CHAPTER 8 Flashcards
A long, flat board made of rigid, rectangular material that is used to provide support to a patient who is suspected of having a hip, pelvic, spinal or lower extremity injury; also called a spine board, trauma board, and longboard
backboard
A branch of medicine concerned with the management (prevention or control) of obesity and allied diseases
bariatrics
A rigid stretcher commonly used in technical and water rescues that surrounds and supports the patient yet allows water to drain through holes in the bottom; also called a Stokes litter
basket stretcher
The relationship between the body’s anatomical structures and the physical forces associated with lifting, moving and carrying; the ways in which the body moves to achieve a specific action.
body mechanics
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
A lifting technique that is used for patients who are found lying supine on the ground with no suspected spinal injury
direct ground lift
A move in which the patient is dragged or pulled from a dangerous scene before assessment and care are provided
emergency move
A lifting technique that is used for patients who are supine or in a sitting position with no suspected extremity or spinal injuries
extremity lift
Removal of a patient from entrapment or a dangerous situation or position, such as removal from a wrecked vehicle, industrial incident or collapsed building
extrication
A stretcher that is a rigid carrying device when secured around a patient but can be folded or rolled when not in use
flexbile stretcher
A stretcher with a strong, rectangular, tubular metal frame and rigid fabric stretched across it
portable stretcher
A technique in which the stretcher or backboard is gripped by inserting each hand under the handle with the palm palm facing up and the thumb extended, fully supporting the underside of the handle on the curved palm with the fingers and thumb
power grip
A lifting technique in which the EMT’s back is held upright, with legs bent, and the patient is lifted when the EMT straightens the legs to raise the upper body and arms
power lift
A technique to move a patient from a sitting position inside a vehicle to supine on a backboard in less than 1 minute when confitions do not allow for standard immobilization
rapid extrication technique
A stretcher that is designed to be split into two or four sections that can be fitted around a patient who is lying on the ground or other relatively flat surface; also called an orthopedic stretcher
scoop stretcher
A lightweight folding device that is used to carry a conscious, seated patient up or down stairs
stair chair
A specially designed stretcher that can be rolled along the ground. A collapsible undercarriage allows it to be loaded into the ambulance; also called an ambulance stretcher
wheeled ambulance stretcher
In prep for your next call after delivering patient to ED, you must review the positive points about transport and what changes you could use to improve the next run. This process of evaluation should help you identify the following?:
- Procedures that need more practice
- Equipment that needs to be cleaned or serviced
- Skills that you need to review or acquire
The scoop stretcher is also known as:
orthopaedic stretcher
What are three questions you should ask yourself before lifting a patient?
am i strong enough to lift the patient?
is their adequate room?
do i need additional assistance?
Moving a patient should be done in a ___,____,____ manner
orderly, planned and unhuried manner
When a person is standing upright, the individual weight-bearing vertebrae are stacked on top of each other and over the _____
sacrum
The first rule of lifting is to always keep your back in a ___ position and lift without ___.
straight upright, twisting
Your hands should be in the ____ position when using the power grip
palm facing up
When using the power grip, your hands should be at least ___ apart
10 inches
You should always keep the weight ____
close as possible to your body
while pulling a patient, you should not have your arms extended more than _____-_____ inches from your torso.
15-20inches
you and another EMT pulling the patient with one EMT on each side of the patient. you should grab the armpit and the patients’s belt
body drag
when logrolling a patient you will initially have to reach father than ____ inches
18 inches
you and your partner should be able to safely lift ___-____ pounds.
120-220 pounds
if your patient weights more than 250 lbs, you need at least _____ rescuers to safely lift the patient.
4
when carrying a patient down the stairs, no matter what device you use, what part of the patient should always be superior?
the head
when carry a backboard down steps the greatest amount of weight will be distributed to the provider positioned at the ______.
feet end
if the providers are different heights the shorter provider should be at the _______.
head end
when there is potential for danger, use an ____________ _______ to drag or pull a patient to a safe place before assessment cad care are provided
emergency move
list four types of drags:
- emergency clothes drag
- blanket drag
- arm drag
- arm to arm drag
list five types of one-person drags, carries, and lifts:
- front cradle
- firefighter’s drag
- one person walking assist
- firefighter carry
- pack-strap carry
_______________may be necessary to move a patient with an altered level of consciousness, inadequate ventilation , or shock.
urgent move
by using the rapid extrication technique patient can be moved from sitting in the vehicle to supine in ____ minutes. This technique requires a minimum of _____ providers who are knowledgeable and practiced in the procedure
1 minute, 2 providers
______________is used for patient with no suspected spinal injury who are found lying supine of the ground. Ideally it should be performed by ____ providers.
direct ground lift, 3 providers
_______________ _______may be used for patient with nno suspected extremily or spinal injuries who are supine or in a sitting position. It may be helpful when the patients is in a _____ ______.
extremity lift. narrow space
list four transfer moves:
- direct carry
- draw sheet method
- scoop stretcher
- backboard
what are two challenges when lifting and moving a geriatric patient?
