Chapter 8 Review Guidelines for Lifting and Moving Bariatric Patient

Chapter 8 Lifting and Moving Patients

National EMS Didactics Standard Competencies EMS Operations Noesis of operational roles and responsibilities to ensure patient, public, and personnel rubber.

Introduction • In the course of a telephone call, you will have to move patients to provide emergency medical intendance and send. • To move patients without injury, you lot need to learn the proper techniques. • Knowledge of proper torso mechanics and a power grip is important.

The Wheeled Ambulance Stretcher (1 of 5) • Wheeled ambulance stretcher – Besides called an ambulance stretcher or gurney – Most normally used device © Jones and Bartlett Learning.

The Wheeled Ambulance Stretcher (ii of 5) • The wheeled ambulance stretcher weighs twoscore– 145 lb. – Generally not taken up or down stairs or where the patient must be carried for any significant distance

The Wheeled Ambulance Stretcher (3 of 5) • Moving a patient by rolling, using a stretcher or other wheeled device, is preferred when the situation allows and helps prevent injuries from carrying. • A number of models are bachelor. • Before going on a call, familiarize yourself with the specific features of the stretcher your ambulance carries.

The Wheeled Ambulance Stretcher (four of 5) • General features – Head cease and foot finish – Stiff metallic frame to which all other parts are attached – Hinges at eye allow for elevation of head/back. – Guardrails prevent the patient from rolling out.

The Wheeled Ambulance Stretcher (v of 5) • General features (cont'd) – Undercarriage frame allows adjustment to any height. – Mattress must be fluid resistant. – The patient is secured with straps. • Assist protect the patient from farther injury

Backboards (one of two) • Long, flat, and made of rigid rectangular material (by and large plastic) • Used to carry and immobilize patients with suspected spinal injury or other trauma © Jones & Bartlett Learning. Courtesy of MIEMSS.

Backboards (2 of 2) • Commonly used for patients institute lying down • Used to motility patients out of awkward places • 6– 7 anxiety long • Holes serve equally handles and as a place to secure straps.

Moving and Positioning the Patient (1 of 2) • When you move a patient, take care that injury does not occur: – To your team – To the patient • Patient lifting and moving are technical skills that crave repeated preparation and practice.

Moving and Positioning the Patient (2 of 2) • Many EMTs are injured lifting and moving patients. • Using proper body mechanics and maintaining concrete fitness greatly reduce the run a risk of injury.

Body Mechanics (1 of 9) • Anatomy review © Jones and Bartlett Learning.

Body Mechanics (two of ix) • Lifting position – Shoulder girdle should be aligned over pelvis – Hands should be held shut to legs – Force then goes substantially straight downwards spinal column – Very little strain occurs

Body Mechanics (3 of 9) • This is the correct way to lift. © Jones & Bartlett Learning. Courtesy of MIEMSS.

Body Mechanics (4 of 9) • You may injure your back: – If y'all lift while leaning forward – If you lift with your back straight simply aptitude significantly frontward at the hips

Body Mechanics (5 of nine) • This is an incorrect method of lifting. © Jones & Bartlett Learning. Courtesy of MIEMSS.

Trunk Mechanics (6 of 9) • Lifting technique – Legs should be spread near 15 inches apart (shoulder width). – Place feet so the center of gravity is balanced. – With your back held upright, bring your upper body downwardly by angle the legs. – Grasp the patient/stretcher.

Trunk Mechanics (seven of 9) • Lifting technique (cont'd) – Lift the patient by raising your upper body and arms and straightening your legs until continuing. – Continue the weight close to your body. – Keep your arms the same altitude autonomously.

Body Mechanics (eight of 9) • The ability grip gets maximum forcefulness from the easily. – Palms upwards – Easily about 10 inches apart – All fingers at same bending – Fully support handle on curved palm

Body Mechanics (9 of 9) © Jones & Bartlett Learning. Courtesy of MIEMSS. • When straight lifting a patient, tightly grip the patient in a place and way that will ensure that yous volition not lose your grasp on the patient.

