Ch.8liftingandmoving Flashcards
___injuries are the leading cause of injury that forces EMTs and paramedics to leave the profession
Back
Is the most commonly used device to move and transport patients. Weighs between 40 and 145ib (18 and 66kg)
Wheeled ambulance stretcher
Is a long,flat board made of Rigid ,rectangular material. Commonly used for patients who are found lying down
Backboard
Is the relationship between the body’s anatomical structures and the physical forces associated with lifting,moving, and carrying
Body mechanics
When lifting ,spread your legs about ____ apart
15 inches (38cm)
Lifting by extending the properly placed flexed legs is the most powerful way to lift and is called
Power lift
Use the ___ to get the maximum force from your hands whenever you are lifting a patient
Power grip
Whenever you grasp a stretcher or backboard, your hands should be at least_____ apart
10 inches (25cm)
___to minimize the distance that you will have to lean over
Kneel
Reach forward and grasp the patient so that your elbows are just beyond the ___ torso
Anterior
Avoid situations that involve strenuous effort lasting more than____
1 minute
Alternate between pulling the patient by flexing your arms and then repositioning yourself so that your arms extended with your hands about ____ in front of your torso
15 inches (38cm)
Using the ___method can help you avoid the strain of unnecessary lifting and carrying
Draw sheet method
A carrying technique in which one provider is located at the head end of the stretcher or backboard, one at the foot end, and one at each side of the patient; each of the two providers at the sides uses one hand to support the stretcher or backboard so that all are able to face forward as they walk.
Diamond carry
Between 68% and 78% of the body weight of a patient in a horizontal position is in the torso. More of the patients weight rests on the___ half of the device than on the foot half
Head
Special bariatric techniques, equipment, and resources are generally required to move any patient who weighs more than___ to the ambulance.
350 lb (159 kg)
Use an ___ when there is risk of serious harm or death due to fire,explosives,hazardous materials
Emergency move
By using the ___, a patient can be moved from sitting in a vehicle to supine,on a backboard if required,in 1 minute or less
Rapid extrication technique
Is used for patients with no suspected spinal injury who are found lying supine on the ground
Direct ground Lift
The ___ may be especially helpful when the patient is in a very narrow space or there is not enough room for the patient and several EMTs to stand side by side
Extremity lift
__of the adults in the us (more than 100 million people) are considered obese
42.4%
Use a __\to immobilize the torso, head, and neck of a seated patient with a suspected spinal injury until you can immobilize the patient on a backboard.
___are 3 to 4 feet long (approximately 1 m).
The wooden short backboard has been replaced with a vest-type device, such as the Kendrick extrication device, specifically designed to immobilize the patient until he or she is moved from a sitting position to a supine position on a backboard.
short backboard
• The patient is placed on the mattress and the air is removed from the device, allowing it to mold around the patient.
The__ is equivalent to padding to secure the patient’s neck and spine and is more comfortable for the patient than the long spine board.
vacuum mattress
Obesity rates
Adults 40 to 59 45%
Adults 20 to 39 40%
Adults 61 and older 43%
Children and adolescents 18%
In 2008, the estimated annual cost of medical care for patients with obesity in the us was____
$147 billion
Is the branch of medicine concerned with the management of obesity and allied diseases
Bariatrics
They have a wider patient surface area to allow for increased comfort.
• They have a wider wheelbase, allowing for increased stability when rolling the patient over uneven terrain.
Bariatric stretcher
Typical wheeled ambulance stretchers, depending on manufacturer ratings, are rated to a maximum weight of__
650 lb (295 kg).
___are usually rated to a max weight between 850 and 900 lb (386 to 408 kg).
Bariatric stretchers
Forms a rigid stretcher that confirms around the patients sides and does not extend beyond them. Can be use if the patient must be belayed or rappelled by ropes
Flexible stretcher
A patient with no suspected injury reporting chest pain or respiratory distress should be placed in a____— unless he or she is hypotensive.
position of comfort-typically a Fowler or semi-Fowler position
With medical restraints, place the patient in the supine position. If the patient is placed in a prone position, positional ___ could develop
Asphyxia
• To safely transport a neonatal patient, the patient must be placed inside of an___, sometimes referred to as an incubator.
The isolette keeps the neonatal patient warm with moistened air in a clean environment and helps to protect the infant from noise, drafts, infection, and excess handling.
These devices come in one of two forms:
• The___ is placed directly on top of the wheeled stretcher and secured with seat belts.
• A free-standing type of___ is secured into the back of the ambulance, taking the place of the standard stretcher.
isolette
Use a rigid___ (Stokes litter) to carry a patient across uneven terrain from a remote location that is inaccessible by ambulance or other vehicle.
If you suspect that the patient has a spinal injury, first secure him or her on a backboard and then place the backboard into the __.
• Once you have reached the ambulance and wheeled ambulance stretcher, remove the patient secured to the backboard from the ____ and place the patient on the stretcher.
____are made of plastic with an aluminum frame or have a full steel frame that is connected by a woven wire mesh.
• The wire basket is very uncomfortable unless the wire is padded.
Basket stretchers
