Chapter 8: Lifting and moving patients Flashcards
Select one
An emt may injure his or her back, even if it is straght, if the:
- Shoulder is aligned over the pelvis
- Hands are held close to the legs
- Back is bent forward at the hips
Back is bent forward at the hips
Select one
As you and your partner are carrying a stable patient down a flight of stairs in a stair chair, you feel a sudden, sharp, pain in your lower back. You should:
- Reposition your hands and continue to move the patient.
- Guide your partner while moving the chair backwards
- Stop the move and request additional lifting assistance.
- Stop the move and have the patient walk down the stairs
Stop the move and request additional lifting assistance.
Select one
In contrast to typical wheeled ambulance stretchers, features of a barriatric stretcher include:
- Two safety rails on both sides of the stretcher.
- A collapsible undercarriage.
- Weight capacity of up to 650 lb.
- Increased stability from a wider wheelbase.
Increased stability from a wider wheelbase.
Select one
It is essencial that you ________ your equipment to prevent the spread of disease.
- Properly store
- Decontaminate
- Throw out
- Incinerate
Decontaminate
Select one
The ________ is both the mechanical weight-bearing base of the spinal column and the fused central posterior section of the pelvic girdle.
- Coccyx
- Sacrum
- Ischium
- Thorax
Sacrum
Select one
The MOST serious consequence of a poorly planned or rushed patient move is:
- Injurt to you or your patient.
- Causing patient anxiety or fear.
- Unnecessarily wasting time.
- Confusion among team members.
Injury to you or your patient
Select one
The proper technique for using the power grip is to:
- Hold the handle with your fingers
- Rotate your palms down
- Lift with your palms up
- Position your hands about 6” apart
Lift with your palms up
Select one
To facilitate a safe and coordinated move, the team leader should:
- Speak softly but clearly to avoid startling the patient.
- Never become involved in the move, ony direct the move
- Be positioned at the feet so the team can hear
- Use prepatory commands to initiate any moves
Use prepatory commands to initiate any moves.
Select one
To minimize the risk of injuring yourself when liftin or moving a patient, you should:
- Avoid the use of log rolls or body drags
- Use a direct carry whenever possible
- Keep the weight as close to your body as possible
- Flex at the waist inside of the hips
Keep the weight as close to your body as possible
select one
To protect a restrained patient and prevent him from using leverage to break free, the emt should secure _____.
- Only the patients torso
- One arm above the head
- Both arms above the head
- Both arms at the patients sides
Both arms at the patients sides
Select one
Upon arriving at the scene of a motor vehicle crash, you find a single patient still seated in his car. There are no hazards. As you approach the vehicle, you note that the patient is semiconscious and has a large laceration to his forehead. You should:
- Apply a cervicle collar and quickly remove the patient with a clothes drag
- Apply a vest-style extrication device before attempting to move the patient.
- Direct your partner to apply manual in-line support of the patients head.
- Slide a long backboard under his buttocks and lay him sideways on the board.
Direct your partner to apply manual in-line support of the patients head
Select one:
_____ safety depends on the use of proper lifting techniques and maintaining a proper hold when lifting or carrying apatient.
1. your
2. your teams
3. the patients
4. all of the above
- All of the above
select one
An urgent move would be required in which of the followiung circumstances?
A. If a patient has a normal level of consciousness
B. If the patient is complaining of neck pain
C. In extreme weather conditions
D. If a patient has normal vital signs
C. In extreme weather conditions
Select one
You may injure your back if you lift:
A. With your back straight
B. Using a power lift technique
C. With the shoulder girdle anterior to the pelvis
D. Keeping the weight close to you
C. With the shoulder girdle anterior to the pelvis
Select one
When lifting, you should:
A. Spread your legs past shoulder width
B. Lift a patient while reaching far in front of your torso
C. keep the weight that you are lifitng as close to your body as possible
D. use your back muscles by bending at the waist
C. Keep the weight that you are lifting as close to your body as possible
Select one
When lifting a patient, proper technique involves which of the following?
A. Leaning forward over the patient
B. Avoid bending at the waist
C. Holding the wait away from your body
D. Keeping the legs and knees locked straight
B. Avoid bending at the waist
Select one
In lifting with the palm down the weight is supported by the ________ rather than the palm.
A. Fingers
B. Forearm
C. Lower Back
D. Wrist
A. Fingers
Select one
When you must carry a patient up or down a flight of stairs or other significant incline, use a ____________ if possible.
A. Backboard
B. Stair Chair
C. Stretcher
D. Short Backboard
B. Stair Chair
Select one
Most of the patients weight will be distibuted on which part of the stretcher?