Principles of Safe Reaching and Pulling (1 of 6) • Body elevate – The same body mechanics and principles apply to moving, lifting, and carrying a patient. – Continue your dorsum locked by tightening your abdominal muscles. – Kneel. – Extend your arms no more 15– xx inches in forepart of yous. – Alternate between pulling the patient by flexing your arms and repositioning yourself.

Principles of Safe Reaching and Pulling (2 of vi) © Jones & Bartlett Learning.

Principles of Condom Reaching and Pulling (3 of six) • To drag a patient across a bed: – Kneel on the bed to avoid reaching beyond the recommended distance. – Elevate the patient to within fifteen– 20 inches. – Complete the elevate while standing at the side of the bed. – Employ the sheet or blanket under the patient rather than dragging the patient by his or her wear.

Principles of Safe Reaching and Pulling (4 of half dozen) • In the hospital, transfer the patient from the stretcher to a bed with a body drag. – The stretcher should be the same height or slightly higher than the bed. – Y'all and a partner should kneel on the bed and drag in increments.

Principles of Safe Reaching and Pulling (v of 6) • Log ringlet the patient onto his or her side to identify a patient on a backboard. © Jones & Bartlett Learning. Courtesy of MIEMSS.

Principles of Safe Reaching and Pulling (6 of 6) • Log rolling (cont'd) – Kneel as close to the patient's side as possible. – Go on your back straight and lean solely from the hips. – Roll the patient without stopping until the patient is resting on his or her side and braced confronting your thighs. – Pulling toward you allows your legs to prevent the patient from rolling over completely.

Principles of Condom Lifting and Carrying (1 of xi) • Whenever possible, utilise a device that can be rolled. • When a wheeled device is not available, brand certain that you understand follow the guidelines for carrying a patient on a stretcher.

Principles of Rubber Lifting and Carrying (ii of eleven) • Patient weight – Gauge the patient'south weight before lifting. • Adults oftentimes counterbalance 120– 220 lb. • Ii EMTs should exist able to safely elevator this weight. – Try to use four providers to lift when possible. • More stability • Requires less strength

Principles of Safe Lifting and Carrying (3 of xi) • Patient weight (cont'd) – Exercise non attempt to lift a patient who weighs more than than 250 lb with fewer than 4 providers. – Know the weight limitations of the equipment and how to handle patients who exceed the weight limitations.

Principles of Condom Lifting and Carrying (iv of 11) • Lifting and carrying a patient on a backboard or stretcher – More of the patient's weight rests on the head half of the device than on the foot half. – The diamond carry and the one-handed comport use ane EMT at the head and the pes, and one on each side of the patient's torso.

Principles of Safe Lifting and Carrying (5 of xi) © Jones & Bartlett Learning. Courtesy of MIEMSS.

Principles of Safe Lifting and Carrying (6 of xi) • Lifting and conveying a patient on a backboard or stretcher (cont'd) – Utilize iv providers—one provider at each corner of the stretcher to provide an even lift. – When rolling the wheeled ambulance stretcher, make sure that it is in the fully elevated position. – Your partner should control the caput end assist y'all by pushing with his or her arms held with the elbows bent.

Principles of Safe Lifting and Conveying (vii of 11) • Moving a patient with a stair chair – Utilize a stair chair to carry a conscious patient up or down a flight of stairs – This lightweight, wheeled folding chair has a molded seat, adjustable prophylactic straps, and foldout handles at both the head and feet. © Jones & Bartlett Learning.

Principles of Safe Lifting and Conveying (eight of 11) • Moving a patient on stairs with a stretcher – A backboard should be used instead for a patient: • Who is unresponsive • Who must be moved in supine position • Who must be immobilized

Principles of Condom Lifting and Carrying (9 of 11) • Moving a patient on stairs with a stretcher (cont'd) – Comport the patient on the backboard downwards to the prepared stretcher. – Place the strongest EMTs at the head and foot ends, with the taller person at the foot terminate. – Identify both the backboard and the patient on the stretcher; secure both to the stretcher with additional straps.

