Lifting and Moving Patients : Chapter 3

When a vacuum mattress is used, the patient is placed on the device and the air is ___________ by a pump. Then the mattress will form a _________ and conforming surface around the patient.

Withdrawn; Rigid

Blanket Drag

a method used to move a patient by placing him on a blanket or sheet and pulling it across the floor or ground

Pack Strap Carry

use with conscious person, place person on your back and cross arms in front of you, don't use if suspect head, neck, or back injury.

Your 55-year old male patient, who is approximately 450 pounds, has a chief complaint of "chest pain and difficulty breathing." While you are conducting the primary assessment and care it would be helpful to have your partner call for:

A Bariatric Stretcher

Power Lift

A lift from a squatting position with weight to be lifted close to the body, feet apart and flat on the ground, body weight on or just behind the balls of the feet, and the back locked in. The upper body is raised before the hips. Also called the squat-lift position.

Stair Chair

A lightweight folding device that is used to carry a conscious, seated patient up or down stairs.

Extremity Lift

A method of lifting and carrying a patient during which one rescuer slips hands under the patients armpits and grasps the wrist, while another rescuer grasps the patient's knees

Direct Ground Lift

A method of lifting and carrying a patient from ground level to a stretcher in which two or more rescuers kneel, curl the patient to their chests, stand, then reverse the process to lower the patient to the stretcher

Draw-sheet Method

A method of transferring a patient from bed to stretcher by grasping and pulling the loosened bottom sheet of the bed

Direct Carry

A method of transferring a patient from bed to stretcher, during which two or more rescuers curl the patient to their chest then reverse the process to lower the patient to the stretcher

Emergency Move

A move in which the patient is dragged or pulled from a dangerous scene before assessment and care are provided.

Incline Drag

A one rescuer drag performed by moving a patient up or down a stairway. Always head first.

Foot Drag

A one rescuer drag performed by pulling on the patient's feet along the long axis of the body. Emergency move; do not bump the patient's head.

Firefighter's Drag

A one rescuer drag performed by tying the patient's hands together, straddling the patient, placing the patient's hands around the rescuer's neck, and then crawling. Keeping the patient's head as low as possible.

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.

Portable Stretcher

A stretcher with a strong rectangular tubular metal frame and rigid fabric stretched across it.

Describe several lifts and drags:

ADD

List several situations that may require an emergency move of a patient.

ADD

How should the EMT's Feet be positioned when lifting?

All of these (Shoulder with apart/On Flat Ground/On Firm Ground)

Clothes Drag

An emergency move used to remove a patient from a hazardous environment; performed by grasping the patient's clothes and moving the patient head first from the unsafe area.

Having to do with patients who are significantly overweight or obese

Bariatric

Power Stretcher

Battery powered hydraulic system, raises stretcher up and down. Will carry up to 300 lbs.

The proper use of the body to facilitate lifting and moving and prevent injury

Body Mechanics

Define the term body mechanics. Describe several principles of body mechanics related to safe lifting and moving.

Body Mechanics : proper use of the body to prevent injury when lifting and moving. Body Mechanic Principles: ???

The EMT who has to lift with one hand, as in a litter carry, must be careful NOT to:

Compensate by leaning

A method of transferring 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 their stretcher

Direct Carry

A method of lifting and carrying a patient from ground level to a stretcher in which two or more rescuers kneel, curl the patient to their patient to their chests, stand, then reverse the process to lower the patient to the stretcher

Direct Ground Lift

A method of transferring a patient from bed to stretcher by grasping and pulling the loosened bottom sheet of the bed

Draw-Sheet Method

The pack strap carry is an example of a(n) ___________ move for a patient who has no spine injury.

Emergency

A method of lifting and carrying a patient during which one rescuer slips hands under the patient's armpits and grasps the wrists while another rescuers grasps the patient's knees

Extremity Lift

Power Grip

Gripping with as much hand surface as possible in contract with the object being lifted, all fingers bent at the same angle, and hands at least 10 inches apart

Bariatric

Having to do with patients who are significantly overweight or obese

You are in a situation in which the only way to move a heavy object is to push it. When you push a heavy object, you should:

Keep the line of the pull through the center of your body by bending by your knees

List 4 general principles that will help you prevent injury when reaching for a patient.

