lo5

translation

straight line motion

rotation

motion around an axis

what should happen before moving a patient

evaluation unless requires an emergency move

musculoskeletal injury stats

• 93 of 281 incidents reported to workers comp were related to lifting and moving

• 60 percent of injuries to paramedics are MSI musculoskeletal injuries

stretcher/cot

• operate at lowest level in rough terrain

• operate at highest level on smooth surfaces

• when at highest level can be top heavy and unstable

• feet first if possible

see seat

• sued when cannot walk to stretcher and stair chair is not an option

• four handles

• 2-4 rescuers

slider sheets

• low friction sheets that glide over themselves

• short sheets used for pivoting and repositioning

• long sheets are used for transferring supine patients

transfer belt advantages

• provide secure grip

• no need to grip limbs and clothing

• can guide a falling patient to the floor

• allows paramedics to work with upright posture

maxi 500

used to help a fallen patient off the floor

Sara 3000 sit stand lift

used for patient transfers and toileting

when may emergency moves be required

• fire

• explosion or hazardous material

• unsecured accident scene

• position prevents life saving care

factors that guide emergency moves

• medical condition

• treatment being given

• need for urgency

• environment

• temperature

• risk of fire, explosion, etc.

• device accessibility

• number of trained partners available

assessment process for transferring, lifting, and repositioning

1. patient assessment and preparation

   • ROM

   • tone of muscles

   • ability to lean

   • control of movement

   • endurance/weakness

   • blood pressure

   • presence of vulnerable body areas

   • balance

   • fatigue

   • strength

2. assess ability of patient to understand and cooperate with

   • emotional behaviour

   • mood

   • memory

   • ability to follow instructions

   • impairment of senses

   • ability to communicate and comprehend

   • medications

   • judgement and decision making

3. paramedic self assessment

   • physical and emotional status

   • training and experience

   • additional resources

4. environmental assessment

   • appliances and attachments

   • spaces and pathways

   • surfaces

   • equipment available

   • distractions/noise

   • lighting

5. task assessment

   • transfer

   • mechanical lift

   • reposition

   • need for assistive devices

preparation process for TLR

1. assess need for assistance

   • weight, participation, distance

   • position, frequency, need for equipment

2. eliminate environmental risks

   • clear area of obstacles

3. prepare equipment

4. prepare yourself and partners

   • ensure partner understands

   • warm up/stretch

   • communicate

5. eliminate patient risks

   • explain what is happening

   • encourage patient

   • TLR according to procedure

extremity lift

• emergency move

• used to get patient off the floor and onto a cot or wheelchair