Principles of Prophylactic Lifting and Carrying (10 of 11) • Loading a wheeled stretcher into an ambulance – Ensure the frame is held firmly between two hands so information technology does non tip. © Jones & Bartlett Learning.

Principles of Safe Lifting and Carrying (11 of 11) • Loading a wheeled stretcher into an ambulance (cont'd) – Newer models are cocky-loading, allowing yous to push the stretcher into the ambulance. – Other models need to exist lowered and lifted to the meridian of the floor of ambulance. – Clamps in the ambulance hold the stretcher in place.

Directions and Commands (ane of 3) • Team actions must be coordinated. • Team leader – Indicates where each team member should be – Chop-chop describes the sequence of steps to perform before lifting

Directions and Commands (2 of 3) • Preparatory commands are used. • Example: – Team leader says, "All ready to stop, " to get team's attention. – Team leader says, "Cease!" in a louder voice. • Countdowns are also used.

Directions and Commands (iii of 3) • Carefully plan ahead. • Select the methods that volition involve the least amount of lifting and carrying. – Consider whethere is an choice that volition crusade less strain.

Emergency Moves (1 of five) • Utilise when at that place is potential for danger – Fire, explosives, hazardous materials • Use when you cannot properly assess the patient or provide immediate intendance because of the patient'due south location or position

Emergency Moves (ii of 5) • If you are alone, use a drag to pull the patient along the long centrality of the body. • Use techniques to help prevent bedevilment of patient spinal injury. – Apparel drag – Coating elevate – Arm-to-arm drag

Emergency Moves (iii of five) © Jones & Bartlett Learning. Courtesy of MIEMSS.

Emergency Moves (iv of 5) • To remove an unconscious patient from a vehicle alone: – Move the patient's legs clear of the pedals. – Rotate the patient so the back is toward the open car door. – Place your arms through the armpits and support the head against your body. – Drag the patient from the seat to a condom location.

Emergency Moves (5 of 5) © Jones & Bartlett Learning. Courtesy of MIEMSS.

Urgent Moves (1 of 2) • Necessary to motility patient: – With contradistinct level of consciousness – With inadequate ventilation – In shock – In extreme weather weather condition • Rapid extrication technique requires a team of knowledgeable EMTs.

Urgent Moves (2 of 2) • Rapid extrication technique should be used but if urgency exists. • The patient can be moved within 1 minute. • This techniques increases the adventure of harm if the patient has a spinal injury. • Wait at all options before using an urgent move.

Nonurgent Moves (ane of 4) • Used when both the scene and the patient are stable • Advisedly program how to motion the patient. • Team leader should programme the movement. – Personnel – Obstacles identified – Equipment – Procedure and path

Nonurgent Moves (ii of 4) • Choose betwixt: – Direct footing lift • For patients with no suspected spinal injury who are supine • Patients who need to be carried over some distance • EMTs stand up side by side to lift and deport the patients.

Nonurgent Moves (3 of 4) – Extremity lift • For those patients with no suspected spinal injury who are supine or sitting • Helpful when the patient is in a modest space • I EMT is at the patient's head and the other at the patient'south feet. • Coordinate moves verbally.

Nonurgent Moves (4 of 4) • Transfer moves – Direct carry • Motility supine patient from bed to stretcher using a direct carry method – Draw sheet method • Move patient from bed to stretcher using a sheet or blanket – Scoop stretcher

Geriatrics (1 of two) • Nigh patients transported by Ems are geriatric patients. • Skeletal changes may cause brittle bones, rigidity, and spinal curvatures that nowadays special challenges. • Allay the patient's fears with a sympathetic and compassionate approach.