Keep your back locked-in position Avoid twisting while reaching Avoid reaching more than 20 inches in front of your body Avoid prolonged reaching when strenuous effort is required

Urgent Move

Move used if a scene factor causes a decline in patient's condition, or if the treatment of a patient requires a move.

Define a long-axis drag, and explain its importance:

Moving of a patient along the long axis of the body, limits twisting of spine and neck incase of injury

Non-Urgent Move

No immediate threat to life, are carried out in such a way as to prevent injury and to avoid discomfort and pain.

Shoulder Drag

One method used to move an injured person from one place to another whether they are in the supine or prone position

One-Rescuer Assist

Patient's arm around your neck Grasping his/ her hand in yours Your other arm around patient's waist

Two Rescuer Assist

Patient's arms around the shoulder of both rescuers

Piggyback Carry

Patient's arms over your shoulder Your forearm under his/her knees

Cradle Carry

Place one arm across patient's back with your hand under their arm. Place your other arm under the knees and lift. Used only for light patients.

You have a 28-year-old male patient who was injured while working on the rooftop of a three-story structure. He is currently positioned on a scoop stretcher, and the fire department will be lowering him down a ladder bed to the ground. You should:

Place stretcher and patient in a plastic basket stretcher

Gripping with as much hand surface as possible in contact with the object being lifted, all fingers bent at the same angle, and hands at least 10 inches apart

Power Grip

When you place all fingers and the palm in contact with the stretch as you prepare to lift, you are using the technique known as the:

Power Grip

A lift from a squatting position with weight to be lifted close to the body, feet part and flat on the ground, body weight on or just behind balls of feet, and the back locked in, and the upper body is raised before the hips

Power Lift

Another name for the squat-lift used by weight lifters and EMT's is the:

Power Lift

List patient-carrying devices illustrated in the chapter.

Power Stretcher Scoop Stretcher Basket Stretch Stair Chair Portable Stretcher Flexible Stretcher

You and your partner are assigned to quickly move as many patients as possible from the hallway of a nursing facility because of a fire in another wing of the building. The next patient you come to is on the floor, and you have decided to use an emergency move. This patient can be moved by:

Pulling on her clothing in the neck and shoulder area

List 5 general principles that will help you prevent injury when pushing or pulling a patient.

Push, rather than pull whenever possible Keep your back locked in Keep the line of pull through the center of your body by bending your knees Keep the weight close to your body If the weight is below your waist level, push or pull from a kneeling position Avoid pushing or pulling overhead Keep your elbows bent and arms close to your sides

The final step in packaging a patient for transport on a wheeled stretcher involves:

Securing the stretcher to the ambulance

Scoop (Orthopedic) Stretcher

Stretcher that splits into halves, which can be pushed together under the patient

You must decide whether to move a patient using an emergency move. The situations in which an emergency move would be used include all of the following EXCEPT:

The dispatcher is holding another, more serious call

Body Mechanics

The proper use of the body to facilitate lifting and moving to prevent injury

List 3 situations that may require an emergency move.

The scene is hazardous Care of a life-threatening condition require repositioning You must reach other patients

When lifting a patient, you should do all of the following EXCEPT:

Twist while you and your partner life the patient

A 52-year-old male has injured his spine in a motor vehicle crash. The trauma center is 35 minutes away. Which of the following patient carrying devices would be best suited to protecting the patient's spine during transport?

UNSURE? The padded ambulance cot

If your 55 year old male patient has an altered mental status, you should consider a(n) ______________ move:

Urgent

EMT's life the cot or stretcher on most calls. When lifting this device, you should:

Use 4 rescuers if on rough or uneven terrain

Your 65-year old-female patient is in a bedroom that is on the second floor of her home. If you and your partner are going to be carrying her down the stair-way, you should:

Use a stair chair instead of a stretcher

To ensure your personal safety when lifting an adult patient, it is important to:

Use your legs, not your back, to lift

You and your crew have decided to use a log roll to get your patient onto a long backboard. When doing a log roll, you should lean from your hips and:

Use your shoulder muscles to help with the roll

Flexible Stretcher/Reeves Stretcher

Used in narrow places like hallways and around corners

A comfortable device that can be used to transport a patient in the supine position who has sustained a spinal injury is a:

Vacuum Mattress