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EMT-B Slide Series

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Title: Chapter 6 Subject: EMT-B Slide Series Author: John Stouffer/Richard Bennett/Todd Lenseigne Last modified by: John A. Stouffer Created Date – PowerPoint PPT presentation

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Title: EMT-B Slide Series


1
Lifting and Moving Patients
CHAPTER 6
2
Body Mechanics
Lifting
3
Body mechanics
The principles of effective movement used in
lifting and moving patients.
Use of proper body mechanics reduces the EMS
providers chances of being injured.
4
Use your legs, NOT your back!
5
Proper Lifting
  • Use a minimum of two people
  • Call for additional help if necessary
  • Use an even number of people to maintain balance
  • Know the weight limitations of equipment
  • If the lifting situation is unsafe, dont move
    the patient
  • Keep weight as close to body as possible

6
Improper Lifting -- Back Bent
7
Improper Lifting -- Torso Twisted
8
Proper Lifting Technique
Squat lift (or power-lift).
9
Lifting a Stretcher
Squat, bending at the knees.
10
Lifting a Stretcher continued
Use the power grip.
11
Lifting a Stretcher continued
Stand up while locking your back.
12
Carrying
13
Proper position for two persons carrying a
stretcher.
14
One-handed technique with multiple rescuers.
15
Moving a patient with a stair chair.
16
Procedures on Stairs
  • Carry patients head-first up stairs
  • Carry patients feet-first down stairs
  • Use a stair chair or sturdy kitchen chair
  • Keep back in locked position
  • Flex at hips, not waist
  • Keep weight and arms as close to your body as
    possible

17
Take special care when moving patients up or down
stairs.
18
Reaching
19
Proper Reaching
  • Keep back straight while leaningover patient
  • Lean from the hips
  • Use shoulder muscles to help
  • Avoid twisting while reaching
  • Avoid hyper-extended position when reaching
    overhead

20
Log Roll
21
Log Roll continued
22
Log Roll continued
23
Log Roll continued
24
Pushing and Pulling
25
Whenever possible, PUSH rather than pull a
patient into position.
26
Principles of Moving Patients
Emergency Moves
27
Emergency Move Considerations
  • Fire or danger of fire
  • Explosives or hazardous materials
  • Inability to protect patient from hazards
  • Inability to access other patients requiring
    life-saving care
  • Other situations that have the potential for
    causing injury
  • Inability to provide life-saving care due to
    patient location or position

28
Always suspect a spinal injury when moving a
trauma patient...
...especially if the mechanism suggests it!
29
Clothing Pull Technique
30
Blanket Drag Technique
31
Pulling the patient underthe arms.
32
Patients must be moved rapidly in the event of a
hazardous situation.
33
Urgent Moves
34
Urgent Move Considerations
  • Unresponsive or incoherent patient
  • Inadequate breathing
  • Signs and symptoms of severe shock

35
Rapid Extrication
Patients head is brought into a neutral in-line
position.
36
Rapid Extrication continued
C-collar is placed after manual stabilization
established.
37
Rapid Extrication continued
Patients legs are freed and then rotated onto
backboard.
38
Rapid Extrication continued
After rotation, patient is lowered onto the
backboard.
39
Rapid Extrication continued
Head is immobilized before moving the patient
further.
40
Rapid Extrication continued
Patient is slid in short increments until in
position.
41
Nonurgent Moves
42
Direct Ground Lift
43
Direct Ground Lift continued
44
Direct Ground Lift continued
45
Extremity Lift
46
Extremity Lift continued
47
Stretcher-to-Bed Transfer (Direct Carry)
48
Stretcher-to-Bed Transfer continued (Direct Carry)
49
Stretcher-to-Bed Transfer continued (Direct Carry)
50
Stretcher-to-Bed Transfer (Draw Sheet Method)
51
Equipment
Stretchers and Cots
52
Wheeled Stretcher
53
Portable Stretcher
54
Scoop Stretcher
55
Flexible Stretcher
56
Basket Stretcher
57
Stair Chair
58
Long Backboard
59
Short Boards
60
PatientPositioning
61
Recovery Position
62
Patients with signs and symptoms of hypoperfusion
should be placed in the shock position.
63
Shock Position
64
Left Lateral Recumbent Position
65
Pediatric Safety Seat
66
Pediatric Safety Seat continued
67
  • Body Mechanics
  • Principles of Moving Patients
  • Equipment

SUMMARY
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