- skeletal changes
2. fear
list three differences between a common wheeled stretcher and a bariatric stretcher:
- wider patient surface area
- wider wheel base
- increasing weight lifting capacity
a bariatric stretcher is often rated between ____and____ pounds
850-900
a drawback of the powered wheeled stretcher is that the weight of the stretcher is increased, typically by _____to ____ lbs.
75,100 lbs
__________ stretcher is a rigid stretcher that conforms around the patient’s sides and does not extend beyond them. they are particularly useful when you must remove a patient from or though a ____________.
flexible stretcher, confined space
used to immobilize the torso, head, and neck of a seated patient with a suspected spinal injury.
short board. 3-4 feet long
your crew and the safety of your patients, you should ________ the unit after every use.
decontaminate
patients who are in late stages of pregnancy or an unresponsive patient with no suspected spinal, hip, or pelvic injuries should be transported on their ______ side.
left side
a patient in shock should be transported in a ________ position.
supine position
the application of physical restraints should be considered if the patient poses a danger to _________,________,________,__________
you, team members , himself or herself or bystander
when restraining apatient one arm should be _______ the patient’s head and one arm should be at the patient’s________.
above , side
after applying the restraints it is imperative to assess 3 things:
ABC’S, Mental status , and distal circulation
The extremity lift would NOT be appropriate to use on a patient:
with a deformed humerus
You may injure your back if you lift:
with your back curved, with your back straight, but bent significantly at the hips, or with the shoulder girdle anterior to the hips.
What two lifts work when the patient has no suspected spinal injuries?
You may injure your back if you lift:
with your back curved, with your back straight, but bent significantly at the hips, or with the shoulder girdle anterior to the hips.
What two lifts work when the patient has no suspected spinal injuries?
Direct ground lift and extremity lift
In which of the following situations would a direct ground lift be MOST appropriate to move a patient?
A conscious patient complaining of abdominal pain.
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?
Rapidly remove the patients from their residence using a blanket or clothes drag.
You should use a rigid ______, often called a Stokes litter, to carry a patient across uneven terrain from a remote location that is inaccessible by ambulance or other vehicle.
basket stretcher
To avoid injury when pushing a patient or other object, you should:
avoid pushing the patient with your elbows fully extended.
Be careful that you do not push or pull from a(n) _______ position.
overhead
In lifting with the palm down, the weight is supported by the _____ rather than the palm.
fingers.
Which is the MOST appropriate method to use when moving a patient from his or her bed to a wheeled stretcher?
Draw sheet method
You have been called to the scene of a high-speed motor vehicle collision involving two compact cars. The first vehicle was a roll-over, ejecting the drive. The second vehicle contained both a drive and a front seat passenger who cannot be reached because the door is up against a building. For the passenger in the second vehicle, you may need to perform a(n) ___ on the driver in order to reach the patient.
emergency move
Situations in which you should properly use the rapid extrication technique include all of the following EXCEPT:
a patient who can be properly assessed while still in the vehicle.
When performing the rapid extrication technique to remove a patient from the vehicle, you should:
apply a cervical collar and remove the patient on a long backboard
The ______ may be especially helpful when the patient is in a very narrow space or when there is not enough room for the patient and a team of EMTs to stand side by side.
extremity lift
When carrying a patient up or down stairs, you should avoid:
using a wheeled stretcher whenever possible
When pulling a patient, you should do all of the following EXCEPT:
when you can pull no farther, lean forward another 15 to 20 inches.
An 81-year-old female fell and struck her head. You find the patient lying on her left side. She is conscious and complains of neck and upper back pain. As you are assessing her, you note that she has a severely kyphotic spine. What is the MOST appropriate method of immobilizing this patient?
Leave her on her side and use blanket rolls to immobilize her to the long backboard
In most instances, you should move a patient on a wheeled ambulance stretcher by:
pushing the head of the stretcher while you partner guides the foot.
In most instances, you should move a patient on a wheeled ambulance stretcher by:
pushing the head of the stretcher while you partner guides the foot.
The direct carry is used to transfer a patient:
from a bed to the ambulance stretcher
