lifting and moving patients · chapter 5 lifting and moving limmer et al., emergency care update,...
TRANSCRIPT
CHAPTER 5
Lifting and Moving
Limmer et al., Emergency Care Update, 10th Edition
© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Moving Patients
Lifting Techniques
Back injuries are a leading cause of long-term disability for EMTs.
Limmer et al., Emergency Care Update, 10th Edition
© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Lift safely.
Lifting Considerations
Consider the weight of object/
patient.
Communicate with partner.
Limmer et al., Emergency Care Update, 10th Edition
© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Identify the need for help before
lifting.
Have a plan.
Use your legs to lift.
Have feet positioned properly.
Keep weight close to body.
Guidelines for Lifting
Limmer et al., Emergency Care Update, 10th Edition
© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Keep weight close to body.
Lift without twisting.
Use legs, not back, to lift.Use legs, not back, to lift.
Limmer et al., Emergency Care Update, 10th Edition
© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Keep weight close to your body.Keep weight close to your body.
Limmer et al., Emergency Care Update, 10th Edition
© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
PowerPower--LiftLiftPositionPosition
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© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
PowerPower--GripGrip
Limmer et al., Emergency Care Update, 10th Edition
© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Keep your back locked in.
Avoid twisting while reaching.
Avoid reaching more than 15-20
Safe Reaching Techniques
Limmer et al., Emergency Care Update, 10th Edition
© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
inches in front of your body.
Safe Pushing and Pulling
Push, rather than pull.
Keep your back locked in
(whenever possible).
Limmer et al., Emergency Care Update, 10th Edition
© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Keep weight close to your
body.
Safe Pushing and Pulling
Keep your knees bent.
Avoid pushing or pulling overhead.
Keep elbows bent and arms close
Limmer et al., Emergency Care Update, 10th Edition
© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Keep elbows bent and arms close
to sides.
If weight is below waist level, push
or pull from a kneeling position.
Types ofTypes ofMovesMoves
Limmer et al., Emergency Care Update, 10th Edition
© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
MovesMoves
Emergency Moves
Scene is hazardous.
Life-threatening condition requires
move.
Limmer et al., Emergency Care Update, 10th Edition
© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
move.
Patient must be moved to reach a
critical patient.
Emergency Move:Emergency Move: Clothes DragClothes Drag
Limmer et al., Emergency Care Update, 10th Edition
© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Emergency Move: Emergency Move: Incline Drag (HeadIncline Drag (Head--First)First)
Limmer et al., Emergency Care Update, 10th Edition
© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Emergency Emergency Move: Move: Firefighter’sFirefighter’sDragDrag
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© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Emergency Emergency Move:Move:Firefighter’s Firefighter’s CarryCarry
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© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Emergency Emergency Move: Move: OneOne--Rescuer Rescuer AssistAssist
Limmer et al., Emergency Care Update, 10th Edition
© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Emergency Emergency Move:Move:TwoTwo--Rescuer Rescuer AssistAssist
Limmer et al., Emergency Care Update, 10th Edition
© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Urgent Moves
Scene factors cause a decline in
patient condition.
Treatment of patient’s condition
Limmer et al., Emergency Care Update, 10th Edition
© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
requires a move.
Urgent Move with Spinal PrecautionsUrgent Move with Spinal Precautions
Limmer et al., Emergency Care Update, 10th Edition
© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Non-Urgent Moves
Use when there is no threat to life.
Use when patient’s condition
allows for assessment and care.
Limmer et al., Emergency Care Update, 10th Edition
© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Typically utilize a carrying device.
NonNon--Urgent Urgent Move:Move:Extremity CarryExtremity Carry
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© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
PatientPatient--Carrying Carrying DevicesDevices
Limmer et al., Emergency Care Update, 10th Edition
© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Wheeled Ambulance StretcherWheeled Ambulance Stretcher
Limmer et al., Emergency Care Update, 10th Edition
© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Portable StretcherPortable Stretcher
Limmer et al., Emergency Care Update, 10th Edition
© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Stair ChairStair Chair
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© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Long Spine BoardLong Spine Board
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© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Patient Immobilized on Long Spine BoardPatient Immobilized on Long Spine Board
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© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Short Spine BoardShort Spine Board
Limmer et al., Emergency Care Update, 10th Edition
© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
VestVest--Type Extrication DeviceType Extrication Device
Limmer et al., Emergency Care Update, 10th Edition
© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Patient Immobilized in Vest-TypeExtrication Device
Limmer et al., Emergency Care Update, 10th Edition
© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Scoop (Orthopedic) StretcherScoop (Orthopedic) Stretcher
Limmer et al., Emergency Care Update, 10th Edition
© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Basket (Stokes) StretcherBasket (Stokes) Stretcher
Limmer et al., Emergency Care Update, 10th Edition
© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Flexible (Reeves) StretcherFlexible (Reeves) Stretcher
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© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Moving Patients toMoving Patients toCarrying DevicesCarrying Devices
Limmer et al., Emergency Care Update, 10th Edition
© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Carrying Device Choice
What is the patient’s position?
Is there a suspected spinal cord
injury?
Limmer et al., Emergency Care Update, 10th Edition
© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Patient Positioning
Part of patient care plan
Must not cause harm to patient
Must be safe
Limmer et al., Emergency Care Update, 10th Edition
© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Must be safe
Recovery PositionRecovery PositionUnconscious Patient without Spinal Injury
Limmer et al., Emergency Care Update, 10th Edition
© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Position of ComfortPosition of Comfort
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© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Shock PositionShock PositionPatient without Spinal Injury
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© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Transferring the Transferring the Patient to a Patient to a
Hospital StretcherHospital Stretcher
Limmer et al., Emergency Care Update, 10th Edition
© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Hospital StretcherHospital Stretcher
Position stretcher.Position stretcher.
Limmer et al., Emergency Care Update, 10th Edition
© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Pull sheet under patient taut.Pull sheet under patient taut.
Limmer et al., Emergency Care Update, 10th Edition
© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Slide patient to hospital stretcher.Slide patient to hospital stretcher.
Limmer et al., Emergency Care Update, 10th Edition
© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Be sure patient is centered. Raise side rail.Be sure patient is centered. Raise side rail.
Limmer et al., Emergency Care Update, 10th Edition
© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
1. Describe the principles of safe
lifting.
2. Differentiate between emergency,
Review Questions
Limmer et al., Emergency Care Update, 10th Edition
© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
2. Differentiate between emergency,
urgent, and non-urgent moves.
Give example of each.
3. List several patient-carrying
devices. Describe a use for each.
4. Describe several patient positions.
Review Questions
Limmer et al., Emergency Care Update, 10th Edition
© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
4. Describe several patient positions.
What device should be used to
STREET SCENESSTREET SCENES
Limmer et al., Emergency Care Update, 10th Edition
© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
remove the patient from the vehicle?
What patient-care issues are important when using an extrication device?
What is the next thing to consider when actually moving the patient
STREET SCENESSTREET SCENES
Limmer et al., Emergency Care Update, 10th Edition
© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
when actually moving the patient from the vehicle?
What emergency-care equipment was used for this patient? Why?
What is the next step before moving this patient again?
STREET SCENESSTREET SCENES
Limmer et al., Emergency Care Update, 10th Edition
© 2007 by Pearson Education, Inc. Upper Saddle River, NJ
this patient again?
What other safety considerations should be considered when moving the long board to the wheeled stretcher?