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Body Mechanics
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Ch 3
Lifting and Moving
| Question | Answer |
|---|---|
| Bariatric | having to do with patients who are significantly overweight or obese |
| Body Mechanics | proper use of the body to facilitate lifting and moving and prevent injury |
| Direct Carry | Method of transferring a patient from bed to stretcher, in which two or more rescuers curl the patient to their chest then reverse the process to lower that 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 chest, 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 hand under the patient armpits and grab wrists while another rescuer grasps the patient 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 | 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 feet and backed locked in |
| Body Mechanics: The Object | What is the weight? Require additional help? |
| Body Mechanics: Your Limitations | Physical Characteristics? Any Physical limitations? |
| Body Mechanics: Communication | Make a Plan, Communicate with partner through process |
| Body Mechanics: Position Feet Properly | Firm, surface level, shoulder width apart |
| Body Mechanics: Use Your Legs | Do not use your back |
| Body Mechanics: Never Turn or Twist | Don't attempt to make many moves |
| Body Mechanics: Do not compensate when lifting with one hand | Avoid Leaning |
| Body Mechanics: Keep weight as close as possible to body | Use legs rather than back. Farther away from body greater chance of injury |
| Body Mechanics: Use Stair Chair | Using stairs, back straight, flex legs, lean forward from hips |
| Emergency Moves | Patient is in a building that is in danger of collapse or a car that is on fire, speed is the overriding concern |
| Emergency Moves: Scene is hazardous | uncontrolled traffic, fire or threat of fire, possible explosion, electrical hazard, toxic gases, or radiation |
| Emergency Moves: Care of life-threatening conditions requires repositioning | move patient to a hard, flat surface to provide CPR or to reach the wounded area |
| Emergency Moves: You must reach other patients | patients at the scene requiring care for life-threatening problems |
| Emergency Moves: Prevent aggravation | move patients in direction of the long axis of the body when possible |
| Clothes Drag | Emergency Move: One rescuer Drag: Kneel down and Grab clothes by shoulder with hand on each side of the head |
| Incline Drag | Emergency Move: One Rescuer Drag: Put hands under each armpit of patient and grab both wrist with each hand. Always headfirst |
| Shoulder Drag | Emergency Move: One Rescuer Drag: Kneel down put both hands under each armpit of patient and grasp armpit |
| Foot Drag | Emergency Moves: One Rescuer Drag: kneel down at feet of patient grab each ankle with your hands and lift feet up and pull. Do not bump patient's head |
| Firefighter Drag | Emergency moves: One Rescuer Drag: Place patient in supine and tie the patients' hands together. Straddle the patient, crouch, and pass your head through the patients trussed arms. Raise your body and crawl on your hands and knees. |
| Blanket Drag | Emergency Moves One Rescuer Drag: Gather half of the blanket material up against the patient side. Roll patient toward your knees, place the blanket under the patient and roll patient back on blanket |
| One Rescuer Assist | Place the patients arm around your neck grasping the patient's hand with yours. Place other arm around patients' wrists. Help patient walk to safety |
| Cradle Carry | Place one arm across patients back with your hand under patients' arm. Place other arm under the patients' knees and lift. Place patient near arm over shoulder. Only use for very light patients |
| Pack Strap Carry | Have Patient stand. Turn your back to patient, bring patients arms over shoulders to cross your chest. Keep patients arms as straight as possible with patients' armpits over your shoulder. Hold Patients writs, bend, and pull the patient onto your back |
| Firefighter Carry | Place feet against patient feet and pull patient toward you. Bend at wait flex your knees. Duck and pull patient across shoulder keeping hold of one of patient wrists use free arm to reach between patient legs and grasp the patients thigh. Stand up. |
| Piggyback carry | Assist patient to stand. Place the patients' arms over your shoulder so they cross chest. bend over and lift patient. While the patient holds on with the arms crouch and grasp each leg. Lift patient to back. Pass forearms under patient's kneesgrasp wrists |
