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EMT chapter 3
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Terms in this set (90)
An important key to preventing injury while lifting or moving is:
not compensating when lifting with one hand.
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?
Sitting upright in a stair chair
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?
dispatch is holding calls for your community
Of the two types of spine boards, the one used for the transport of patients in the supine position is the:
long spine board.
Bending all fingers at the same angle and placing the hands ten inches apart are two key elements of the:
You arrive on scene and assess the need for a bariatric ambulance for transport of a patient because the patient is:
To minimize or prevent aggravation of a spinal injury during an emergency move, the EMT should move the patient in the direction of the:
long axis of the body.
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:
this equipment enables you to provide the best assessment and care for the patient.
What is the BEST way to transport a patient securely who is suspected of having a spinal injury?
Fully immobilized with necessary spinal precautions
To use your legs instead of your back to lift, you must:
keep the weight close to your body.
The safest and MOST efficient methods for using one's body to facilitate lifting and moving are called:
Before lifting any patient, consider the patient's:
You and your partner decide to use a short backboard to immobilize a patient. This patient is:
possibly injured in the neck or spine.
An emergency move would be permitted in order to change a patient's position in a situation in which you:
need to perform CPR
An ideal lifting arrangement is:
EMTs of similar strength and height.
Which of the following techniques is used by power weight lifters?
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:
In reaching, what should be done every time?
Have a locked-in back.
Which of the following is recommended when moving something heavy?
A stair chair should be used in which of the following circumstances?
When traversing narrow corridors and doorways
An efficient way of transferring a patient between a hospital and nursing home that uses the patient's bed in the transfer is the:
In moving a patient on a stretcher, what is the safest level at which to do so?
Closest to the ground
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 rescuer grasps the patient's knees, is:
an extremity lift.
Fire and exposure to explosives or other hazardous materials are examples of immediate dangers that would warrant:
an emergency move such as a clothes drag
You have been dispatched to a home where, upon entering, you note that there is smoke in the rear of the building. The patient is unconscious on the living room couch. You have about two to three minutes to get the patient out the front door. What type of move will this require?
An emergency move will be the most appropriate in this case.
How many rescuers are recommended in moving a patient with a stair chair?
When a stretcher is lifted, the number of rescuers lifting from the head and foot of the stretcher should be:
Forming a plan for lifting and carrying a patient should be:
communicated to your partner before putting the plan into action.
During which type of drag should you take care not to bump the patient's head?
Which of the following is an indication for an emergency move?
you are unable to gain access to other patients who need lifesaving care
When lifting a stretcher or backboard, which of the following is the best number of people to use?
When lifting, keep the weight:
close to your body.
Which of the choices is a CORRECT statement when transferring a patient from his or her bed to the stair chair?
Do not use the device for unresponsive patients.
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:
Which of the following must be avoided in lifting?
What are body mechanics?
The proper use of your body to prevent injury and facilitate lifting and moving
When pushing or pulling, you should:
keep the line of pull through the center of your body.
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?
Apply a short backboard while she is seated in the car
During a cradle carry, one arm is across the patient's back and the other:
under her knees.
The term that has to do with patients who are significantly overweight or obese is:
Emergency moves may be necessary if:
there is a threat of fire or possible explosion.
If the weight is below your waist level, what is the proper position for pushing or pulling?
From a kneeling position.
When executing a power lift, to keep the weight as close to your body as possible:
straddle it if possible.
Which of the following techniques will NOT contribute to the safe and efficient movement of a patient from an upstairs bedroom to the ambulance?
Calling for assistance only if you find that you and your partner cannot lift the patient
Which of the following is an advantage of a vacuum mattress?
It naturally pads voids for greater comfort.
Which is useful for narrow hallways but is not used for immobilization of a patient?
In a Fowler or semi-Fowler position, it is normal and not a cause for concern if the patient:
is in a semi-sitting position.