Geriatrics (ii of 2) © Dr. P. Marazzi/Photo Researchers, Inc. Kyphosis © Dr. P. Marazzi/Photo Researchers, Inc. Spondylosis

Bariatrics (1 of ii) • Refers to management of obesity • 76 million United states adults are obese. – 30– xl% of adults are obese. – Approximately 17% of children are obese. • Back injuries account for the largest number of missed days of work.

Bariatrics (2 of two) • Stretchers and equipment are being produced with higher capacities. – Does non address danger to users of that equipment – Mechanical ambulance lifts are uncommon in the U.s.a..

Additional Patient-Moving Equipment (1 of 13) • Bariatric stretchers – Specialized for overweight or obese patients – Wider wheelbase for increased stability Courtesy of Stryker Medical, a division of Stryker Corporation.

Additional Patient-Moving Equipment (2 of 13) • Bariatric stretchers (cont'd) – Some accept a tow bundle with a winch. – Rated to hold 850– 900 lb • Regular stretcher rated for 650 lb maximum

Additional Patient-Moving Equipment (three of 13) • Pneumatic and electronic-powered wheeled stretchers Courtesy of Stryker Medical, a division of Stryker Corporation. – Battery operated with electronic controls to heighten/lower the undercarriage • Increases the weight of the stretcher • Hazardous in uneven terrain

Boosted Patient-Moving Equipment (iv of 13) • Portable/folding stretchers – Strong, rectangular tubular metal frame with textile stretched beyond information technology © Steve Gorton/Getty Images.

Boosted Patient-Moving Equipment (5 of xiii) • Portable/folding stretchers (cont'd) – Some models have two wheels. – Some can be folded in half. – Used in difficult-to-achieve areas – Weigh less and then wheeled stretchers

Boosted Patient-Moving Equipment (6 of 13) • Flexible stretchers – First-class for storage and carrying – Suit around a patient'southward sides – Useful for bars spaces – Uncomfortable, but provide support and immobilization © American University of Orthopaedic Surgeons.

Additional Patient-Moving Equipment (7 of 13) • Short backboards – Used to immobilize seated patients • Example: the KED belong-type device © Jones & Bartlett Learning. Courtesy of MIEMSS.

Additional Patient-Moving Equipment (8 of 13) • Vacuum mattresses – Alternative to backboards for immobilizing geriatric and pediatric patients – Air is removed from the device, allowing information technology to mold around the patient. – Provides immobilization, comfort, and thermal insulation

Additional Patient-Moving Equipment (9 of xiii) • Handbasket stretchers – Rigid stretcher – Likewise called a Stokes litter © Jones & Bartlett Learning. Courtesy of MIEMSS. – Used for patient removal in remote locations, including in water rescues and technical rope rescues

Additional Patient-Moving Equipment (10 of 13) • Handbasket stretchers (cont'd) – If the patient has a spinal injury, secure the patient to the backboard and place it within the handbasket stretcher to conduct the patient out of the location. – When you render to ambulance, lift the backboard out of basket stretcher and place it on the wheeled stretcher.

Additional Patient-Moving Equipment (eleven of 13) • Scoop stretchers – Also called orthopaedic stretcher © Jones & Bartlett Learning. Courtesy of MIEMSS.

Additional Patient-Moving Equipment (12 of 13) • Scoop stretchers (cont'd) – Splits into ii or four pieces • Pieces fit around patient who is lying on apartment surface, and then reconnect – Both sides of the patient must be attainable. – The patient must exist stabilized and secured on a scoop stretcher.

Additional Patient-Moving Equipment (13 of 13) • Neonatal isolette – Sometimes called an incubator – Neonates cannot exist transported on a wheeled stretcher. – The isolette keeps the neonate warm, and protects the child from noise, typhoon, infection, and backlog handling. – The isolette may exist secured to a wheeled ambulance stretcher or freestanding.