A. Head
B. Foot
C. Side
D. Center
A. Head
Select one
A backboard is a device that provides support to patient who you suspect have all of the following EXCEPT:
A. Hip injuries
B. Pelvic injuries
C. Spinal injuries
D. Symptoms of a heart attack
D. Symptoms of a heart attack
Select one
Which of the following team leader actions is NOT required to safely lift and move a patient?
A. Giving command of execution
B. Indicating where each team member is to be located
C. Giving an abreviated overview of the lifting and moving stages
D. Completing all documentation prior to moving the patient
D. Completing all documentation prior to moving the patient
Select one
Special ____ stretchers are usually required to move any patient who weighs more than 650 lbs to an ambulance.
A. Orthopedic
B. Pediatric
C. Geriatric
D. Bariatric
D. Bariatric
Select one
Which of the following statements is FALSE regarding the use of a stair chair?
A. Keep your back in a locked-in position
B. Lean back to help distribute the weight
C. Keep the patient’s weight and your arms as close to your body as possible
D. Flex at the hips, not at the waist
B. Lean back to help distribute the weight.
Select one
When you use a body drag to move a patient:
A. Your back should always be locked in a slight curve
B. Twist so that the vertebrae can flex during the move
C. Concider hyperextending to gain more leverage
D. Drag the patient by the ankles
A. Your back should always be locked in a slight curve
Select one
When pulling a patient, you should do which of the following:
A. Extend your arms no more than about 15 to 20 inches
B. Stagger your feet so that the force of pull will be distributed toward your dominant hand
C. Move both yourself and the patient simultaniously
D. Pull the patient in rapid bursts of movement
A. Extend your arms no more than about 15 to 20 inches
Select one
When log rolling a patient, you should do which of the following:
A. Avoid kneeling too closely to the patients side
B. Hyperextending the back to reach completely across the patient
C. Refrain from using the belt loops or belt as a grab point
D. Use your shoulder muscles to help with the roll
D. Use your shoulders to help with the roll
Select one
If the weight you are pushing is lower than your waist, you should push from:
A. The waist
B. A kneeling position
C. The shoulder
D. A squatting position
B. A kneeling position
Select one
If you are alone and must remove an unconscious patient from a car, you should first remove the patient’s:
A. legs
B. head
C. Torso
D. Pelvis
A. Legs
Select one
Situations in which you should use an emergency move include all of the following EXCEPT:
A. When fire, explosives, or hazardous materials are present
B. When the patient feels like he or she might pass out
C. When you are unable to gain access to others in a vehicle who need lifesaving care
D. When you are unable to protect the patient from other hazards
B. When the patient feels like he or she might pass out
Select one
You can move a patieint on his or her back along the floor or ground using all of the following methods EXCEPT:
A. Pulling on the patients clothing in the neck and shoulder area
B. Placing the patient on a blanket, coat, or other item that can be pulled
C. Pulling the patient by the legs if they are the most accessible part
D. Placing your arms under the patients shoulders and through the armpits, and while grasping the patients arms, dragging the patient backward
C. Pulling the patient by the legs if they are the most accessible part
Select one
The ____ is both the mechanical weight-bearing base of the spinal column and the fused central posterior section of the pelvic girdle.
A. Lumbar spine
B. Sacrum
C. Coccyx
D. Ileum
B. Sacrum
Select one
Which part of the following is NOT an indication for use of the rapid extrication technique?
A. The patient is in severe pain
B. The patients condition cannot be properly assessed before being removed from the vehicle
C. The patient blocks access to another seriously injured patient
D. The vehicle or the scene is unsafe
A. The patient is in severe pain
Seelct one
To avoid the strain of innecessary lifting and carrying, you should use _____ or assist an able patient to the stretcehr whenever possible.
A. The direct ground lift
B. The extremity lift
C. The draw sheet method
D. A scoop stretcher
C. the draw sheet method
Select one
You should use a rigid ________, also called a stokes litter, to carry a patient across uneven terrain from a remote location that is inaccessible by ambulance or other vehicle.
A. Basket stretcher
B. Scoop stretcher
C. Molded backboard
D. Flotation device
A. Basket stretcher
Short answer
List the five guidelines for carrying a patient on a stretcher.
- Estimate the weight of both of the patient and the associated equipment to be lifted and guage the limitations of the teams ability.
- Coordinate your movements with those of the other team members while constantly communicating with them.
- Do not twist your body as you are carrying the patient.
- Keep the weight that you are carrying as close to your body as possible while keeping your back in a locked-in position.
- Always keep your back in a straight, upright position and lift without twisting.
Short answer
List the nine different one-rescuer emergency moves.