You are called to the scene of a patient who fell approximately 5 feet off a stepladder to the floor of a third-story attic of a very old building. He is complaining of severe neck and back pain, and he has an obvious fractured ankle. You cannot get your stretcher past the first-floor stairs, and your long spine board is not practical with the winding spiral staircase and the small attic access. What is the best device to safely get the patient out of the attic where he can be properly immobilized?
Vest-type extrication device
Which of the following is used to immobilize a patient with a suspected spinal injury?
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 a 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.
An emergency move involves:
moving the patient in the direction of the long axis
Which of the following best describes body mechanics?
Proper use of the body to facilitate lifting and moving objects
Which of the following statements regarding body mechanics is true?
Use your legs to lift.
If the weight being pulled is below the level of the EMT's waist, he should be in a(n) ________ position
When lifting a patient, a basic principle is to:
know your lifting limits.
How far apart should your hands be when using a power grip?
You want to move a responsive patient with no spine injuries in a semi-sitting position. For this you would use a:
A stair chair's descent should be:
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. In addition to calling for additional manpower to move the patient, you would likely need:
A staircase is steep and your partner wants to use a stair chair with a track-like system instead of a traditional stair chair to move a patient down the stairs. Why?
A stair chair with a track-like system prevents the patient from having to be lifted down stairs.
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 piled on top of each other. What type of move would you perform to gain access to the most critically injured patients?
Which of the following is another name for the squat-lift position that involves squatting rather than bending at the waist?
You need to lower a patient from a low balcony to the floor below. For this you should use a:
Which of the following is NOT correct when performing a log roll?
place both feet flat on the ground
What type of device will the EMT likely use to immediately remove a patient from a car that has started to burn?
You know you'll be moving your patient across some rough terrain. The best-suited device for your purpose would be a:
What is the preferred number of rescuers when using a stair chair?
Three: two carrying and one spotting
To immobilize a patient with a possible spinal injury who needs to be removed from her crashed car, you would want what type of device?
short spine board
A patient is on the top floor of a three-story house with narrow hallways and a single narrow staircase. Which of the following devices should be used to carry this patient down to ground level?
You are treating an unconscious patient who does not have a possibility of spinal injury and who is breathing adequately. Which of the following is the BEST position for transporting the patient?
A critically injured, unresponsive patient in a wrecked semi cab requires an urgent move, and you decide that rapid extrication is necessary, which means stabilizing the patient's spine manually to move to a:
long spine board.
The term body mechanics describes the proper use of your body for lifting and ______ without injury.
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?
Which of the following patients should not be transported in a stair chair?
Patient with a suspected spinal injury
Which of the following patients could be moved using an ambulance cot?
A responsive patient on a gymnasium floor
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.
Which of the methods listed below is best described as moving a patient from the floor to a stretcher by having two or more rescuers kneel, curl the patient to their chests, stand, and then reverse the process to place the patient on the stretcher?
Direct ground lift
Which of the following best describes an urgent move?
moving a patient from a car to a long spine board
Which of the following should you do when reaching for something?
Avoid prolonged reaching with strenuous effort.
Which of the following devices is best suited for maneuvering a patient through a narrow hallway?
Which of the following is the correct position of an EMT's feet when lifting?
You respond to a 48-year-old morbidly obese female patient. Her adult daughter called you because she has not gotten up from her oversized recliner chair in over a week. She has tried to help her out of the chair but states that each time her mother screams in agony. The foul odor presence of urine and feces is strong around the patient. Her feet do not touch the ground, and any attempt to lift the patient by her arms or scoot her down to the end of the chair results in severe pain to the patient. You are finding it nearly impossible to get a good grip on the patient. How will you get her out of the chair?
vest type extrication device
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 factors should be considered before lifting any patient?
Your physical limitations
What patient needs a bariatric stretcher?
An obese patient
Which of the following should you use when you want to move a patient from a wheelchair to a stretcher?
What is the contraindication for the use of a scoop or orthopedic stretcher?
Where should you position the weight of the object being lifted?
As close to the body as possible
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 hands together and not let go until you are finished moving her
When placing all fingers and the palm in contact with the object being lifted, you are using which of the following?
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