EMT chapter 2 lifting and moving patients
When assessing a patient, you quickly decide that it is in the patient's best interest for you to do an emergency move. Which of the following is NOT an indication for an emergency move? A. You are unable to gain access to other patients who need lifesaving care. B. You are unable to provide lifesaving care to the patient because of the patient's location. C. There is immediate danger to you. D. Dispatch is holding calls for your community.
dispatch is holding calls for your community
To minimize or prevent aggravation of a spinal injury during an emergency move, the EMT should move the patient in the direction of the: A. vertical axis of the body. B. lateral axis of the body. C. short axis of the body. D. long axis of the body.
long axis of the body
Of the two types of spine boards, the one used for the transport of patients in the supine position is the: A. pediatric spine board. B. padded spine board. C. long spine board. D. pneumatic spine board.
long spine board
Which of the following devices would most likely be used to remove a patient with a suspected spine injury out of a car and onto a stretcher? A A long spine board B A stair chair C A blanket D A basket stretcher
long spine board
Your crew is attempting to extricate a patient from a car that rolled over into a ditch. You are on the uphill side of the car and need to pull the patient toward you. You should: A lean over with your back. B pull the weight by twisting to the side. C pull the weight overhead. D pull from a kneeling position.
pull from a kneeling position.
Your patient is conscious, has no trauma, and is complaining of dyspnea. The patient is concerned that transport will aggravate the breathing difficulty. Which of the following is most likely the BEST way to position the patient during transport that would also address this patient's concern? A. Supine on a vacuum mattress B. Left recumbent on a wheeled stretcher C. Lying flat on a long spine board D. Sitting upright in a stair chair
sitting upright in a stair chair
How many rescuers are recommended in moving a patient with a stair chair? A. Two B. Five C. One D. Three
three
Which of the following must be avoided in lifting? A. Moving the patient quickly B. Use of the large muscles of your legs C. Twisting D. Use of the arm muscles
twisting
When a stretcher is lifted, the number of rescuers lifting from the head and foot of the stretcher should be: A. four. B. three. C. one. D. two.
two
When using the power grip in a lift, when possible you should keep your fingers at least _____ inches apart. A 10 B 2 C 4 D 24
10
When lifting a stretcher or backboard, which of the following is the best number of people to use? A. 3 B. 7 C. 4 D. 5
4
Your patient is a 22-year-old female who was involved in a low-speed car crash. Her only complaint is some tenderness in her neck. What is the MOST appropriate way to care for her? A. Use a long backboard to remove her from the vehicle B. Ask her to sit on the long backboard on your stretcher, and strap her in C. Use the rapid extrication technique D. Apply a short backboard while she is seated in the car
Apply a short backboard while she is seated in the car
Which of the following techniques will NOT contribute to the safe and efficient movement of a patient from an upstairs bedroom to the ambulance? A. Sizing up the scene accurately B. Calling for assistance only if you find that you and your partner cannot lift the patient C. Using the most appropriate equipment for the job D. Being aware of the physical abilities and limitations of each team member
Calling for assistance only if you find that you and your partner cannot lift the patient
Which of the choices is a CORRECT statement when transferring a patient from his or her bed to the stair chair? A. Do not use the device for noncritical patients. B. Do not use the track to control the rate of descent. C. Do not use the device for unresponsive patients. D. Do not use the straps that restrain the legs while carrying the patient.
Do not use the device for unresponsive patients
An ideal lifting arrangement is: A. EMTs of similar strength and height. B. EMTs of different weights. C. EMTs of different heights. D. EMTs with similar physical limitations.
EMTs of similar strength and height.
What is the BEST way to transport a patient securely who is suspected of having a spinal injury? A. Sitting in the stair chair with the lap and shoulder belt on B. Fully immobilized with necessary spinal precautions C. Semi-Fowler's on the cot with the five-point harness attached D. Supine on a scoop stretcher
Fully immobilized with necessary spinal precautions
Which of the following is an advantage of a vacuum mattress? A. The cervical collar can be removed. B. It does not require a pump. C. It naturally pads voids for greater comfort. D. The device is nonconforming.
