chapter 3 Flashcards
body mechanics
proper use of your body to prevent injury and to facilitate lifting and moving
how to prevent injury to yourself
- position feet correctly, shoulder width
- Use your legs not back
- Never turn or twist
- Do not compensate when llifting with one hand
- Keep weight close ad possible to your body
- Use a stari chari when carrying a patient on stairs
Power lift
a lift from a squatting position with weight to be lifted close to the body, feet apart and flat on the ground, body weight on or just behind the balls of the feet and the back locked in. the upper body is raised before the hips. also squat lift position
power grip
all 10 fingers bend the same, hands at least 10 in apart
when pushing or pulling
push rather than pull
keep back locked in
keep the line of pull through the center of your body by bending your knees
keep the weight close to your body
if the weight is below your waist level, push or pull from a kneeling position
avoid pushing overhead
keep your elbows bent and arms close to your body
emergency move
scene is hazardous
care of life threatening conditions require re-positioning
you must reach other patients
urgent move
patient must be moved quickly for treatment of an immediate threat to life but with precautions for spinal injury
Treatment can only be done if patient is moved to support inadequate breathing or to treat for shock or altered mental status.
Factors at the scene cause patient decline, for ex heat or cold
using a backboard(long spine board) is urgent move, log roll move
Emergency moves
Incline drag foot drag shoulder drag clothes drag firefighter's drag blanket drag once-rescuer assist cradle carry Pack strap carry firefighter's carry piggyback carry two rescuer assist firefighter's carry with assist
non urgent moves
on scene assessment first and initial treatments. from site of patient to patient carrying device
patient carrying devices
wheeled stretchers
portable stretcher (good for multi casualty)
flexible (Reeves) (for restricted or narrow areas)
scoop or orthopedic (not for spine injuries)
stair chair
basket stretcher (Stokes) rough terrain or different levels
patient immobilization devices
Long spine boards
Vest type extrication
Short board
Patient w suspected spine injury
immobilize head, neck and spine, rigid cervical collar, maintain manual stabilization until on spine board. if seated immobilize with vest or short spine board
patient with no suspected spine injury
extremity lift (armpits and knees)
direct ground lift ( from ground level to stretcher, two rescuers kneel, curl the patient to chest, stand then reverse the process to lover the patient onto stretcher
draw sheet method (grasp sheet under patient )
direct carry (from bed to stretcher, same principle as direct ground lift
patient positioning
unresponsive, no spine injury: recovery position (sideways, flat, potential vomit)
responsive, no spine problem, : comfort for the patient choice, Fowler or semi Fowler. Sitting upright or semi reclined
position for shock: supine positions , for max blood flow,
bariatric
very overweight or obese
