5 - Lifting and Moving Patients

Question 1

List the three complications that cause a decrease in blood pressure.

Answer 1

Loss of blood or its fluid components

Loss of vascular tone and sufficient arterial constriction to maintain the necessary even without any actual fluid or blood loss

A cardiac pumping problem / Decrease in heart rhythm

(388)

Question 2

The first key rule of lifting is:

Answer 2

Keep your back straight

Question 3

The peripheral nervous system has two components, list them.

Answer 3

Somatic

Autonomic

(Note: Sympathetic and the parasympathetic nervous systems make up the autonomic NS.)

Question 4

What is the goal of the primary assessment?

Answer 4

Identify and treat any immediate life threats

Question 5

When an EMT is lifting a gurney properly, the weight is reflected pm what part(s) of the body?

Answer 5

Legs, spine, arms and shoulders

Question 6

Briefly describe how to perform the power grip.

Answer 6

Hands gripped in a palms up position with thumbs extended

Question 7

What three areas does the Glasgow Coma Scale assess?

Answer 7

Eye opening
Verbal response
Motor response

Question 8

What are two of the body’s compensatory mechanisms for a drop in blood pressure?

Answer 8

Increased HR

Vasoconstriction

Question 9

You decide to use an emergency move to drag a patient from inside the house to the front lawn. List 2 of the 4 method you can use to move the patient to safety.

Answer 9

Dragging Methods:

clothes drag
blanket drag
arm drag
arm-to-arm drag

(294)

Question 10

You are on the scene of a vehicle into a tree; there is light smoke inside the passenger compartment of the vehicle. You notice that the patient is slumped over the steering wheel. What is the MOST correct method to move the patient?

Answer 10

Rapid extrication

(295)

Question 11

List three different types of patient moving equipment, other than the wheeled stretcher. (do not repeat a device that was already claimed on this exam)

Answer 11

Folding stretchers
Backboard
Scoop stretcher
Longboards
Basket stretchers

Question 12

What device should be used to move a patient across uneven terrain or from a remote location that is inaccessible by emergency vehicles?

Answer 12

Basket stretcher

Question 13

Oral Glucose
(Pharmacology Description)

Answer 13

Indication - hypoglycemia

Contraindications -unconscious, unable to swallow, hyperglycemic, vomiting

Action - rapid increase in blood glucose level

Route - oral/swallowed

Dose - ½–1 tube

Side Effect - none

Question 14

Nitroglycerin
(Pharmacology Description)

Answer 14

Indication - chest pain (of a cardiac nature)

Contraindication - hypotension, unconscious, erectile dysfunction medications

Action - vasodilation, decrease in preload and afterload

Route - Sublingual

Dose - Sublingual tablets - 0.3–0.4mg, up to 3 tablets

Side Effect - headache, dizziness, nausea, flushed skin, hypotension

Question 15

Aspirin
(Pharmacology Description)

Answer 15

Indication - chest pain (of a cardiac nature)

Contraindication - allergy, bleeding, liver disease

Action - decreases clotting, anti-inflammatory

Route - Oral

Dose - 1 tablet, 81mg up to 4 times in one day for a total of 324mg a day

Side Effect - nausea, vomiting, upset stomach, bleeding

Question 16

The diastolic pressure measures:

Answer 16

Blood pressure that is always present in vessels, after each contraction (i.e. the heart at rest)

Question 17

What are the four components of negligence?

Answer 17

Duty to act
Breach of duty
Causation
Damages

Question 18

An MDI is used to deliver a metered dose of what medication?

Answer 18

Albuterol (Proventil, Ventolin)

Ipratropium (Atrovent)

(508)

Question 19

You are arriving on the scene of a single-family dwelling and see a patient lying supine on the porch. The front door is open and smoke is blowing out of the house. You run up and grab the patient by the collar and drag her to the front lawn. What type of move did you perform and what method did you use to move the patient?

Answer 19

Emergency moves

Dragging Methods: Emergency clothes drag, blanket drag, arm drag, arm-to-arm drag

(294)

Question 20

What is the MOST effective way to move a stable patient, complains of dizziness from a second-floor bedroom to the gurney on the first floor?

Answer 20

Stair Chair