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Barry Kidd 2010Barry Kidd 2010 11
LIFTING ANDLIFTING AND
MOVING PATIENTSMOVING PATIENTS
Don’t put your back at riskDon’t p...
Barry Kidd 2010 2
Moving and PositioningMoving and Positioning
the Patientthe Patient
 Take care to avoid injuryTake care...
Barry Kidd 2010 3
Body MechanicsBody Mechanics
 Shoulder girdle should beShoulder girdle should be
aligned over the pelvi...
Barry Kidd 2010 4
Performing the Power GripPerforming the Power Grip
 A power grip gets the maximumA power grip gets the ...
Barry Kidd 2010 5
Performing the Power GripPerforming the Power Grip
 Curl fingers andCurl fingers and
thumb tightly over...
Barry Kidd 2010 6
Performing the Power LiftPerforming the Power Lift
 Tighten your back inTighten your back in
normal upr...
Barry Kidd 2010 7
Weight and DistributionWeight and Distribution
 Patient will bePatient will be
heavier on headheavier o...
Barry Kidd 2010 8
Diamond CarryDiamond Carry
 Four EMRs lift deviceFour EMRs lift device
while facing patient.while facin...
Barry Kidd 2010 9
One-Handed CarryingOne-Handed Carrying
 Face each otherFace each other
and use bothand use both
hands.h...
Barry Kidd 2010 10
Carrying Backboard or Cot onCarrying Backboard or Cot on
StairsStairs
 Strap patientStrap patient
secu...
Barry Kidd 2010 11
Using a Stair ChairUsing a Stair Chair
 Secure patient to stair chair with straps.Secure patient to st...
Barry Kidd 2010 12
Robinson Orthopedic StretcherRobinson Orthopedic Stretcher
 Adjust stretcherAdjust stretcher
length.le...
Barry Kidd 2010 13
General ConsiderationsGeneral Considerations
 Plan the move.Plan the move.
 Look for optionsLook for ...
Barry Kidd 2010 14
Directions and CommandsDirections and Commands
 Anticipate and understand everyAnticipate and understa...
Barry Kidd 2010 15
Additional GuidelinesAdditional Guidelines
 Find out how much the patientFind out how much the patient...
Barry Kidd 2010 16
Principles of Safe ReachingPrinciples of Safe Reaching
and Pullingand Pulling
 Back should always be l...
Barry Kidd 2010 17
Principles of Safe ReachingPrinciples of Safe Reaching
and Pullingand Pulling
 Use a sheet or blanket ...
Barry Kidd 2010 18
Principles of Safe ReachingPrinciples of Safe Reaching
and Pullingand Pulling (3 of 3)(3 of 3)
 Elevat...
Barry Kidd 2010 19
Emergency MovesEmergency Moves
 Performed if there is some potentialPerformed if there is some potenti...
Barry Kidd 2010 20
Emergency DragsEmergency Drags
 Clothes DragClothes Drag
 Blanket dragBlanket drag
Barry Kidd 2010 21
Emergency DragsEmergency Drags
Arm-to-ArmArm-to-Arm
DragDrag
Arm DragArm Drag
Barry Kidd 2010 22
One-Person Rapid ExtricationOne-Person Rapid Extrication
Barry Kidd 2010 23
One-Rescuer Drags, Carries,One-Rescuer Drags, Carries,
and Liftsand Lifts
FrontFront
cradlecradle Fire ...
Barry Kidd 2010 24
One-Rescuer Drags, Carries,One-Rescuer Drags, Carries,
and Liftsand Lifts
One-personOne-person
walkingw...
Barry Kidd 2010 25
One-Rescuer Drags, Carries,One-Rescuer Drags, Carries,
and Liftsand Lifts
Pack strapPack strap
Barry Kidd 2010 26
Urgent MovesUrgent Moves
 Used to move a patient whoUsed to move a patient who
has potentially unstabl...
Barry Kidd 2010 27
When to Use RapidWhen to Use Rapid
Extrication TechniqueExtrication Technique
 Vehicle or scene is uns...