Decontamination • Decontaminate equipment after utilise. – For your safety – For the safety of the crew – For the safety of the patient – To prevent the spread of disease

Patient Positioning (one of two) • Proper position depends on the chief complaint. – Patients with head injury, shock, spinal injury, pregnancy, and obese patients demand special lifting and moving techniques. – A patient reporting chest pain or respiratory distress should be placed in a position of comfort—typically a Fowler or semi-Fowler position. – Patients in shock should be placed supine.

Patient Positioning (ii of 2) • Proper position (cont'd) – Patients in late stages of pregnancy should be positioned and transported on their left side. – An unresponsive patient with no suspected spinal injury should be placed in the recovery position. – A patient who is nauseated or vomiting should be transported in a position of comfort. – Obese patients should exist positioned the same as other patients with a similar condition.

Medical Restraints (1 of 2) • Evaluate for correctible causes of combativeness. – Head injury, hypoxia, hypoglycemia • Follow local protocols. • Restraint requires v personnel. • Restrain the patient in a supine position. – Positional asphyxia may develop in the prone position.

Medical Restraints (2 of 2) • Apply a restraint to each extremity. • Assess ABCs, mental status, and distal circulation later on restraints are applied. © Jones & Bartlett Learning. Courtesy of MIEMSS. • Document all information.

Personnel Considerations • Questions to inquire before moving patient: – Am I physically strong plenty to lift/move this patient? – Is there acceptable room to become the proper stance to lift the patient? – Exercise I need additional personnel for lifting help? • Injured EMTs cannot assistance anyone.

Review 1. What is the first dominion of lifting? A. Twist slowly when you lift. B. Keep your dorsum in a directly position. C. Bend at the waist to pick something upwardly. D. Use your arms to do most of the lifting.

Review Respond: B Rationale: The start rule of lifting is to always proceed your back in a straight, upright, position and employ the powerful muscles of your thighs. Never twist while lifting.

Review 1. What is the first rule of lifting? A. Twist slowly when you lift. Rationale: You should never twist your back. B. Keep your back in a directly position. Rationale: Correct reply C. Bend at the waist to pick something up. Rationale: You lot should never bend at the waist. Your back should be properly maintained in an upright position. D. Use your arms to do most of the lifting. Rationale: Use your leg muscles since they are well developed and very strong.

Review ii. When lifting a stretcher using the power elevator, you should: A. curve at the hips, knees, back, and arms. B. bend at the waist and keep your back straight. C. place your hands palms up on the litter handle. D. place your easily palms downwards on the litter's side bars.

Review Answer: C Rationale: When lifting any heavy object, your easily should be facing palms up; this provides better lifting power and is not as stressful on the wrists.

Review (1 of two) two. When lifting a stretcher using the power elevator, you should: A. bend at the hips, knees, dorsum, and arms. Rationale: When lifting, keep your back and arms straight. Always bend at the knees. B. bend at the waist and keep your dorsum straight. Rationale: When lifting, always continue your dorsum directly. Never bend at the waist.

Review (2 of ii) 2. When lifting a stretcher using the power lift, you should: C. place your hands palms up on the litter handle. Rationale: Right answer D. place your hands palms downwardly on the litter'south side bars. Rationale: Your hands have the greatest strength when your palms are facing up.

Review 3. It is impractical to apply a belong-type extrication device on a critically injured patient to remove him or her from a wrecked vehicle because it: A. takes too long to correctly apply. B. does not fully immobilize the spine. C. cannot be used on patients who are in their motorcar. D. does not provide adequate stabilization.

Review Respond: A Rationale: It takes several minutes to correctly apply a belong-type extrication device. This is besides much time to waste matter when treating a critically injured patient. A long backboard would be more appropriate. Vest-type immobilization devices, when practical correctly, provide adequate spinal stabilization and are ideal to apply in stable patients who need to be removed from their vehicle.

Review (1 of 2) three. It is impractical to apply a vest-type extrication device on a critically injured patient to remove him or her from a wrecked vehicle because it: A. takes besides long to correctly employ. Rationale: Correct answer B. does not fully immobilize the spine. Rationale: When applied correctly, the vest provides adequate immobilization of the spine.

