Chapter 8 Lifting and Moving Patients

Which of the following statements regarding an emergency patient move is correct? A. An emergency move is performed before the primary assessment and treatment B. The spine must be fully immobilized prior to performing an emergency move C. The patient is dragged against the body's long axis during an emergency move D. It is not possible to perform an emergency move without injuring the patient

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

It is essential that you _____ your equipment to prevent the spread of disease. A. decontaminate B. throw out C. incinerate D. properly store

A. decontaminate

The _______ is both the mechanical weight-bearing base of the spinal column and the fused central posterior section of the pelvic girdle. A. sacrum B. ischium C. thorax D. coccyx

A. sacrum

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

B. 15 to 20 inches

You are attending to a 26-year-old female who is 34 weeks pregnant with her first child. Your patient has been having lower abdominal pains and cramping for the past two hours. In placing your patient on the stretcher and preparing for transport, you should place her: A. in the Fowler position B. on her left side C. supine with her legs elevated D. in a position of comfort

B. on her left side

You are attending to a 22-year-old female patient who has overdosed. The patient is unresponsive in an upstairs bedroom. The most appropriate way to bring the patient downstairs is: A. secured to a fracture board with the strongest provider at the foot end B. secured to a fracture board with the strongest provider at the head end C. secured to a stair chair with the strongest provider at the head end D. secured to a stair chair with the strongest provider at the foot end

B. secured to a fracture board with the strongest provider at the head end

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. Patient disorientation B. Naturally deformed bones C. Abnormal spinal curvature D. Joint flexibility

C. Abnormal spinal curvature

Which of the following is the MOST appropriate device to use when immobilizing a patient with a suspected spinal injury? A. Scoop stretcher B. Wheeled stretcher C. Long backboard D. Portable stretcher

C. Long backboard

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

C. The majority of a horizontal patient's weight is in the torso

In contrast to typical wheeled ambulance stretchers, features of a bariatric stretcher include: A. weight capacity of up to 650 lb B. two safety rails on both sides of the stretcher C. increased stability from a wider wheelbase D. a collapsible undercarriage

C. increased stability from a widerwheelbase

To minimize the risk of injuring yourself when lifting or moving a patient, you should: A. use a direct carry whenever possible B. flex at the waist instead of the hips C. keep the weight as close to your body as possible D. avoid the use of log rolls or body drags

C. keep the weight as close to your body as possible

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

C. lift with your palms up

To protect a restrained patient and prevent him from using leverage to break free, the EMT should secure ________. A. both arms at the patient's sides B. both arms above the head C. one arm above the head D. only the patient's torso

C. one arm above the head

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. collapse the undercarriage of the wheeled stretcher and carefully carry the patient down the stairs on the stretcher C. place the wheeled stretcher at the bottom of the stairs and carry the patient down the stairs with a stair chair D. secure the patient to a scoop stretcher and carry him or her headfirst down the stairs to the awaiting stretcher

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

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

C. stop the move and request additional lifting assistance

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

C. use preparatory commands to initiate any moves

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

D. back is bent forward at the hips

Upon arrival 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: A. apply a cervical collar and quickly remove the patient with a clothes drag B. slide a long backboard under his buttocks and lay him sideways on the board C. apply a vest-style extrication device before attempting to move the patient D. direct your partner to apply manual in-line support of the patient's head

D. direct your partner to apply manual in-line support of the patient's head

You are attending to a 34-year-old male patient who requires transport to the hospital for assessment of his chronic back pain. The patient weighs over 750 pounds. Your bariatric stretcher has a wider surface area to allow for: A. increased stability and leverage when lifting with more than two providers B. better stability when moving the patient on uneven ground C. increased lifting capacity and patient weight goal D. increased patient comfort and dignity

D. increased patient comfort and dignity

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

D. injury to you or your patient