Lifting Flashcards
Package
Securing the patient for transport
Body position important bones
Axial skeletal (bones of the head, trunk of vertebrate)
Body position
Pull or drag “long axis” of the body to prevent excessive spinal movement
Lift with your ____ not your ___
legs, not back
Keep back ___
straight
Keep feet ___ distance of width to __
equal, shoulders
Do not reach ___
high
Hold objects ____ not ____
close, away
Do not ___
twist
Use a ___ grip with a ___ lift
power, power
How many people for a backboard carry
Minimum of 2, ideally 4
Configuration for diamond carry
1 at head, 1 at legs, 1 at each hip. 4 total people.
Problem with diamond carry
: Once they get to the stretcher one hip person has to let go to move stretcher closer. The
board weight with other rescuers is off, rescuers feet are likely to hit eachother
Funeral carry/one hand carry
2 at head 2 at feet
Funeral carry benefits
Rescuers legs are spread out. Easy to go thru doors. Better body mechanics can be used.
Funeral carry disadvantage
Board may sag in middle. Boards take 225 to 300 pounds only. If a patient is that large
they will not fit on board to carry anyway. They go on a board to a stretcher right away and wheel on
stretcher. Also add people as needed to stabilize the large patient.
General moving rule
Better to push not pull
Always keep head ____ than feet when going up or down elevations.
higher
Who coordinates all lifting movement
head person
What is the most used piece of equipment on an ambulance.
wheeled stretcher
How many straps to secure wheeled stretcher
3 minimum
Wheel stretcher should be lowered when moving over rough surfaces. T/F
True
Wheeled stretcher side rails up when not doing patient care T/F
True
Is a stair chair used on spinal patients
NO
When is a stair chair used?
Moving people up and down stairs.
• Moving people in small areas. Hallway, airplane, etc.
What is the preferred full body immobilization?
Long back board
How many straps to secure long back board
3 minimum
What must be secured to make long back board effective
Ball and socket joints
What end is the feet of a long back board
Narrow end
How do straps go on a long back board
Straps can make an “X” on chest or be straight across. It is up to medical director. Both have benefits
When is a portable stretcher used?
Not used that often. If multiple patients and you need something to carry them.
What is a short board made from?
Wood or metal
What is one brand and color of a short board?
KED -Kendric’s Extrication Devise. (Green color).
When is a short board used?
on stable spinal patients found in seated position
When to not use short board
DO NOT USE IF PATIENT IS UNSTABLE - TAKES TOO LONG OT PUT ON. GO DIRECTLY TO LONG BACK
BOARD
When is a scoop stretcher used?
Used for full body immobilization in confined area.
When is a scoop stretcher good?
Good for hip/pelvis injuries to get under patient you cannot log roll
What are some disadvantages of a scoop stretcher
Can pinch skin when putting back together.
• NOT GOOD FOR CPR PERSON. NO DIRECT SPINAL SUPPORT
What is an emergency move?
The patient is not completely “packaged” before moving them.
• EVEN IF THE PATIENT IS CRITICAL NO SHORT CUTS ARE TAKEN WITH PACKAGING if scene if safe
What are three reasons to move unpackaged patients?
1) CPR is needed, 2) Hazards (traffic, guns, fire,
explosion, etc…, 3) Move less critical patient to get to more critical patient.
What is a drag emergency move?
pull long axis. - clothing drag, body drag, blanket drag
What is a carry emergency move?
only one in EMS - Fire Fighter carry.
What is a walking emergency move?
assist patient in walking
Urgent/non urgent move
In this course they mean the same. The urgent patient is critical but the scene is safe so completely
package them but do it faster. Non-urgent moves are a completely safe scene. THESE ARE COMBINED IN
THIS COURSE. NO NEED TO SEPARATE. RULES ARE THE SAME. PACKAGE THEM FIRST.
What is a direct ground carry
three or five people pick up victim and make a human backboard. - Hello? How
about a stretcher, if available.
What is an extremity lift
very good. Cross patients arms in front of patient and come from back grabbing the
patients wrists. This is good for wheel chair moves. You can add a person to hold feet.
What is a draw sheet/sheet draw
when a sheet is under the patient and it is used like a taco shell and the
patient is the meat. This takes time. That is why this is a non-urgent move.
