In addition to ensuring your own safety, the most important guideline to follow when moving a patient is to:
Do no further harm to the patient
When moving a patient, who typically gives the command to begin the move?
The rescuer at the patient's head
All of the following are general recommendations to follow when moving a patient
- delay moving patient until EMS personnel arrives
- treat before moving unless environment is unsafe
- Do not step over patient
- Explain what you are doing and how
If you suspect that a patient has suffered a head or spine injury you should:
Keep the patient's head and spine immobilized to avoid movement
Regardless of the technique you use or moving patients, you should:
Lift and lower the patient by bending your legs
You and your partner are the poorest to arrive at the scene of a man who fell approximately 20 from a second story balcony the patient is brown line it on his side he is conscious and alert with waiting a paramedic unit is approximately five minutes away
Keep the patient's head and neck stabilized, tell the patient not to move, and wait for the paramedic unit to arrive at the scene
The recovery position is used for patients who are:
unconscious and not injured
With regard to lifting and moving, good body mechanics includes:
Using your legs and not your back when lifting
Before attempting to move any patient, you should:
assess the patient's weight and know your physical limitations.
You are the first medically trained person to arrive at the scene of an ill person. You find the patient, a 350lb man, sitting in a small bathroom. The patient tells you that he is extremely weak and is unable to walk. You should:
wait for additional rescuers to arrive before trying to move him
In which of the following situations would an emergency move be most appropriate?
The are around the patient cannot be protected adequately
Lifting Safety
- know your own physical limitations
- do not try to lift a too-heavy load
- maintain a firm footing
- lift and lower by bending your legs- not back
- Use large leg muscles to do work
- try to keep your arms close to you rbody for strength and balance
- m
When to move a patient
- fire, explosion or structural collapse exist
- hazardous materials are present
- the scene cannot be protected
- it is impossible to gain access to other patients
- the patient who has experience cardiac arrest and needs CPR
You and your partner are the first unit to arrive at the scene of a motor vehicle crash. The driver of the car is deceased There are two passengers in the back seat, an unconscious man who is breathing poorly, and a conscious woman who is lying on top of
Apply a cervical collar, and apply a short backboard using a straddle slide
If a patient is lying on the floor or ground in an unsafe environment, you should
drag the patient away instead of trying to carry or lift
Clothes drag
A type of emergency move that uses the patient's clothing in the neck or shoulder area; used for a patient suspected of having a head, neck or spinal injury.
Blanket Drag
a method used to move a patient by placing him on a blanket or sheet and pulling it across the floor or ground
Arm to Arm drag
An emergency move that consists of the rescuer grasping the patient's arms from behind and dragging legs and lower body; used to remove a patient from a hazardous place.
Firefighter Drag
Tie the patients wrists together behind your neck and crawling to safety; used when the patient is heavier than the rescuer.
The blanket drag would be MOST appropriate to use to move a patient if he or she is:
Wearing clothing that is easily torn
An elderly woman must be moved from an unsafe environment quickly. The patient is unconscious and is wearing a thin nightgown. What is the MOST rapid and effective way you and your partner can move her?
Blanket Drag
The arm-to-arm drag allows you to move a patient:
by carrying the weight of his or her upper body as the lower trunk and legs drag on the floor.
What is the fire fighter drag?
Enables you to move a patient who is heavier than you without lifting or carrying the patient
You are the first EMR to arrive at the scene of a 49-year-old man in cardiac arrest. the patient clearly weighs more than you do and is in an area that makes it extremely difficult for you to perform CPR. You should:
Use the fire fighter drag to move the patient to a safer environment to Perform CPR
Basic patient movement techniques require slight modification when moving a patient from a wrecked vehicle because the patient:
Is not in a lying position
A 60-year-old man is found sitting in his car alongside the road. There is no apparent damage to his vehicle. Your assessment reveals that the man is in cardiac arrest. You should:
Grasp the patient under his arms, Cradle his head between your arms, Remove him from the vehicle
If you and your partner move remove a patient from a vehicle immediately, you should first:
Have your partner manually support the patient's head
The two-person extremity carry is particularly advantageous when moving a patient who:
Is in a tight and/or narrow space
two-person extremity carry
A method of carrying a patient out of tight quarters using two rescuers and no equipment.
