Ch05 eec3

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Ch05 eec3

  1. 1. Five Chapter Lifting and Moving Patients
  2. 2. <ul><li>Body mechanics </li></ul><ul><li>Basics of lifting and moving </li></ul><ul><li>Types of moves that EMT-Bs make </li></ul><ul><li>Types of patient-carrying devices </li></ul>CORE CONCEPTS Five Chapter
  3. 3. B ODY MECHANICS
  4. 4. Decision Making and Planning <ul><li>Consider patient’s weight. </li></ul><ul><li>Communicate with partner. </li></ul><ul><li>Identify need for help </li></ul>before lifting. <ul><li>Consider needs of patient. </li></ul><ul><li>Consider the terrain. </li></ul>
  5. 5. <ul><li>Lift without twisting. </li></ul><ul><li>Have feet positioned properly. </li></ul>Guidelines for Lifting
  6. 6. Use legs, not back, to lift.
  7. 7. Keep weight close to your body.
  8. 8. Power-Lift Position Power-Grip
  9. 9. Safety Note Back injuries are a leading cause of long-term disability for EMTs. Lift safely.
  10. 10. <ul><li>Keep your back locked in. </li></ul><ul><li>Avoid twisting while reaching. </li></ul>Safe Reaching Techniques (Continued)
  11. 11. Safe Reaching Techniques <ul><li>Avoid reaching more than 15 – 20 </li></ul>inches in front of your body. <ul><li>Avoid prolonged strenuous </li></ul>reaching.
  12. 12. Safe Pushing and Pulling <ul><li>Push, rather than pull </li></ul><ul><li>Keep your back locked in. </li></ul><ul><li>Keep weight close to your </li></ul>(whenever possible) . (Continued) body.
  13. 13. Safe Pushing and Pulling <ul><li>Keep your knees bent. </li></ul><ul><li>Avoid pushing or pulling </li></ul><ul><li>Keep elbows bent </li></ul>overhead. (arms close to your sides) . (Continued)
  14. 14. Safe Pushing and Pulling <ul><li>If weight is below waist level, </li></ul><ul><li>push or pull from a kneeling </li></ul><ul><li>position. </li></ul>
  15. 15. P RECEPTOR P EARL Few things are more important to the safety and longevity of an EMS provider than proper lifting and moving techniques. Habits that begin early are practiced throughout a career. Remember to emphasize proper lifting and moving techniques when working with new EMT-Bs, and be sure to use those techniques yourself.
  16. 16. T YPES OF MOVES
  17. 17. Emergency Moves <ul><li>Scene is hazardous. </li></ul><ul><li>Life-threatening condition </li></ul><ul><li>requires move. </li></ul><ul><li>Patient must be moved to reach a critical patient. </li></ul>
  18. 18. Emergency Move Clothes Drag
  19. 19. Emergency Moves Inline Drag Firefighter’s Drag
  20. 20. Emergency Move Firefighter’s Carry
  21. 21. Emergency Move One-Rescuer Assist
  22. 22. Emergency Move Two-Rescuer Assist
  23. 23. Urgent Moves <ul><li>Treatment of patient’s condition requires a move. </li></ul><ul><li>Support breathing </li></ul><ul><li>Treat for shock </li></ul>(Continued)
  24. 24. <ul><li>Factors at the scene cause </li></ul><ul><li>Extreme heat or cold </li></ul>Urgent Moves patient decline:
  25. 25. Urgent Move with Spinal Precautions
  26. 26. Nonurgent Moves <ul><li>Use when there is no threat </li></ul><ul><li>to life. </li></ul><ul><li>Use when patient’s condition </li></ul><ul><li>allows for assessment and care. </li></ul>
  27. 27. Nonurgent Move - Extremity Carry
  28. 28. P ATIENT-CARRYING DEVICES
  29. 29. P RECEPTOR P EARL New EMT-Bs may feel awkward when walking down stairs, especially if they are facing backwards. Tell them: if you begin to lose your balance while carrying a patient down stairs, sit down if you are at the head end. If you are at the foot end, lean into the stairs to regain your balance.
  30. 30. Wheeled Ambulance Stretcher Portable Stretcher
  31. 31. Stair Chair Short Spine Board
  32. 32. Patient Immobilized on Long Spine Board
  33. 33. Scoop (Orthopedic) Stretcher Basket “Stokes” Stretcher
  34. 34. Vest-Type Extrication Device Flexible Reeves Stretcher
  35. 35. Patient Immobilized in Vest-Type Extrication Device
  36. 36. Moving Patients to Carrying Devices and Transferring Them to ED Stretcher
  37. 37. Patient Positioning <ul><li>Part of patient care plan </li></ul><ul><li>Must not cause harm to patient </li></ul><ul><li>Must be safe </li></ul>(Continued)
  38. 38. Recovery Position Unconscious Patients
  39. 39. Position of Comfort Shock Position No Spinal Injury
  40. 40. Position stretcher.
  41. 41. Pull sheet under patient taut.
  42. 42. Slide patient to hospital stretcher.
  43. 43. Be sure patient is centered. Raise side rail.
  44. 44. 1. Describe the principles of body mechanics. 2. What are the basics of lifting and moving? 3. List three types of moves. 4. Name five patient-carrying devices. R EVIEW QUESTIONS

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