Review (2 of 2) three. It is impractical to employ a vest-blazon extrication device on a critically injured patient to remove him or her from a wrecked vehicle because it: C. cannot be used on patients who are in their car. Rationale: When a patient is stable, the vest is a beneficial device for vehicle extrications. D. does not provide adequate stabilization. Rationale: The belong provides adequate stabilization of the spine.

Review 4. Proper guidelines for correct reaching include all of the following, EXCEPT: A. avoiding twisting your dorsum. B. avoiding hyperextension of your dorsum. C. keeping the back in a locked-in position. D. reaching no more 30 inches in front of your torso.

Review Answer: D Rationale: When reaching, yous should keep your dorsum in a locked-in position, and avert twisting or hyperextending your dorsum. Do not reach more than xv– 20 inches in front of your body.

Review (1 of 2) 4. Proper guidelines for correct reaching include all of the following, EXCEPT: A. avoiding twisting your dorsum. Rationale: Never twist your back while reaching or lifting. B. avoiding hyperextension of your back. Rationale: Never bend or hyperextend your back.

Review (2 of 2) four. Proper guidelines for correct reaching include all of the post-obit, EXCEPT: C. keeping the back in a locked-in position. Rationale: Ever go on your back straight in a locked position. D. reaching no more than 30 inches in front of your body. Rationale: Correct answer

Review five. An injured hang glider is trapped at the top of a large mountain and must exist evacuated to the ground. The terrain is very rough and uneven. Which of the following devices would be the safest and virtually appropriate to use? A. Stair chair B. Stokes basket C. Scoop stretcher D. Long backboard

Review Answer: B Rationale: A handbasket stretcher, also called a Stokes basket, should exist used to carry patients over crude or uneven terrain that is inaccessible by ambulance. Its airtight-ended sides protect the patient from falling out of the device.

Review (1 of 2) 5. An injured hang glider is trapped at the height of a big mountain and must exist evacuated to the footing. The terrain is very crude and uneven. Which of the following devices would be the safest and most advisable to employ? A. Stair chair Rationale: This is used to transfer a patient up and down stairs. B. Stokes basket Rationale: Correct answer

Review (ii of two) 5. An injured hang glider is trapped at the top of a large mountain and must be evacuated to the ground. The terrain is very rough and uneven. Which of the post-obit devices would be the safest and nearly appropriate to use? C. Scoop stretcher Rationale: This is designed to carve up into ii or 4 pieces. The EMT must have access to both sides of the patient, and the patient should be lying on a relatively flat surface. D. Long backboard Rationale: There is no protection for the patient from falling off or out of the device.

Review half dozen. When 2 EMTs are lifting a patient on a long backboard, they should: A. lift the patient from the sides of the board. B. brand every attempt to lift with their backs. C. position the strongest EMT at the foot of the lath. D. position the strongest EMT at the head of the board.

Review Answer: D Rationale: Since more than half of the patient's weight is distributed to the head end of a backboard or stretcher, you lot should always ensure that the strongest EMT is at that position. This will reduce the risk of injury to less strong personnel besides as the risk of dropping the patient.

Review (1 of 2) vi. When ii EMTs are lifting a patient on a long backboard, they should: A. lift the patient from the sides of the board. Rationale: This may cause the backboard to tip since the upper body is heavier. B. make every attempt to elevator with their backs. Rationale: Never elevator with your back. Always use your legs.

Review (2 of ii) half-dozen. When two EMTs are lifting a patient on a long backboard, they should: C. position the strongest EMT at the human foot of the lath. Rationale: The strongest EMT should be at the patient's head, where the patient's weight is greater. D. position the strongest EMT at the head of the board. Rationale: Right answer

Review vii. Which of the following techniques is considered to be an emergency move? A. Extremity elevator B. Supine transfer C. Firefighter'southward elevate D. Direct ground lift

Review Answer: C Rationale: The firefighter's elevate is a oneperson technique that is used when a patient must be removed from a life-threatening state of affairs immediately.