It naturally pads voids for greater comfort.
What are body mechanics? A. The process by which you package the patient and carry him or her to the ambulance B. Research into how to minimize back pain while maximizing the weight that you can lift and carry in an emergency C. The proper use of your body to prevent injury and facilitate lifting and moving D. The ability to use mechanical lift devices to help you carry heavier loads
The proper use of your body to prevent injury and facilitate lifting and moving
A stair chair should be used in which of the following circumstances? A. When the patient has a suspected spinal injury B. When the patient has a lower-extremity injury C. When the patient has altered mental status D. When traversing narrow corridors and doorways
When traversing narrow corridors and doorways
Which of the following is an indication for an emergency move? A. You are unable to gain access to other patients who need lifesaving care. B. The patient is yelling for you to "hurry up." C. Dispatch needs you to clear rapidly, as EMS calls are backing up. D. You need to practice your lifting technique.
You are unable to gain access to other patients who need lifesaving care.
You are moving a patient from a hospital bed to the ambulance stretcher. To conduct this move you must reach across the bed. You should: A bend your back at the waist. B twist to extend your reach. C avoid reaching more than 15 to 20 inches. D sustain the position for a prolonged time.
avoid reaching more than 15 to 20 inches.
The term that has to do with patients who are significantly overweight or obese is: A. bariatric. B. pediatric. C. calorimetric. D. geriatric.
bariatric
The safest and MOST efficient methods for using one's body to facilitate lifting and moving are called: A. body mechanics. B. lifting techniques. C. body structures. D. lifting mechanics.
body mechanics
When using the power lift technique the weight you are lifting should be: A away from your body. B to the side of your body. C close to your body. D above your body.
close to your body
When lifting, keep the weight: A. higher than your shoulders. B. away from your body. C. lower than your knees. D. close to your body.
close to your body
In moving a patient on a stretcher, what is the safest level at which to do so? A. The reclined position B. A fully elevated position C. Mid-elevated from the ground D. Closest to the ground
closest to ground
Forming a plan for lifting and carrying a patient should be: A. communicated to your partner before putting the plan into action. B. unnecessary in cases when extra help is available. C. done before assessing your own physical limitations. D. done before assessing the weight of the patient.
communicated to your partner before putting the plan into action.
A method of transferring a patient from bed to stretcher, during which two or more rescuers curl the patient to their chests then reverse the process to lower the patient to the stretcher, is: A. draw-sheet method. B. body mechanics. C. direct ground lift. D. direct carry.
direct carry
An efficient way of transferring a patient between a hospital and nursing home that uses the patient's bed in the transfer is the: A. draw-sheet method. B. direct carry method. C. direct ground lift. D. extremity lift.
draw sheet method
Which of the following methods of moving a patient would be best suited for transferring a patient from an ambulance stretcher to a hospital bed? A Extremity lift B Direct ground lift C Draw sheet method D Long-axis drag
draw sheet method
A large 44-year-old male has collapsed at the end of a very narrow hallway and needs to be extricated from the building. Which of the following devices would be most appropriate to use to move him in his unconscious state? A Short spine board B Flexible stretcher C Basket stretcher D Vacuum mattress
flexible stretcher
Which is useful for narrow hallways but is not used for immobilization of a patient? A. Short spine board B. Rigid cervical collar C. Long spine board D. Flexible stretcher
flexible stretcher
During which type of drag should you take care not to bump the patient's head? A. Foot B. Shoulder C. Clothes D. Incline
foot
If the weight is below your waist level, what is the proper position for pushing or pulling? A. From a squatting position. B. From a bent-over position. C. From a kneeling position. D. From a standing position.
from a kneeling position
In reaching, what should be done every time? A. Twist. B. Have a locked-in back. C. Reach more than fifteen inches. D. Prolong the reach.
have a locked in back
In a Fowler or semi-Fowler position, it is normal and not a cause for concern if the patient: A. is in a semi-sitting position. B. becomes unresponsive. C. vomits. D. experiences an occluded airway.
is in a semi-sitting position.