| Emergency Moves Two Rescuers Assist | Place the patients' arms around the shoulder of both rescuers. They each grip a hand, place their free arms around the patient's waist, and help the patient walk to safety |
| Firefighters Carry with Assist | Have someone lift the patient. The second rescuer helps to position the patient |
| Urgent Moves | patient must be moved quickly for treatment of an immediate threat to life. Treatment can only be performed if patient is moved. Factors at the scene cause patient decline |
| Non-Urgent Moves | no immediate threat to life. patient moved when ready for transportation. On scene assessment and any on needed scene treatment should be completed first |
| Wheeled Stretcher | back of all ambulances, safely transport a patient from one place to another usually in a reclining position. Cardiac Patients who have no neck or spinal injuries |
| Power Stretcher | will lift patient from the ground level to the loading position or lower a patient from the raised position. Battery powered hydraulic system. 700 pounds. Helps prevents back injuries |
| EMT Loading the Power Stretcher: Step 1 | Remove the power stretcher from the ambulance. Equipment that will be needed is loaded on top of the stretcher |
| EMT Loading the Power Stretcher: Step 2 | Check that the stretcher is properly supported as the patient is loaded into the ambulance |
| EMT Loading the Power Stretcher: Step 3 | Make sure the locking mechanism is secured |
| EMT Loading the Power Stretcher: Step 4 | Once the head of the stretcher is supported inside the ambulance, raise the stretcher legs |
| Loading the "No-lift-at-all" Power Stretcher: Step 1 | Engage with the ambulance and folded up for moving patient horizontally into the cabin |
| Loading the "No-lift-at-all" Power Stretcher: Step 2 | Hand pressing the power control button |
| Loading the "No-lift-at-all" Power Stretcher: Step 3 | Mechanisms that pull the stretcher |
| Loading the "No-lift-at-all" Power Stretcher: Step 4 | A green light indicating stretcher engagement with the ambulance |
| Self-Loading (Manual) Stretcher: Step 1 | Position the wheels closest to the patients head securely on the inside floor of the ambulance |
| Self-Loading (Manual) Stretcher: Step 2 | Once the wheels are securely on the ambulance floor, the rescuer at the rear of the stretcher activates the lever to release the wheels. The second rescuer should guide the collapsing carriage into the ambulance |
| Self-Loading (Manual) Stretcher: Step 3 | Move the stretcher into the securing device and secure the stretcher in the front and rear |
| Stair Chairs | use on stairs. maneuver around tight corners and narrow spaces. ideal for patients with difficult breathing. Do not use with patients with neck or spine injury, unresponsive patients, severely altered mental status or who require airway care |
| Spine Boards | transport patients from the scene to the stretcher and immobilize patient with suspected spine injury |
| Manual Stretchers | lifted EMTs, "Self-loading" |
| Portable Stretcher | folding stretcher for multiple casualty incidents |
| Scoop Stretcher | orthopedic stretcher splits into two pieces vertically allowing EMTs push halves together under patients |
| Basket Stretcher | move patient from one level to another or over rough terrain. Lined with a blanket |
| Flexible Stretcher | rubberized material, three carrying handles used in restricted areas or narrow hallways |
| Vaccuum Mattress | air is withdrawn by a pump. Greater comfort |
| Fowler or Semi Fowler | semi sitting position |
| Recovery Position | Unresponsive patients with no spine injury. Be on side to aid drainage from the mouth and help preventing breathing vomitus into the lungs if vomiting occurs |
| Shock Positioning | supine position. Do not raise the legs or lower the head |
| Transferring to a Hospital: Step 1 | Position the raised ambulance cot next to the hospital stretcher. Hospital personnel then adjust the stretcher to receive the patient |
| Transferring to a Hospital: Step 2 | You and the hospital personnel gather the sheet on either side of the patient and pull it taut to transfer the patient securely |
| Transferring to a Hospital: Step 3 | Holding the gathered sheet at support points near the patients' shoulders, mid-torso, hips, and knees, you and the hospital personnel slide the patient in one motion onto the hospital stretcher |
| Transferring to a Hospital: Step 4 | Make sure the patient is centered on the stretcher and the stretcher rails are raised before turning the patient over to the emergency department staff. |
Created by:
Jwbarnett27