Review seven. Which of the following techniques is considered to be an emergency move? A. Extremity lift Rationale: This is a nonurgent move, helpful in narrow spaces. B. Supine transfer Rationale: This is not considered to be an emergency move. C. Firewoman'southward drag Rationale: Correct answer D. Direct ground lift Rationale: This is a nonurgent move, used to carry a patient over long distances to the cot.

Review 8. To extract a patient from the basement of a building, yous must ship the patient upwards a flight of stairs. In doing this, you must ensure that: A. the elevated head of the backboard goes first. B. the backboard with the elevated human foot end goes first. C. the backboard is slightly tilted to the left to distribute weight. D. the patient'due south feet are higher than his or head, whichever stop is carried outset.

Review Answer: A Rationale: When you bear a patient upstairs or up an incline, yous must ensure that the elevated head of the backboard or stretcher goes start. This will aid to every bit distribute the weight.

Review (1 of 2) 8. To extract a patient from the basement of a building, you must ship the patient up a flight of stairs. In doing this, yous must ensure that: A. the elevated head of the backboard goes start. Rationale: Correct answer B. the backboard with the elevated pes end goes first. Rationale: Always try to carry the head higher to distribute the weight.

Review (2 of 2) 8. To excerpt a patient from the basement of a building, y'all must transport the patient upward a flying of stairs. In doing this, y'all must ensure that: C. the backboard is slightly tilted to the left to distribute weight. Rationale: Backboards are designed to deport a patient flat, and the weight is best distributed when the head is slightly elevated. D. the patient'south feet are higher than his or head, whichever end is carried first. Rationale: Carries are easier with the patient's caput first and elevated for distribution of the patient'south weight.

Review 9. If an injured patient needs to exist moved but is not in immediate danger from fire or edifice collapse, y'all should first: A. club the equipment yous demand for extrication. B. cheque the patient's airway, breathing, and circulation. C. remove the patient with the rapid extrication technique. D. determine the number of people y'all will need to move the patient.

Review Answer: B Rationale: The merely time your attention should be directed abroad from the master assessment of the patient is when the patient's life or your life is in immediate danger.

Review (1 of two) 9. If an injured patient needs to exist moved but is not in immediate danger from fire or edifice collapse, y'all should first: A. club the equipment you demand for extrication. Rationale: This is not the first thing you lot should do. B. cheque the patient's airway, breathing, and circulation. Rationale: Correct answer

Review (2 of 2) 9. If an injured patient needs to be moved simply is not in firsthand danger from fire or building plummet, you lot should commencement: C. remove the patient with the rapid extrication technique. Rationale: The patient is non in immediate danger, so this is not needed. D. make up one's mind the number of people yous volition need to motility the patient. Rationale: After the ABCs have been checked, the EMT can then make up one's mind the safest method of extrication.

Review ten. The rapid extrication technique is a: A. nonurgent move to remove a patient from a vehicle. B. technique used to transfer a patient from a bed to a stretcher. C. technique used to lift a patient with no suspected spinal injury onto a stretcher. D. technique used to quickly remove a patient from a vehicle and onto a backboard.

Review Respond: D Rationale: With the rapid extrication technique, a seriously injured patient tin be moved from a sitting position in a vehicle to a supine position on a backboard while protecting the spine at the same fourth dimension.

Review (1 of 2) 10. The rapid extrication technique is a: A. nonurgent move to remove a patient from a vehicle. Rationale: This technique is considered to exist an urgent move. B. technique used to transfer a patient from a bed to a stretcher. Rationale: This technique is used to move a patient from a vehicle to a backboard.

Review (2 of ii) x. The rapid extrication technique is a: C. technique used to lift a patient with no suspected spinal injury onto a stretcher. Rationale: This is not a lifting technique. The patient is placed on a backboard, not a stretcher. D. technique used to quickly remove a patient from a vehicle and onto a backboard. Rationale: Right answer

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