quickly exit the residence and request the fire department to move the patients. D. Rapidly remove the patients from their residence using a blanket or clothes drag.

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

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 D. six

B

The direct carry is used to transfer a patient: A. with multiple long bone injuries. B. with a possible cervical spine injury. C. from a bed to the ambulance stretcher. D. who cannot be placed on a backboard.

C

The proper technique for using the power grip is to: A. rotate your palms down. B. position your hands about 6″ apart. C. lift with your palms up. D. hold the handle with your fingers.

C

What is the MOST appropriate method to use when moving a patient from his or her bed to the wheeled stretcher? A. extremity carry B. direct carry C. draw sheet method D. log roll

C

When pulling a patient, you should extend your arms no more than ________ in front of your torso. A. 5″ to 10″ B. 10″ to 15″ C. 15″ to 20″ D. 20″ to 30″

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