1. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ CHAPTER 5 Lifting and Moving Patients

2. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Lifting Techniques Back injuries are a leading cause of long-term disability for EMTs. Lift safely.

3. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Lifting Considerations Consider the weight of object/ patient. Communicate with partner. Identify the need for help before lifting. Have a plan.

4. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Use your legs to lift. Have feet positioned properly. Keep weight close to body. Lift without twisting. Guidelines for Lifting

5. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Use legs, not back, to lift.

6. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Keep weight close to your body.

7. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Power-Lift Position

8. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Power-Grip

9. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Keep your back locked in. Avoid twisting while reaching. Avoid reaching more than 15-20 inches in front of your body. Safe Reaching Techniques

10. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Safe Pushing and Pulling Push, rather than pull. Keep your back locked in (whenever possible). Keep weight close to your body.

11. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Safe Pushing and Pulling Keep your knees bent. Avoid pushing or pulling overhead. Keep elbows bent and arms close to sides. If weight is below waist level, push or pull from a kneeling position.

12. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Types of Moves

13. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Emergency Moves Scene is hazardous. Life-threatening condition requires move. Patient must be moved to reach a critical patient.

14. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Emergency Move: Clothes Drag

15. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Emergency Move: Incline Drag (Head-First)

16. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Emergency Move: Firefighter’s Drag

17. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Emergency Move: Firefighter’s Carry

18. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Emergency Move: One-Rescuer Assist

19. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Emergency Move: Two-Rescuer Assist

20. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Urgent Moves Scene factors cause a decline in patient condition. Treatment of patient’s condition requires a move.

21. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Urgent Move with Spinal Precautions

22. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Non-Urgent Moves Use when there is no threat to life. Use when patient’s condition allows for assessment and care. Typically utilize a carrying device.

23. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Non-Urgent Move: Extremity Carry

24. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Patient-Carrying Devices

25. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Wheeled Ambulance Stretcher

26. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Portable Stretcher

27. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Stair Chair

28. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Long Spine Board

29. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Patient Immobilized on Long Spine Board

30. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Short Spine Board

31. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Vest-Type Extrication Device

32. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Patient Immobilized in Vest-Type Extrication Device

33. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Scoop (Orthopedic) Stretcher

34. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Basket (Stokes) Stretcher

35. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Flexible (Reeves) Stretcher

36. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Moving Patients to Carrying Devices

37. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Carrying Device Choice What is the patient’s position? Is there a suspected spinal cord injury?

38. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Patient Positioning Part of patient care plan Must not cause harm to patient Must be safe

39. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Recovery Position Unconscious Patient without Spinal Injury

40. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Position of Comfort

41. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Shock Position Patient without Spinal Injury

42. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Transferring the Patient to a Hospital Stretcher

43. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Position stretcher.

44. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Pull sheet under patient taut.

45. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Slide patient to hospital stretcher.

46. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ Be sure patient is centered. Raise side rail.

47. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ 1. Describe the principles of safe lifting. 2. Differentiate between emergency, urgent, and non-urgent moves. Give example of each. Review Questions

48. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ 3. List several patient-carrying devices. Describe a use for each. 4. Describe several patient positions. Review Questions

49. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ What device should be used to remove the patient from the vehicle? What patient-care issues are important when using an extrication device? S TREET S CENES

50. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ What is the next thing to consider when actually moving the patient from the vehicle? What emergency-care equipment was used for this patient? Why? S TREET S CENES

51. Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ What is the next step before moving this patient again? What other safety considerations should be considered when moving the long board to the wheeled stretcher? S TREET S CENES