Two-person seat carry
A method of carrying a patient in which two rescuers link arms behind the patient's back and under the patient's knees creating a seat; requires no equipment.
cradle-in-arms carry
A one-rescuer patient movement technique used primarily for children; the patient is cradled in the hollow formed by the rescuer's arms and chest.
two-person chair carry
A method of carrying a patient in which two rescuers use a chair to support the weight of the patient.
Pack Strap Carry
A type of carry in which the patient is supported upright, across the responder's back.
When performing the two-person seat carry technique, the rescues should:
Keep the backs as straight as possible and lift with their legs
Which of the following statements regarding the two-person chair carry technique is correct?
The patient generally feels more secure with this carry than with the seat carry
Because the chair carry technique may force the patient's head forward, the rescuer should:
Watch the patient for problems with the airway
When performing the pack-strap carry technique, optimal weight distribution occurs when the:
Patient's underarms are over the rescuer's shoulders
The direct ground lift should NOT be performed if the patient:
Has experienced a traumatic injury
What statements regarding the direct ground lift are important?
It requires you to use poor body mechanics and is discouraged to use
The MOST appropriate technique for moving an adult patient from his or her bed to the ambulance stretcher is the:
Draw sheet method
When determining whether to use one or two rescuers to provide walking assistance to an ambulatory patient, you should:
Assess the patient's condition and the incident scene
The one-person walking assist method can be used if the patient:
Is able to bear weight on his or her feet
Which of the following statements regarding ambulance stretchers is correct?
It is best to use four people if the ambulance stretcher must be lifted or carried
In which of the following situations would the use of a stair chair be ideal?
A patient with shortness of breath and no history of trauma
Long backboards are MOST appropriate to use for patients who:
require stabilization of the head and neck
When moving a patient on a long backboard, you should:
Secure him or her to the board with straps
Short backboards or vest-style devices are most appropriate to use for patients who:
Have neck or back pain and are found in a sitting postion
A device that separates into left and right halves and is helpful when moving a patient from a small place is called a
scoop stretcher
When moving a deceased person, it is MOST appropriate to:
Place the body in a body bag and Place the body bag on a long backboard
When moving a deceased person, your priority should be to:
Move the body in a manner that minimizes your risk of personal injury
Which of the following devices would not serve as an adequate replacement for a long backboard?
foam surfboard
Any time a patient has suffered a traumatic injury, you should:
suspect injury to head, neck, or spine
An appropriately sized cervical collar is designed to:
Minimize head and neck movement and prevent further injury
All of the following are important principles of patient movement when a spinal injury is suspected
-ensuring you move the patient as a unit
-ensuring that one rescuer gives all the commands
-keeping the patient's head and neck in a neutral position
The primary technique used to move a patient onto a long backboard is the
log roll
Who should give the commands to move a patient with a suspected spinal injury?
The rescuer at the patient's head
You and your partner are assisting paramedics in securing an injured patient to a long backboard. One paramedic is supporting the patient's head while the other paramedic and your partner are supporting the patient's torso and legs. Where should you be?
Ready to slide the board under the patient as the team performs a log roll
When placing a patient onto a long backboard in a confined space, you should do so using the:
straddle lift
In contrast to the straddle lift technique, the straddle slide technique involves:
moving the patient rather than the backboard
when performing the straddle slide technique, team coordination problems would most likely occur if the patient is moved more than___ at a time
10-12
The most effective way to prevent accidental movement of a patient's head when strapping him or her to a long backboard is to:
secure the head to the backboard after securing the wrist and hip areas
When immobilizing the patient's head to the long board, you should:
Placed rolled blankets on both sides of the patients head
When can the rescuer who is manually stabilizing a patient's head safely let go of the head?
After the head has been secured to the board with blanket rolls
You are asked to accompany a paramedic in the back of the ambulance to assist in the care of a critically injured patient. The patient, who is semiconscious, is fully immobilized on a long backboard. What is the MOST important thing that you should be doi
Monitoring the patient for airway problems
In which of the following situations would it be MOST appropriate to use an improvised device instead of a commercially prepared long backboard?
An injured patient must be moved immediately to prevent further injury or death