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# 35 Lifting + Moving Patients - Kourtz

What factors should you consider before lifting or moving patient?

weight
patient weighing 250 or more needs 4 rescuers
distance moving patient to

Why is knowledge of body mechanics important when lifting + moving patient?

standing upright lifted or carried with hands
reflected in shoulder girdle, spinal column, pelvis, then legs.
BACK INJURIES occur when your back curved forward @ hips. weight supported by back muscles
RULE # 1 Always keep your back in a straight upright (vertical) position + lift without twisting.

Should you + your partner attempt to lift the patient and move hime back to his bed?

No this patient weighs 280 lbs. You need 4 rescuers to equally distribute this weight. Patient is unable to provide assistance you will be lifting dead weight.

What type of carrying device should you use for this patient?

SCOOP STRETCHER split into two sections, slide under patient on each side + reconnect. eliminates need to roll patient.
used for patients with hip fractures,brittle bones or moving patient up + down stairs.
stabilize + secure patient before moving.

What steps can you take to maximize safety while LIFTING patient?

keep your legs shoulder width apart.
keep you back in straight, locked in position.
keep weight as close to your body as possible.
bend at the knees, not at the waist, when lifting
avoid lifting + reaching at same time.
avoid twisting your body as you are lifting
lift with your palms facing up (power grip)
communicate with partner at all times

How is patient's weight distributed when she is on a carrying device?

important to know patient's weight to equally distribute it.
supine on backboard or scoop stretcher semi-sitting position weight is NOT equal
Horizontal 68% to 78% weight in torso so STRONGEST rescuer should be @ HEAD of device.

How will your team safely carry the patient DOWN STAIRS?

Use a stair chair if patient can sit up.
use a backboard or scoop stretcher foot end first.
two rescuers @ head + 2 rescuers @ feet
ensure patient's weight is equally distributed.
one rescuer @ base of stairs to guide + ensure safety.
efforts must be coordinated + communication to ensure safety

How can you minimize the risk of injury moving a patient on a WHEELED AMBULANCE STRETCHER?

make sure it is ELEVATED so you don't have to bend down, increases chance for back injury
stretcher is top heavy so hold it firmly
when guiding stretcher from FOOT END, arms are held close to your body.
do not reach keep elbows flexed + use arm muscles.
guiding stretch from HEAD END, push with your arms + bend your elbows so that hands are 12" to 15" in front of torso.

1st Key to Lifting

Always keep your back in upright position + lift without twisting.

Power Lift

safest + most powerful way to lift

Safety of You + Team

depends on lifting techniques
maintaining proper hold

What is better than Pushing?

pulling

What happens if you do not have a proper hold?

You will not be able to share the weight
may lose grasp of one hand resulting in lower back injury

How should you move a patient?

on a wheeled device
If one isn't available use a stretcher

Why should you coordinate your movement with team?

communicate with them to avoid accidents

What is ideal for lifting?

EMT same height + strength

What must you do to carry a loaded backboard or stretcher up or down stairs?

patient is secured tightly to device to prevent sliding

Which way should you carry the backboard or stretcher?

foot first so patient's head is elevated

What is important for safe lifting + carrying?

directions + commands

Why should your team anticipate every move?

execute it in a coordinated manner

Who is responsible for coordinating moves?

team leader

How many rescuers should you have?

4

What should you do if weight is greater than what you can lift?

call for help

The same basic body mechanics for applying safe reaching + pulling are for

lifting + carrying

What should you do with your back?

keep it straight + locked
avoid twisting

Why shouldn't you do when reaching overhead?

hyperextend

How should you move a non-urgent patient?

unhurried manner
orderly planned
methods that involve least lifting

When should you provide an urgent move?

patient unconscious
inadequate ventilation
shock
extreme weather conditions

What are devices to lift + carry patients?

portable stretchers
flexible stretchers
back boards
basket stretchers (Stokes litters)
scoop stretcher
stair chairs

What is the most common device used to move + transport patients?

wheeled stretcher

What is required for all equipment?

training + practice

Why must you practice techniques?

to perform them quickly, safely + efficiently

backboard

provides support for hip, pelvic, spinal or lower extremity injury.

bariatrics

branch of medicine
management of obesity

basket stretcher or Stokes litter

used in water rescues
surrounds + supports patient
water drains through holes

diamond carry

rescuer @ head of stretcher
rescuer @ foot of stretcher
rescuers @ each side of stretcher face forward when walking

direct ground lift

patient found lying supine on ground
no spinal injury

emergency move

patient is dragged or pulled from a dangerous scene before care

extremity lift

supine or sitting position with no extremity or spinal injuries

flexible stretcher

secured around patient but can be folded or rolled when not in use

portable stretcher

strong rectangular tubular metal frame + rigid fabric stretched across it

power grip

litter or backboard is gripped
insert each hand under the handle
palm facing up thumb extended

power lift

EMT back upright with legs bent
patient is lifting with when EMT straightens legs to raise the upper body + arms

rapid extrication technique

sitting position inside vehicle to supine on backboard for standard immobilization

scoop stretcher or orthopedic stretcher

split into 2 or 4 sections
fitted around patient who is lying on ground

stair chair

lightweight folded up device that is used to carry conscious, seated patient up or down stairs

wheeled ambulance stretcher

can be rolled along ground.
collapsible undercarriage allows it to be loaded into ambulance

When lifting the patient you should use the

power lift

What is the best method for carrying a patient up the steps

head first slightly elevated

Where should you place the wheeled stretcher for easy access?

outside front door

The POWER LIFT should be done with your body in what position?

knees bent
straight back

What is the best carry for this patient?

end to end carry

To perform POWER GRIP your palms should be facing?

up with your thumbs curled over your fingers

The SCOOP STRETCHER is also known as

orthopedic stretcher

What is the safest way to lift a patient?

POWER LIFT

Describe how constant communication between team members can avoid rescuer injury.

Anticipate moves, coordinated manner.
follows direction + commands

What are three questions you should ask yourself before lifting a patient?

How much does the patient weigh?
Should I reach for that?
Should I lift using only one side?
What grip should I use?

Lifting Patient by Bed Sheet

center the patient on the sheet + tightly roll up excess fabric on each side.
Cylindrical handle that provides a strong way to grasp fabric.

How many rescuers are needed for Diamond Carry?

4

What is a backboard used for?

transfer patients who must be moved in supine or immobilized position.

What do you use to carry a patient up or down stairs?

wheeled stair chair

How do you reach or pull patient?

kneel to pull patient on ground
when pulling, your elbows should only be extended just beyond torso
bend you knees to pull a patient who is @ a different height than you are .position feet.

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