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EMT Chapter 8: Lifting and Moving Patients
Terms in this set (36)
1. The shoulder girdle should be aligned over the pelvis.
2. Hands should be held close to the legs.
3. Force then goes essentially straight down the spinal column.
4. Very little strain occurs.
1. Legs should be spread about 15″ apart (shoulder width).
2. Place feet so that your center of gravity is properly balanced.
3. With your back held upright, bring your upper body down by bending the legs.
4. Grasp the patient or stretcher.
5. Keep your arms the same distance apart as when hanging your arms at each side of your body.
6. Lift the patient by raising your upper body and arms and straightening your legs until you are standing.
7. Keep the weight you are lifting as close to your body as possible.
8. Lifting by extending the properly placed flexed legs is the most powerful way to lift
1. Palms up
2. Hands about 10″ apart
3. All fingers at same angle
4. Fully support the handle on your curved palm
When a wheeled device is not available:
a backboard must be used
More of the patient's weight rests on the head half of the device than on the foot half
The diamond carry
uses one EMT at the head and one at the foot of the backboard, and one on each side of the torso
The one-handed carry
includes four or more rescuers each using one hand to support the backboard so that they are able to face forward as they are walking
A wheeled ambulance stretcher
weighs 40-145 lb
Generally too heavy for use on stairs
A wheeled stair chair can be used to:
bring a conscious patient down to a stretcher
A backboard should be used instead for a patient:
1. In cardiac arrest
2. Who must be moved in supine position
3. Who must be immobilized
A backboard is a device that:
provides support to patients whom you suspect have hip, pelvic, spinal, or lower extremity injuries
also called a spine board, trauma board, or longboard
can be placed directly on a stretcher and secured
Indicates where each team member should be
Rapidly describes sequence of steps to perform before lifting
When you use a body drag:
1. Keep back locked and straight.
3. Extend arms no more than 15″ to 20″ in front of you
If you must drag a patient on the ground or across a bed:
you will have to kneel on the ground or on the bed to minimize the distance that you will have to lean over
When you are pulling a patient who is at a different height than you:
bend your knees until your hips are just below the height of the place across which you will be pulling the patient
In the hospital, transfer the patient from the stretcher to a bed with a:
Emergency moves are used when:
there is a potential for danger before assessment and management are provided (fire, explosives, hazardous materials)
when you cannot properly assess the patient or provide immediate care because of the patient's location or position
techniques to help prevent aggravation of patient's spinal injury
1. Clothes drag: Pull on the patient's clothing in the neck and shoulder area.
2. Blanket drag: Place the patient on a blanket, coat, or other item that can be pulled.
3. Arm drag: Rotate the patient's arms so they are extended straight on the ground beyond his or her head, grasp the wrists, and drag the patient
To remove an unconscious patient from a vehicle alone:
1. First move the legs clear of the pedals.
2. Rotate the patient so that his or her back is toward the open car door
3. Place your arms under the patient's shoulders and through the patient's armpits, and support the patient's head against your body.
4. If the legs and feet clear the car, rapidly drag the patient from the seat to a safe location
An urgent move may be necessary to move patient with:
1. Altered level of consciousness
2. Inadequate ventilation
Rapid extrication technique should be used when:
a patient sitting in a vehicle must be urgently moved
a. The vehicle or scene is unsafe.
b. Explosives or other hazards are on scene.
c. There is fire or a danger of fire.
d. The patient cannot be properly assessed prior to removal from the vehicle.
e. The patient needs immediate intervention that requires a supine position.
f. The patient has a life-threatening condition requiring immediate transport.
g. The patient blocks your access to another seriously injured patient
Nonurgent moves are used when:
both the scene and the patient are stable
Methods for lifting and carrying (nonurgent)
1. Direct ground lift: patients with no suspected spinal injury who are found supine on the ground
2. Extremity lift: patients with no suspected extremity or spinal injury who are supine or in a sitting position
To transfer a patient from a bed to a stretcher, use:
1. Direct carry
2. Draw sheet method
3. Scoop stretcher
Skeletal changes in older people:
cause brittle bones and spinal curvatures
General features of stretchers:
Stretchers have a specific head end and specific foot end
strong, horizontal, rectangular, metal main frame to which all other parts are attached - pulled, pushed, or lifted by this mainframe or its handles
Most models have a second tubular frame made up of three sections that is attached within or above the main frame
Hinges at the center allow the head end to be elevated and the patient's back to be positioned at any desired angle
A retractable guardrail is attached along the central portion of the main frame
Controls are located at the foot end and at one or both sides of most stretchers.
Wheeled ambulance stretcher
Most patients are secured directly to a stretcher; Some patients will need to be secured to a backboard first
i. A patient with suspected spinal injury
ii. A patient with multisystem trauma
iii. A patient who needs CPR
iv. A patient who needs to be carried up or down stairs while supine
specialized wheeled stretcher for overweight or obese patients
Pneumatic and electronic-powered wheeled stretcher
Battery operated with electronic controls to raise and lower the undercarriage
added controls and equipment increase the weight of the stretcher
stretcher with a strong rectangular tubular metal frame with rigid fabric stretched across it
do not have a second frame or an adjustable undercarriage
used in areas that are difficult to reach or when a second patient must be transported on the squad bench
most models do not have wheels, your team must support all of the patient's weight, equipment, and the stretcher itself
can be rolled up across the stretchers width or length so the stretcher becomes a smaller tubular package
useful when removing a patient from or through a confined space
Long, flat boards made of rigid, rectangular material
Used to carry and immobilize patients with suspected spinal injury or other multiple trauma
A rigid stretcher also called a Stokes litter
Used to carry patient across uneven terrain from a remote location that is inaccessible by ambulance or other vehicle
made of plastic with an aluminum frame or have a full steel frame that is connected by woven wire mesh
technical rope rescues and some water rescues
Designed to be split into two or four pieces - fitted around the patient who is lying on the ground or on a flat surface
Both sides of the patient must be accessible to use a scoop stretcher
folding aluminum frame chairs with fabric stretched across to form a seat and seat back
Fold-out handles allow you to carry their head and foot ends up or down stairs
also referred to as an incubator
keeps the neonatal patient warm, with moistened air in a clean environment
Protects from noise, drafts, infection, and excess handling
Which 8 steps are taken for a medical restraint?
First evaluate the patient for correctable causes of combativeness - injury, hypoxia, and hypoglycemia
Follow local protocols. Obtain medical control authorization if necessary
Restraint requires a minimum of five personnel
The patient should be in the supine position
Each extremity should have a restraint applied to it.
Preferably the patient should be restrained on a backboard with one arm above his or her head and the other arm by his or her side
Assess the patient's circulation after restraints are applied
Document all information
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