Barry Kidd 2010 28
Rapid ExtricationRapid Extrication
 Provide in-Provide in-
line supportline support
and applyand apply...
Barry Kidd 2010 29
Rapid ExtricationRapid Extrication
 RotateRotate
patient aspatient as
a unit.a unit.
Barry Kidd 2010 30
Rapid ExtricationRapid Extrication
 Lower patientLower patient
to theto the
backboard.backboard.
Barry Kidd 2010 31
Nonurgent MovesNonurgent Moves
 DirectDirect
groundground
liftlift
Barry Kidd 2010 32
Nonurgent MovesNonurgent Moves
 ExtremityExtremity
liftlift
Barry Kidd 2010 33
Transfer MovesTransfer Moves
Direct carryDirect carry
Draw sheetDraw sheet
methodmethod
Barry Kidd 2010 34
GeriatricsGeriatrics
 Emotional concernsEmotional concerns
– FearFear
 Skeletal concernsSkeletal conc...
Barry Kidd 2010 35
BariatricsBariatrics
 ““Care of the obese”Care of the obese”
 Increase in back injuries amongIncrease...
Barry Kidd 2010 36
QUESTIONSQUESTIONS
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Lifting and moving patients

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Lifting and moving patients

  1. 1. Barry Kidd 2010Barry Kidd 2010 11 LIFTING ANDLIFTING AND MOVING PATIENTSMOVING PATIENTS Don’t put your back at riskDon’t put your back at risk
  2. 2. Barry Kidd 2010 2 Moving and PositioningMoving and Positioning the Patientthe Patient  Take care to avoid injuryTake care to avoid injury whenever a patient is moved.whenever a patient is moved.  Practice using equipment.Practice using equipment.  Know that certain patientKnow that certain patient conditions call for specialconditions call for special techniques.techniques.
  3. 3. Barry Kidd 2010 3 Body MechanicsBody Mechanics  Shoulder girdle should beShoulder girdle should be aligned over the pelvis.aligned over the pelvis.  Feet shoulder-width apartFeet shoulder-width apart  Keep backs straight.Keep backs straight.  Lift with legs.Lift with legs.  Keep weight close to theKeep weight close to the body.body.  Do not twistDo not twist  Grasp should be made withGrasp should be made with palms up.palms up. Wrong: Back Bent & Reaching
  4. 4. Barry Kidd 2010 4 Performing the Power GripPerforming the Power Grip  A power grip gets the maximumA power grip gets the maximum force from your handsforce from your hands  Arms and hands face palm up.Arms and hands face palm up.  Hands should be at least 10" apart.Hands should be at least 10" apart.  Each hand goes under the handleEach hand goes under the handle with the palm facing up and thewith the palm facing up and the thumb extended upward.thumb extended upward.
  5. 5. Barry Kidd 2010 5 Performing the Power GripPerforming the Power Grip  Curl fingers andCurl fingers and thumb tightly overthumb tightly over the top of thethe top of the handle.handle.  NeverNever grasp agrasp a litter or backboardlitter or backboard with the handswith the hands placed palms-downplaced palms-down over the handle.over the handle.
  6. 6. Barry Kidd 2010 6 Performing the Power LiftPerforming the Power Lift  Tighten your back inTighten your back in normal upright position.normal upright position.  Spread your legs apartSpread your legs apart about 5".about 5".  Grasp with arms extendedGrasp with arms extended down side of body.down side of body. Adjust yourAdjust your orientation andorientation and position.position. Reposition feet.Reposition feet. Lift byLift by straighteningstraightening legs.legs.
  7. 7. Barry Kidd 2010 7 Weight and DistributionWeight and Distribution  Patient will bePatient will be heavier on headheavier on head end.end.  Patients on aPatients on a backboard orbackboard or stretcher shouldstretcher should be diamondbe diamond carried.carried.
  8. 8. Barry Kidd 2010 8 Diamond CarryDiamond Carry  Four EMRs lift deviceFour EMRs lift device while facing patient.while facing patient.  EMR at foot end turnsEMR at foot end turns around to face forwardaround to face forward..  EMR at sides turn.EMR at sides turn.  Four EMRs face sameFour EMRs face same direction when walking.direction when walking.
