EMT Chapter 3- lifting and moving patients
Which of the following is an indication for an emergency move? A.You need to practice your lifting technique. B.Dispatch needs you to clear rapidly because EMS calls are backing up. C.You are unable to gain access to other patients who need lifesaving care. D.The patient is yelling for you to "hurry up."
You are unable to gain access to other patients who need lifesaving care.
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.the draw-sheet method. B.body mechanics. C.a direct carry. D.a direct ground lift.
a direct carry.
Fire and exposure to explosives or other hazardous materials are examples of immediate dangers that would warrant: A.an urgent move such as rapid extrication. B.an abbreviated move such as a two-person ground lift. C.an emergency move such as a clothes drag. D.a rapid move such as the FAST maneuver.
an emergency move such as a clothes drag.
The safest and MOST efficient methods for using one's body to facilitate lifting and moving are called: A.lifting mechanics. B.lifting techniques. C.body mechanics. D.body structures.
body mechanics.
When lifting, keep the weight: A.close to your body. B.higher than your shoulders. C.away from your body. D.lower than your knees.
close to your body.
Forming a plan for lifting and carrying a patient should be: A.done before assessing your own physical limitations. B.done before assessing the weight of the patient. C.communicated to your partner before putting the plan into action. D.unnecessary in cases when extra help is available.
communicated to your partner before putting the plan into action.
Regarding transferring a patient from the patient's bed to the stair chair: A.do not use the device for unresponsive patients. B.do not use the track to control the rate of descent. C.do not use the straps that restrain the legs while carrying the patient. D.do not use the device for noncritical patients.
do not use the device for unresponsive patients.
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.direct carry method. B.extremity lift. C.direct ground lift. D.draw-sheet method.
draw-sheet method.
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.experiences an occluded airway. D.vomits.
is in a semi-sitting position.
When pushing or pulling, you should: A.reach and twist at the same time. B.keep your back in a bent position for flexibility. C.push or pull overhead whenever possible. D.keep the line of pull through the center of your body.
keep the line of pull through the center of your body.
To use your legs instead of your back to lift, you must: A.keep the weight at arm's length. B.place your palms downward. C.keep the weight close to your body. D.lock both elbows straight
keep the weight close to your body.
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.lateral axis of the body. B.vertical axis of the body. C.long axis of the body.. D.short axis of the body.
long axis of the body.
An emergency move would be permitted in order to change a patient's position in a situation in which you: A.needed to splint an open fracture. B.needed to perform CPR. C.needed to assess the patient. D.needed to apply a cervical spine collar.
needed to perform CPR.
An important key to preventing injury while lifting or moving is: A.maintaining an outward curve of the back to reduce the potential for spinal injury. B.not compensating when lifting with one hand. C.rotating or flexing the wrists and arms to prevent injury. D.using manual force instead of equipment when possible.
not compensating when lifting with one hand.
You and your partner decide to use a long backboard to immobilize a patient. This patient is: A.obese. B.elderly or a child. C.possibly injured in the neck or spine.. 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.power lift. B.power grip. C.stretcher operation. D.traction lift.
power grip.
Which of the following devices should be used to carry a patient down the stairs whenever possible?
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.wheeled stretcher. B.scoop stretcher. C.stair chair. D.long backboard.
stair chair.
When executing a power lift, to keep the weight as close to your body as possible: A.straddle it, if possible. B.lift with your back toward the weight. C.bend forward over the weight. D.lift from the front of the weight.
straddle it, if possible.
Emergency moves may be necessary if: A.additional calls are holding. B.the patient is really screaming. C.there is a threat of fire or possible explosion. D.there is a meeting later in the afternoon that you do not want to miss.
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.you and other EMTs must avoid overexerting themselves as much as possible. D.this situation indicates another reason to lose weight other than health benefits
this equipment enables you to provide the best assessment and care for the patient.
When a stretcher is lifted, the number of rescuers lifting from both the head and foot of the stretcher should be: A.two. B.one. C.three. D.four.
two.
During a cradle carry, one arm is across the patient's back and the other: A.under the patient's knees. B.under the patient's ankles. C.hanging free. D.around the patient's neck.
under the patient's knees.
How far apart should your hands be when doing the power grip?
10 inch
You and your partner arrive on the scene of a 400-pound patient lying in bed. He complains of nausea and vomiting for the past 3 days. When he tries to sit up, he gets very dizzy and has a syncopal episode. Realizing that he cannot assist you in getting on the stretcher, you decide to do which of the following?
