Chapter 3 Flashcards
Body mechanics
proper use of your body to prevent injury and to facilitate lifting and moving
what are 3 things to consider when lifting any patient?
The object (what is the weight)
your limitations
communication
what are the 6 rules to follow to prevent injury?
Position your feet properly
Use your legs
Never twist or turn
Do not compensate when lifting with one hand
Keep weight close to body
Use a stair chair when carrying a patient on stairs
Different kinds of carrying devices
stretchers
backboards
stair chairs
what method of transporting/carrying a patient is safest and efficient?
wheeled device (wheeled stretcher or a stair chair)
T or F. let any number of persons assist in lifting and carrying a stretcher
False. always even numbers. dont let third person carry one side.
Two methods to help prevent injury;
Power lift (squat lift) Power grip (hands at least 10" apart
rules to keep in mind when reaching (4)
Keep your back locked in
Avoid twisting while reaching
Avoid reaching more than 20” in front of your body
Avoid prolonged reaching when strenuous effort is required.
Rules to keep in mind when pushing/pulling (7)
Push rather than pull
keep back locked in
Keep the line of pull through the center of your body by bending your knees
Keep weight close to body
If weight is below waist level, push or pull from a kneeling position
Avoid pushing or pulling overhead
keep elbows bent and arms close to your sides
In cases such as car fires, building that may collapse _____ is the overriding concern. What move do you use?
Speed
Emergency move
When you have time to carry out an abbreviated assessment. When the patient is extracted you would pace the patient on a spinal board, etc. this is called what move?
Urgent move
When you can complete the on-scene assessment and care procedures then move the patient onto a stretcher or other device in the normal way. This move is called what?
Nonurgent move
3 situations that may require the use of an emergency move:
The scene is hazardous
Care of life-threatening conditions require repositioning
You must reach other patients
what is the greatest danger in an emergency move/
that the injuries of the patient may be aggravated
T or F. Move the patient in the direction of the long axis of the body when possible
true
drag moves are reserved only for emergencies because:
there is no protection for neck or spine.
emergency moves- One rescuer drags:
Clothes drag Incline drag Shoulder drag Foot drag Firefighter drag Blanket drag
Emergency moves- one rescuer:
One rescuer assist cradle carry pack strap carry firefighters carry piggyback carry
Emergency move- two rescuers:
Two-rescuer assist
Firefighters carry with assist
T or F. For the majority of emergency and urgent moves, there will not be time for a full spinal assessment
True
urgent moves are required when the patient needs to be moved quickly for treatment of an
Immediate threat to life
Examples in which urgent moves may be required:
The treatment can only be provided if the patient is moved
Factors at the scene cause patient decline.
moving the patient to a _________ is often preformed as an urgent move
backboard
Backboard is seen as a transportation device not a long-term ___________ device
immobilization
Varying ways to move a patient to a backboard:
Log roll
Patient carrying device is a:
stretcher or other device designed to carry the patient safely to the ambulance/hospital
6 patient carrying devices
Power stretcher Portable stretcher scoop (orthopedic) stretcher Basket stretcher Stair char Flexible stretcher vacuum stretcher
Wheeled stretchers
in the back of all ambulances.
When moving the patient, the safest level of the stretcher is the one _______ to the ground
closest
2 basic types of stretchers;
power stretchers
manual stretchers
Power stretchers
battery powered hydraulic, 20 consecutive runs and patients up to 700lbs
Bariatric stretchers
Constructed to carry obese patients. 800+ lbs
stair chairs
used on stairs, for tight corners
do not use stair chair when:
they patient has a neck or spine injury. or are unresponsive and need airway care.
2 types of Spine board/backboards
short and long
portable stretcher
may be beneficial in MCI (usually fold or collapse)
Scoop stretcher
no direct spine support. avoid using when the patient has a suspected spine injury
Basket stretcher
used in rough terrain. put blanket down first under the patient.
Flexible stretcher
used in restricted areas or narrow hallways
manual neck stabilization comes ____
first
Move them or assist them in walking to a ling backboard, then to the stretcher. if there is a known back/spinal injury then you can :
leave them on the backboard
4 methods of moving patient to the stretcher with NO suspected spinal injury:
extremity lift
direct ground lift
draw-sheet method
direct carry
Extremity lift
use when patient is on the ground or in a sitting position Emergency move or nonurgent move
Direct ground lift
when patient is on the ground and needs to get to a stretcher
draw sheet method
used with the direct carry method to get a patient from a bed to a stretcher
Direct carry
move from bed to a stretcher
patients in what condition should be placed in the recovery position?
unresponsive
when the patient has no suspected spine injury, they may choose:
what position they want to be in.
Fowler’s/semi-fowlers
seated/semi-seated
at the first sign of unresponsiveness, place the patient in the :
recovery position
patients who are believed to be in shock, place them in the:
supine position. allows max blood flow
what is the most probable way one will move a patient from the stretcher to hospital bed/
draw-sheet method