  9. 9. Barry Kidd 2010 9 One-Handed CarryingOne-Handed Carrying  Face each otherFace each other and use bothand use both hands.hands.  Lift theLift the backboard tobackboard to carrying height.carrying height.  Turn in theTurn in the direction you willdirection you will walk and switchwalk and switch to using oneto using one hand.hand.
  10. 10. Barry Kidd 2010 10 Carrying Backboard or Cot onCarrying Backboard or Cot on StairsStairs  Strap patientStrap patient securely to thesecurely to the backboard.backboard.  Carry patientCarry patient down stairs footdown stairs foot end first, headend first, head end elevated.end elevated.  Carry patient upCarry patient up stairs head endstairs head end first.first.
  11. 11. Barry Kidd 2010 11 Using a Stair ChairUsing a Stair Chair  Secure patient to stair chair with straps.Secure patient to stair chair with straps.  Rescuers take their places: one at head, one atRescuers take their places: one at head, one at foot.foot.  Rescuer at the head gives directions.Rescuer at the head gives directions.  Third rescuer precedes.Third rescuer precedes.
  12. 12. Barry Kidd 2010 12 Robinson Orthopedic StretcherRobinson Orthopedic Stretcher  Adjust stretcherAdjust stretcher length.length.  Lift patient slightlyLift patient slightly and slide stretcherand slide stretcher into place, one sideinto place, one side at a time.at a time.  Lock stretcher endsLock stretcher ends together.together.  Secure patient andSecure patient and transfer to the cot.transfer to the cot.
  13. 13. Barry Kidd 2010 13 General ConsiderationsGeneral Considerations  Plan the move.Plan the move.  Look for optionsLook for options that cause thethat cause the least strain.least strain.
  14. 14. Barry Kidd 2010 14 Directions and CommandsDirections and Commands  Anticipate and understand everyAnticipate and understand every move.move.  Moves must be coordinated.Moves must be coordinated.  Orders should be given in twoOrders should be given in two parts.parts.
  15. 15. Barry Kidd 2010 15 Additional GuidelinesAdditional Guidelines  Find out how much the patientFind out how much the patient weighs.weighs.  Know how much you can safely lift.Know how much you can safely lift.  Communicate with your partners.Communicate with your partners.  Do not attempt to lift a patient whoDo not attempt to lift a patient who weighs over 250 lbs with fewer thanweighs over 250 lbs with fewer than four rescuers.four rescuers.  Avoid unnecessary lifting orAvoid unnecessary lifting or carrying.carrying.
  16. 16. Barry Kidd 2010 16 Principles of Safe ReachingPrinciples of Safe Reaching and Pullingand Pulling  Back should always be locked and straight.Back should always be locked and straight.  Avoid any twisting of the back.Avoid any twisting of the back.  Avoid hyperextending the back.Avoid hyperextending the back.  When pulling a patient on the ground, kneel toWhen pulling a patient on the ground, kneel to minimize the distance.minimize the distance.
  17. 17. Barry Kidd 2010 17 Principles of Safe ReachingPrinciples of Safe Reaching and Pullingand Pulling  Use a sheet or blanket if you mustUse a sheet or blanket if you must drag a patient across a bed.drag a patient across a bed.  Unless on a backboard, transferUnless on a backboard, transfer patient from the cot to a bed withpatient from the cot to a bed with a body drag.a body drag.  Kneel as close as possible toKneel as close as possible to patient when performing a log roll.patient when performing a log roll.
  18. 18. Barry Kidd 2010 18 Principles of Safe ReachingPrinciples of Safe Reaching and Pullingand Pulling (3 of 3)(3 of 3)  Elevate wheeled ambulance cot or stretcherElevate wheeled ambulance cot or stretcher before moving.before moving.  Never push an object with your elbows locked.Never push an object with your elbows locked.  Do not push or pull from an overhead position.Do not push or pull from an overhead position.
