Chapter 35 - Lifting & Moving Patients

Question 1

An EMT may injure his or her back, even if it is straight, if the:
Select one:
A. force is exerted straight down the spine.
B. back is bent forward at the hips.
C. hands are held close to the legs.
D. shoulder is aligned over the pelvis.

Answer 1

B. back is bent forward at the hips.

Question 2

Prior to applying medical restraints to a combative patient, you should:
Select one:
A. place the patient in a prone position to avoid airway and breathing compromise once restrained and placed onto the stretcher.
B. evaluate the patient for potentially correctible cause of combativeness, such as head injury, hypoxia, or hypoglycemia.
C. have at least three rescuers present, one for the upper extremities, one for the lower extremities, and one for the head.
D. advise the patient that medical restraint is necessary, but can be removed if he or she cooperates with you during transport.

Answer 2

B. evaluate the patient for potentially correctible cause of combativeness, such as head injury, hypoxia, or hypoglycemia.

Question 3

The direct carry is used to transfer a patient:
Select one:
A. who cannot be placed on a backboard.
B. with multiple long bone injuries.
C. from a bed to the ambulance stretcher.
D. with a possible cervical spine injury.

Answer 3

C. from a bed to the ambulance stretcher.

Question 4

To protect a restrained patient and prevent him from using leverage to break free, the EMT should secure \_\_\_\_\_\_\_\_\_\_.
Select one:
A. both arms above the head
B. only the patient's torso
C. one arm above the head
D. both arms at the patient's sides

Answer 4

C. one arm above the head

Question 5

When a person is standing upright, the weight of anything being lifted and carried in the hands is FIRST reflected onto the:
Select one:
A. thigh muscles.
B. pelvic girdle.
C. shoulder girdle.
D. spinal column.

Answer 5

C. shoulder girdle.

Question 6

Which of the following statements regarding the neonatal isolette is correct?
Select one:
A. A freestanding isolette should be used, not one that is secured to the stretcher.
B. The isolette serves to keep the neonate warm and protects from excess handling.
C. The safest type of isolette is one that takes the place of the ambulance stretcher.
D. If an isolette is not available, the neonate can safely be transported on the stretcher.

Answer 6

B. The isolette serves to keep the neonate warm and protects from excess handling.

Question 7

Which of the following statements regarding the scoop stretcher is NOT correct?
Select one:
A. You must fully secure the patient to the scoop stretcher before moving him or her.
B. The construction of the scoop stretcher prohibits x-rays while the patient is on it.
C. Both sides of the patient must be accessible in order for a scoop stretcher to be used.
D. A scoop stretcher will provide adequate immobilization of a patient’s spinal column.

Answer 7

D. A scoop stretcher will provide adequate immobilization of a patient’s spinal column.

Question 8

You and your partner enter the residence of an elderly couple, both of whom are found unconscious in their bed. There is no evidence of trauma. As you begin your assessment, you and your partner notice the smell of natural gas in the residence. Which of the following should be your MOST appropriate action?
Select one:
A. Quickly exit the residence and request the fire department to move the patients.
B. Rapidly remove the patients from their residence using a blanket or clothes drag.
C. Request another ambulance to assist with lifting and moving the patients.
D. Perform a rapid assessment and then move the patients from their residence.

Answer 8

B. Rapidly remove the patients from their residence using a blanket or clothes drag.

Question 9

You and your partner respond to the scene of a 49-year-old male with acute abdominal pain. As you enter his residence, you find him lying on the floor in severe pain. He is conscious and alert. The patient appears to weigh in excess of 350 lb. Your FIRST action should be to:
Select one:
A. request the fire department if one attempt to move him fails.
B. request additional personnel before making any attempts to lift him.
C. encourage the patient to walk himself to the awaiting ambulance.
D. assess him and then move him to the stretcher with a direct carry.

Answer 9

B. request additional personnel before making any attempts to lift him.