Call for additional manpower to move the patient
When lifting a stretcher or backboard, which of the following is the best number of people to use? A.Three B.Seven C.Four D.Five
Four
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 standing position D.From a kneeling position
From a kneeling position
Which of the following is an advantage of a vacuum mattress? A.It does not require a pump. B.The cervical collar can be removed. C.It naturally pads voids for greater comfort. D.The device is nonconforming
It naturally pads voids for greater comfort.
If the weight being pulled is below the level of the EMT's waist, he should be in a(n) ________ position. A.squatting B.kneeling C.overhead D.feet-together
Kneeling position
Which of the following is another name for the squat-lift position?
Power Lift
When placing all fingers and the palm in contact with the object being lifted, you are using which of the following?
Power grip
For a patient without a possibility of spinal injury, which of the following carries should be used to move him from a bed to a stretcher?
Draw-sheet method
You have responded to a nursing home and find an elderly patient in his bed in cardiac arrest. Which type of move would you perform to get the patient to a hard surface so you can perform chest compressions?
Emergency Move
For which of the following conditions would a bariatric stretcher be indicated? A.Cervical injury B.Severe burns C.Morbid obesity. D.Multiple angulated fractures
Morbid obesity
What is a contraindication for the use of a scoop or orthopedic stretcher?
Spinal injury
What is the likely impact of power stretchers on EMS?
There will be a decrease in the number of injuries among EMT's
The term that has to do with patients who are significantly overweight or obese is: A.pediatric. B.bariatric. C.calorimetric. D.geriatric.
bariatric.
What is the preferred number of rescuers when using a stair chair?
3: 2 lifting and 1 spotting
How many pounds are most battery-powered hydraulic systems rated to safely lift?
700
What is the main benefit of using a stair chair with a tracklike system over a traditional stair chair?
A stair chair with a tracklike system prevents the patient from having to be lifted down stairs
Stretchers that are designed to carry obese patients weighing up to 800 pounds(or more) are called:
Bariatric stretchers
You are moving an elderly patient down the stairs using a stair chair. The patient is alert and very anxious. What should you do prior to moving the patient to prevent her from grabbing the railing and causing you to fall?
Explain to the patient what you are doing and advise her to hold her hands together and not let go until you are finished moving her
Which of the following is used to immobilize a patient with a suspected spinal injury?
Long backboard
Which of the following is recommended when moving something heavy? A.Pushing B.Pulling C.Twisting D.Reaching
Pushing
You are treating an unconscious patient who does not have a possibility of spinal cord injury and who is breathing adequately. Which of the following is the best position for transporting the patient?
Recovery position
What are body mechanics? A.The proper use of your body to prevent injury and facilitate lifting and moving B.The ability to use mechanical lift devices to help you carry heavier loads C.The process by which you package the patient and carry the patient to the ambulance D.Research into how to minimize back pain while maximizing the weight that you can lift and carry in an emergency
The proper use of your body to prevent injury and facilitate lifting and moving
Which of the following helps prevent injury from lifting and carrying a patient? A.Lift with both palms down. B.Keep your knees locked. C.Use your leg muscles. D.Keep the weight away from your body.
Use your leg muscles.
What is the safest level at which to move a patient on a stretcher? A.Mid-elevated from the ground B.A fully elevated position C.The reclined position D.Closest to the ground
Closest to the ground
What type of move should the EMT use to move a patient who is in a car that has started to burn?
Emergency Move
You have responded to a multiple casualty incident involving an overturned bus. Patients have been thrown around the interior of the bus, and several are pilled on-top of each other. What type of move would you perform to gain access to the most critically injured patients?
Emergency Move
Which of the following devices is best suited for maneuvering a patient through a narrow hallway?
Flexible stretcher
Which of the following patients should not be transported in a stair chair?
Patient with a suspected spinal injury
Which of the following is not correct when performing a log roll?
Place both feet flat on the ground
Which of the following should you not do when reaching for something?
Prolong the reach for as long as necessary
Which of the following best describes body mechanics?
Proper use of the body to facilitate lifting and moving objects
The term body mechanics describes the proper use of your body to lift without injury. What are the three considerations to review before any lift?