  19. 19. Barry Kidd 2010 19 Emergency MovesEmergency Moves  Performed if there is some potentialPerformed if there is some potential danger for you or the patientdanger for you or the patient  Performed if necessary to reachPerformed if necessary to reach another patient who needs lifesavinganother patient who needs lifesaving carecare  Performed if unable to properlyPerformed if unable to properly assess patient due to locationassess patient due to location
  20. 20. Barry Kidd 2010 20 Emergency DragsEmergency Drags  Clothes DragClothes Drag  Blanket dragBlanket drag
  21. 21. Barry Kidd 2010 21 Emergency DragsEmergency Drags Arm-to-ArmArm-to-Arm DragDrag Arm DragArm Drag
  22. 22. Barry Kidd 2010 22 One-Person Rapid ExtricationOne-Person Rapid Extrication
  23. 23. Barry Kidd 2010 23 One-Rescuer Drags, Carries,One-Rescuer Drags, Carries, and Liftsand Lifts FrontFront cradlecradle Fire fighter’sFire fighter’s dragdrag
  24. 24. Barry Kidd 2010 24 One-Rescuer Drags, Carries,One-Rescuer Drags, Carries, and Liftsand Lifts One-personOne-person walkingwalking assistassist FireFire fighter’sfighter’s carrycarry
  25. 25. Barry Kidd 2010 25 One-Rescuer Drags, Carries,One-Rescuer Drags, Carries, and Liftsand Lifts Pack strapPack strap
  26. 26. Barry Kidd 2010 26 Urgent MovesUrgent Moves  Used to move a patient whoUsed to move a patient who has potentially unstable injurieshas potentially unstable injuries  Use the rapid extricationUse the rapid extrication technique to move patientstechnique to move patients seated in a vehicle.seated in a vehicle.
  27. 27. Barry Kidd 2010 27 When to Use RapidWhen to Use Rapid Extrication TechniqueExtrication Technique  Vehicle or scene is unsafe.Vehicle or scene is unsafe.  Patient cannot be properly assessed.Patient cannot be properly assessed.  Patient requires immediate care.Patient requires immediate care.  Patient’s condition requiresPatient’s condition requires immediate transport.immediate transport.  Patient is blocking access to anotherPatient is blocking access to another seriously injured patient.seriously injured patient.
  28. 28. Barry Kidd 2010 28 Rapid ExtricationRapid Extrication  Provide in-Provide in- line supportline support and applyand apply cervicalcervical collar.collar.
  29. 29. Barry Kidd 2010 29 Rapid ExtricationRapid Extrication  RotateRotate patient aspatient as a unit.a unit.
  30. 30. Barry Kidd 2010 30 Rapid ExtricationRapid Extrication  Lower patientLower patient to theto the backboard.backboard.
  31. 31. Barry Kidd 2010 31 Nonurgent MovesNonurgent Moves  DirectDirect groundground liftlift
  32. 32. Barry Kidd 2010 32 Nonurgent MovesNonurgent Moves  ExtremityExtremity liftlift
  33. 33. Barry Kidd 2010 33 Transfer MovesTransfer Moves Direct carryDirect carry Draw sheetDraw sheet methodmethod
  34. 34. Barry Kidd 2010 34 GeriatricsGeriatrics  Emotional concernsEmotional concerns – FearFear  Skeletal concernsSkeletal concerns – OsteoporosisOsteoporosis – RigidityRigidity – KyphosisKyphosis – SpondylosisSpondylosis  Pressure soresPressure sores  Use special immobilizing techniques.Use special immobilizing techniques.  Be compassionate.Be compassionate.
  35. 35. Barry Kidd 2010 35 BariatricsBariatrics  ““Care of the obese”Care of the obese”  Increase in back injuries amongIncrease in back injuries among EMTsEMTs  Manufacturing of higher capacityManufacturing of higher capacity equipmentequipment  Use proper lifting techniques.Use proper lifting techniques.
  36. 36. Barry Kidd 2010 36 QUESTIONSQUESTIONS

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