EMT Emergency Care 14th Edition Chapter 3

bariatric

having to do with patients who are significantly overweight or obese

body mechanics

the proper use of the body to facilitate lifting and moving and prevent injury

direct carry

a method of transferring a patient from bed to stretcher, during which two or more rescuers curl the patient to their chests, then reverse the process to lower the patient to the stretcher

direct ground lift

A method of lifting and carrying a patient from ground level to a stretcher in which two or more rescuers kneel, curl the patient to their chests, stand, then reverse the process to lower the patient to the stretcher

draw-sheet method

a method of transferring a patient from bed to stretcher by grasping and pulling the loosened bottom sheet of the bed

extremity lift

A method of lifting and carrying a patient during which one rescuer slips hands under the patient's armpits and grasps the wrists, while another rescuer grasps the patient's knees.

power grip

gripping with as much hand surface as possible in contact with the object being lifted, all fingers bent at the same angle, and hands at least 10 inches apart

power lift

A lift from a squatting position with weight to be lifted close to the body, feet apart and flat on the ground, body weight on or just behind the balls of the feet, and back locked in. The upper body is raised before the hips. Also called the squat-lift position.

to ensure your personal safety when lifting an adult patient, it is important to

use your legs, not your back, to lift

when lifting a patient, you should do all of the following except:

a. communicate your plan clearly with your partner

b. twist while you and your partner lift the patient

c. know your partner's physical ability and limitations

d. communicate frequently with your partner

twist while you and your partner lift the patient

EMTs lift the cot or stretcher on most calls. When lifting this device, you should:

use four rescuers if on rough or uneven terrain

when you place fingers and the palm in contact with the stretcher as you prepare to lift, you are using the hand technique known as the

power grip

You are in a situation in which the only way to move a heavy object is to pull it. When you must pull an object, you should:

keep the line of pull through the center of your body by bending your knees

you must decide whether to move a patient using an emergency move. the situation in which an emergency move would be used include all of the following except:

a. the scene is hazardous because of an immediate danger of fire

b. explosives or other hazardous chemicals are present

c. care of life-threatening conditions requires repositioning the patient

d. the dispatcher is holding another EMS call

the dispatcher is holding another EMS call

you and your partner are assigned to quickly move as many patients as possible from the hallway of a nursing facility because of a fire in another wing of the building. the next patient you come to is on the floor, and you have decided to use an emergency move. How should the EMT move this patient to safety?

pulling on the patient's clothing in the neck and shoulder area

If your 55 year old male patient has an altered mental status, you should consider a(n) ______________ move:

urgent

You and your crew have decided to use a log roll to get your patient onto a long backboard. When doing a log roll, you should lean from your hips and:

use your shoulder muscles to help with the roll

The final step in packaging a patient for transport on a wheeled stretcher involves:

a. securing the stretcher to the ambulance

b. placing a towel under the patient's head

c. covering the patient with a top sheet

d. adjusting the position of the back rest

securing the stretcher to the ambulance

your 65-year-old female patient is in a bedroom that is on the second floor of her residence. if you and your partner are going to be carrying her down the stairway, you should use

use a stair chair instead of a stretcher

your 55-year-old male patient, who is approximately 650 pounds, has a chief complaint of "chest pain and difficulty breathing." while you are conducting the primary assessment and care, it would be helpful to have your partner call for:

a. powered loading equipment

b. additional crew members

c. a bariatric stretcher

d. all of these

all of these

You have a 28 year old male patient who was injured while working on the rooftop of a three-story structure. the fire department will be lowering him down a ladder bed to the ground. which device should the patient be placed in first?

basket stretcher

a 52-year-old male has injured his spine in a motor vehicle crash. the trauma center is 35 minutes away. which patient carrying device would be best suited to protect the patient's spine during transport?

a long spine board

Pack strap carry is an example of a(n) _______ move for a patient who has no spine injury.

emergency

another name for the squat-lift used by EMTs is the

power lift

How should the EMTs feet be positioned when lifting?

comfortable position, weight on balls of feet, and flat on the ground

the EMT who has to lift with one hand, as in a litter carry, must be careful NOT to

compensate by leaning

a more comfortable device that can be used to transport a patient in the supine position who has sustained a spinal injury is a

vacuum mattress

When a vacuum mattress is used, the patient is placed on the device and the air is ________ by a pump. Then the mattress will form a ________ and conforming surface around the patient.

withdrawn; rigid

list 5 patient-carrying devices (illustrated in the chapter)

1. wheeled stretcher or power stretcher

2. portable stretcher

3. scoop (orthopedic) stretcher

4. basket (stokes) stretcher

5. flexible (reeves) stretcher

6. stair chair

list four general principles that will help you prevent injury when reaching for a patient

1. keeping your back in a locked-in position

2. avoid twisting while reaching

3. avoid reaching more than 20 inches in front of your body

4. avoid prolonged reaching when strenuous effort is required

5. avoid reaching overhead

list five general principles that will help you prevent injury when pushing or pulling a patient

1. push, rather than pull, whenever possible

2. keep your back locked in

3. keep the line of pull through the center of your body by bending your knees

4. keep the weight close to your body

5. if the weight is below your waist level, push or pull from a kneeling position

6. avoid pushing or pulling overhead

7. keep your elbows bent and arms close to your sides

list 3 situations that may require an emergency move

1. the scene is hazardous

2. care of life-threatening conditions requires repositioning

3. you must move a closer patient in order to reach other patients who are more critically injured.