The object, your limitations, and communication
How many rescuers are recommended in moving a patient with a stair chair? A.Three B.Five C.One D.Two
Three
Which of the following should you use when you want to move a patient from a wheelchair to a stretcher?
extremity lift
When lifting a patient, a basic principle is to:
know your lifting limits
You arrive on scene and assess the need for a bariatric ambulance for transport of a patient because the patient is: A.a child. B.elderly. C.obese. D.violent.
obese.
Which of the following is the correct position of an EMT's feet when lifting?
shoulder-width apart
When a stretcher with a patient secured to it is elevated, what occurs?
the center of gravity is raised and this causes a tip hazard
Before lifting any patient, consider the patient's: A.physical fitness. B.cultural requirements. C.weight. D.gender.
weight.
You respond to a call at a park where you find a 550-pound patient who has fallen down a slope near a creek. As you and your partner discuss the situation, you decide to call a second unit for lifting assistance. Once the patient is on the stretcher, how would the additional two personnel help in this lift?
you place one person on each corner of the stretcher to balance the weight and share in the lifting.
Where should you position the weight of the object being lifted?
As close to the body as possible
To avoid injuries while lifting and moving an obese patient over a long distance, what must always be present among team members? A.Communication B.A decisive leader C.Great physical strength D.Positive attitudes
Communication
Which of the following factors less needs to be considered before lifting any patient?
The distance to cover
You and your partner feel that your physical limitations will not allow you to safely lift and carry a patient, and additional help is still minutes away from the scene. If lifting the patient right away is necessary, which of the following devices uses a battery-powered hydraulic system that could lift the patient? A.A stair chair B.A scoop stretcher C.A power stretcher. D.A manual stretcher
A power stretcher
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
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.There is immediate danger to you. B.Dispatch is holding calls for your community. C.You are unable to gain access to other patients who need lifesaving care. D.You are unable to provide lifesaving care to the patient because of the patient's location.
Dispatch is holding calls for your community.
An ideal lifting arrangement entails: A.EMTs with similar physical limitations. B.EMTs of different weights. C.EMTs of different heights. D.EMTs of similar strength and height.
EMTs of similar strength and height.
Which is useful for narrow hallways but is not used for immobilization of a patient? A.Long spine board B.Short spine board C.Rigid cervical collar D.Flexible stretcher
Flexible stretcher
During which type of drag should you take care not to bump the patient's head? A.Foot B.Clothes C.Shoulder D.Incline
Foot
What is the BEST way to securely transport a patient who is suspected of having a spinal injury? A.Semi-Fowler's on the cot with the five-point harness attached B.Sitting in the stair chair with the lap-and-shoulder belt on C.Supine on a scoop stretcher D.Fully immobilized with necessary spinal precautions
Fully immobilized with necessary spinal precautions
In reaching, what should be done every time? A.Reach more than 15 inches. B.Twist. C.Have a locked-in back. D.Prolong the reach.
Have a locked-in back.
What should you not do when using a stair chair?
Lean forward from the waist.
Urgent moves are required when?
Life threats exist but there is time for precautions for spinal injuries
During an emergency move, which of the following techniques should be used, whenever possible, to minimize the possibility of further aggravating a possible spinal injury?
Move the patient in the direction of the long axis of the body.
You respond to the scene of a two-vehicle T-bone vehicle collision. The driver's side door is smashed shut and will not open. The front passenger door will open. The front passenger is stable and complaining of severe head and neck pain. You suspect that he has a potential spinal injury. The driver is unresponsive, in critical condition, and has gurgling respirations. You should extricate the passenger by which technique?
Move the patient out of the car as quickly as possible, in the direction of the long axis of the body.
Which of the following techniques is used by power weight lifters? A.Knee-chest lift B.Power lift C.Squat thrust D.Clean-and-jerk lift
Power lift
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.Left recumbent on a wheeled stretcher B.Sitting upright in a stair chair C.Lying flat on a long spine board D.Supine on a vacuum mattress
Sitting upright in a stair chair
When lifting and moving patients, what should be kept straight and locked? A.The hips B.The back C.The legs D.The feet
The back
Which of the following must be avoided in lifting? A.Use of the arm muscles B.Moving the patient quickly C.Use of the large muscles of your legs D.Twisting
Twisting
Which of the following statements regarding body mechanics is true?
Use your legs to lift
Which of the following is another name for an ambulance cot?
Wheeled ambulance stretcher
A stair chair should be used in which of the following circumstances? A.When the patient has an obstructed airway B.When traversing narrow corridors and doorways C.When the patient has altered mental status D.When the patient has a suspected spinal injury
When traversing narrow corridors and doorways