When pushing or pulling, you should: A. keep your back in a bent position for flexibility. B. keep the line of pull through the center of your body. C. reach and twist at the same time. D. push or pull overhead whenever possible.
keep the line of pull through the center of your body.
To use your legs instead of your back to lift, you must: A. lock both elbows straight. B. keep the weight close to your body. C. keep the weight at arm's length. D. place your palms downward.
keep the weight close to your body
A 16-year-old male is found in a vehicle that is on fire after a motor vehicle crash. Which of the following moves would be most appropriate to use to extricate him from the vehicle? A Long-axis drag B Spine board move C Stair chair move D Basket stretcher move
long axis drag because it is the only listed emergency move
An emergency move would be permitted in order to change a patient's position in a situation in which you: A. must assess the patient. B. need to apply a cervical spine collar. C. need to splint an open fracture. D. need to perform CPR.
need to perform CPR
An important key to preventing injury while lifting or moving is: A. not compensating when lifting with one hand. B. maintaining an outward curve of the back to reduce the potential for spinal injury. C. using manual force instead of equipment when possible. D. extending or flexing the wrists and knees to prevent injury to the extremities.
not compensating when lifting with one hand.
You arrive on scene and assess the need for a bariatric ambulance for transport of a patient because the patient is: A. violent. B. elderly. C. a child. D. obese.
obese
ou and your partner decide to use a short backboard to immobilize a patient. This patient is: A. obese. B. possibly injured in the neck or spine. C. elderly or a child. D. critically injured.
possibly injured in the neck or spine.
Bending all fingers at the same angle and placing the hands ten inches apart are two key elements of the: A. stretcher operation. B. traction lift. C. power grip. D. power lift.
power grip
Which of the following techniques is used by power weight lifters? A. Power lift B. Clean-and-jerk lift C. Knee-chest lift D. Squat thrust
power lift
Which of the following is recommended when moving something heavy? A. Twisting B. Pushing C. Pulling D. Reaching
pushing
A 77-year-old female complains of shortness of breath. She is conscious but very anxious with her breathing difficulty. Which of the following devices should you choose to move her from the bedroom to the ambulance outside? A Stair chair B Long backboard C Scoop stretcher D Vacuum mattress
stair chair
You want to navigate a responsive patient down several narrow, curving stairways. You want to transport the patient in a sitting position, which means you use a: A. stair chair. B. scoop stretcher. C. long backboard. D. wheeled stretcher.
stair chair
When executing a power lift, to keep the weight as close to your body as possible: A. lift from the back. B. bend forward over the weight. C. lift from in front. D. straddle it if possible.
straddle it if possible
You have determined that a 44-year-old patient is in shock. Which of the following positions would be most appropriate to transport him in? A The recovery position B Supine C Position of comfort D Semi-sitting
supine
Emergency moves may be necessary if: A. There is a meeting later in the afternoon that you do not want to miss. B. the patient is really screaming. C. additional calls are holding. D. there is a threat of fire or possible explosion.
there is a threat of fire or possible explosion
An obese patient is upset that a special stretcher is to be used for him and that you have called for a bariatric ambulance. The BEST way to respond is to explain that: A. this equipment enables you to provide the best assessment and care for the patient. B. it's a lucky thing that such equipment is available for use with this patient. C. this situation indicates another reason to lose weight other than health benefits. D. you and other EMTs must avoid overexerting themselves as much as possible.
this equipment enables you to provide the best assessment and care for the patient.
During a cradle carry, one arm is across the patient's back and the other: A. under her knees. B. under her ankles. C. around her neck. D. hanging free.
under her knees
Before lifting any patient, consider the patient's: A. gender. B. physical fitness. C. cultural requirements. D. weight.
weight