Combine with a Backboard © 2013 HILT – Human Injury-Limiting Tool, LLC © 2013 HILT – Human Injury-Limiting Tool, LLC

Combine with a Backboard Number of Patient Attendants Deploy the HILT Position the HILT Position the Backboard Deploy Extenders Combine with Backboard Patient Packaging Grasp Handles Proper Lifting Mechanics Lift in Unison and Carry Options for Two Person Carry These topics regarding “Combine with a Backboard” will be discussed during this presentation. © 2013 HILT – Human Injury-Limiting Tool, LLC © 2013 HILT – Human Injury-Limiting Tool, LLC

Number of Patient Attendants Minimum of two Four are preferred Up to fourteen At least two patient attendants are needed for this move. As many as fourteen may be used. The optimal minimum number of attendants is four. This is for the safety of the patient and the attendants. © 2013 HILT – Human Injury-Limiting Tool, LLC © 2013 HILT – Human Injury-Limiting Tool, LLC

Deploy the HILT Deploy the HILT with the label down Deploy the HILT with the label DOWN to keep the handles UP. © 2013 HILT – Human Injury-Limiting Tool, LLC © 2013 HILT – Human Injury-Limiting Tool, LLC

Position the HILT Fold or roll up the end Alternative for larger patient and more attendants Fold or roll the end of the HILT up to make it a little shorter. This helps prevent part of the HILT from hanging down loosely below the patient and creating a hazard. As an alternative, if the patient is large and additional patient attendants will be needed, do not fold or roll up the end of the HILT. Use the full length of the HILT to allow additional attendants to lift and carry the patient. Up to 14 attendants can use the HILT at one time to help distribute the patient’s weight. © 2013 HILT – Human Injury-Limiting Tool, LLC © 2013 HILT – Human Injury-Limiting Tool, LLC

Position the Backboard Lay the backboard on top of the HILT Lay the backboard on top of the HILT. Line up backboard handholds near the extenders that are planned to be deployed. © 2013 HILT – Human Injury-Limiting Tool, LLC © 2013 HILT – Human Injury-Limiting Tool, LLC

Deploy Extenders Deploy the desired extenders Use extenders at least in these areas: Feet / knees Chest / head Deploy at least four extenders. Use one extender on each side of the patient near the patient’s feet/knees. Use one extender on each side of the patient near the patient’s chest/head. Additional patient attendants allow for additional extenders to be deployed. If four attendants are available, one attendant can position on each side of the patient’s thighs and one attendant can position on each side of the patient’s chest/head. If additional attendants are available, or needed, additional extenders and handles can be used. © 2013 HILT – Human Injury-Limiting Tool, LLC © 2013 HILT – Human Injury-Limiting Tool, LLC

Combine with Backboard Thread deployed extenders through handholds on backboard Thread each deployed extender through the backboard handhold nearest the extender. The HILT is now combined with the backboard. © 2013 HILT – Human Injury-Limiting Tool, LLC © 2013 HILT – Human Injury-Limiting Tool, LLC

Patient Packaging Follow local protocol Use local procedures to backboard and package the patient. © 2013 HILT – Human Injury-Limiting Tool, LLC © 2013 HILT – Human Injury-Limiting Tool, LLC

Grasp Handles Determine how high to lift Use the appropriate handles Determine how high to lift the patient based upon where the patient will need to be carried and delivered. Use the appropriate “low”, “medium”, or “high” lift handles. © 2013 HILT – Human Injury-Limiting Tool, LLC © 2013 HILT – Human Injury-Limiting Tool, LLC

Proper Lifting Mechanics Legs parallel with ground Back straighter Head up Arms straight Proper lifting mechanics help minimize the likelihood of injury. As much as possible, begin with legs parallel with the ground, maintain a straighter back, keep the head up, and maintain straighter arms. © 2013 HILT – Human Injury-Limiting Tool, LLC © 2013 HILT – Human Injury-Limiting Tool, LLC

Lift in Unison and Carry Carry patient to desired location CAUTION – The extenders can act as ropes and the patient can swing during the lift. This is easily avoided with good communication and lifting in unison. Use good communication and lift in unison. Carry the patient to the desired location. © 2013 HILT – Human Injury-Limiting Tool, LLC © 2013 HILT – Human Injury-Limiting Tool, LLC

Options for Two Person Carry Use handles at ends of HILT Deploy the HILT with the label DOWN to keep the handles UP. Lay the backboard on top of the HILT. Pull each corner handle of the HILT through the nearest backboard handholds at the ends of the backboard. One patient attendant can position at each end of the backboard. The handles will extend the attendants’ reach and allow for better body mechanics during the lift. Use good communication and lift in unison. Carry the patient to the desired location. © 2013 HILT – Human Injury-Limiting Tool, LLC © 2013 HILT – Human Injury-Limiting Tool, LLC

Options for Two Person Carry Fold each end Thread extenders through handholds on backboard Deploy the HILT with the label DOWN to keep the handles UP. Fold or roll each end of the HILT up to make it shorter. Deploy extenders at all four corners of the HILT. Lay the backboard on top of the HILT. Pull each extender through the nearest backboard handhold. Use care to consider balancing the patient’s weight. If the HILT is positioned too close to the head, the patient’s lower body may fall during the lift. Also if the HILT is positioned too close to the feet, the patient’s upper body may fall during the lift. © 2013 HILT – Human Injury-Limiting Tool, LLC © 2013 HILT – Human Injury-Limiting Tool, LLC

Options for Two Person Carry Lift in unison Carry patient to desired location One patient attendant can position at each side of the backboard (two attendants). Use good communication and lift in unison. Carry the patient to the desired location. © 2013 HILT – Human Injury-Limiting Tool, LLC © 2013 HILT – Human Injury-Limiting Tool, LLC