1.Emergency clothes drag
2. Blanket drag
3. arm drag
4. arm to arm drag
5. Firefighters drag
6. Front cradle
7. One-person walking assist
8. Firefighters carry
9. Pack strap
Short answer
List six situations where using a rapid extrication technique would be appropriate.
- The vehicle or scene is unsafe.
- Explosives or hazardous materials are on the scene.
- There is a fire or danger of fire.
- The patient cannot be properly assessed while in the car.
- Patient has life threatening condition.
- Patient blocks access to another patient.
Short answer
List three guidelines for loading the stretcher into the ambulance
- Make sure there are enough providers for sufficient lifting power.
- Follow the manufactures directions for safe and proper use of the stretcher.
- Make sure that all stretchers and patients are fully secured before you move the ambulance.
Short answer
Identify the key rule of lifting
Always keep your back in a straight, upright position and lift without twisting
Select one
Which of the following is true regarding the lift and moving or geriatric patients?
- They generally have no fear or anxiety when being transported.
- Many will require additional padding or support to transport comfortably.
- They tend to have more flexibility than younger patients
- They have less risk of skin tears or bruising than younger patients
B. Many will rewuire additional padding or support to transport coimfortably
Select one
Bariatrics is:
- The branch of medicine concerned with the elderly.
- The branch of medicine concerned with the obese
- The branch of medicine concerned with infants
- The method used to assess blood pressure
B. The branch of medicine concerned with the obese
True or false
A portable stretcher is typically a lightweight folding device that does not have the undercarriage and wheels of a true ambulance stretcher.
True
True or false
The term power lift refers to a posture that is safe and helpful for EMT’s when they are lifting
True
True or false
If you find that lifting a patient is a strain, try to move the patient to the ambulance as quickly as possible to minimize the possibility of back injury.
False
True or false
It is not important that you and yoiur team use the correct lifting technique to lift a stretcher.
False
True or false
One-person techniques for moving patients should be used only when immediate patient movement is neccessary due to life-threatening hazard and only one EMT is available.
True
True or false
When carrying a patient down stairs or on an incline, make sure the stretcher is carried with the head end first.
False
True or false
The rapid extrication technique os teh preferred technique to use on all sitting patients withe possible spinal injuries.
False
True or false
It is unprofessional for you to discuss and plan a lift at the scene in front of the patient.
False
True or false
Bariatrics is a medical specialty that deals with the care of the obese.
True
True or false
An isolette is used to transport neonatal patients.
True
True or false
The flexible stretcher is useful for moving patients through confined spaces
True
True or false
Pneumatic stretchers qwew developed to decrease the risk for EMS provider back injuries
True
True or false
Bariatric stretchers are the same as standard ambulance stretchers except for the added lifting capacity.
False
Fill-in-the -blank
To avoid injury to you, the patient, or your partners, you will have to learn how to lift and carry the patient properly, using proper ______ ______ and a power grip.
Body Mechanics
Fill-in-the -blank
The key rule of lifting is to always keep the back in a straight, ________ position and to lift without twisting.
Upright
Fill-in-the -blank
The safest and most powerful way to lift, lifting by extending the properly placed flexed legs, is called a(n) _______ _______.
Power lift
Fill-in-the -blank
The arm and hand have their greatest lifting strength when facing ________ up.
Palm
Fill-in-the -blank
Be sure to pick up and carry the backboard with your back in the ____________ position.
Upright
Fill-in-the -blank
During a body drag where you and your partner are on each side of the patient, you will have to alter the unusual pulling technique to prevent pulling ________ and producing adverse lateral leverage against your lower back.
Sideways
Fill-in-the -blank
When you are rolling the wheeled ambulance stretcher, your back should be _____, straight, and untwisted.
Locked
Fill-in-the -blank
A patient on a backboard or stretcher can be lifted and carried by four providers in a(n) ________ carry.
Diamond
Fill-in-the -blank
Whenever a patient has been placed onto the stretcher, one EMT must hold the main frame to prevent _______.
Movement
Fill-in-the -blank
The manual suppor and immobilization that you provide when using the rapid extrication technique produce a greater risk of ______ ______.
Spine movement
Fill-in-the -blank
The ____ _____ _____ is used for patients with no suspected spinal injury who are found lying supine on the ground.
Direct ground lift
Fill-in-the -blank
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 EMT’s tp stand side by side.
Extremity lift
Fill-in-the -blank
The mattress on a stretcher must be ____ ____ so that it does not absorb any type of potentially infectious material, including water, blood, or other bodily fluids.
Fluid resistant
Fill-in-the -blank
It is essencial that you ________ your equipment after use.
Decontaminate
