1. Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Lifting and Moving Patients

2. Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Outline Reasons for Lifting People Body Mechanics Patient Positioning Principles for Moving Patients –Emergency Moves and Carries –Non-emergency Moves and Carries

3. Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. When to Lift and Move Patients When the patient is in immediate danger To prevent further injury to the patient Assisting other healthcare providers in preparing the patient for transport

4. Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Body Mechanics The use of proper body mechanics and lifting techniques reduces the likelihood of being injured Incorporates knowledge of the way muscles work into principles for safely performing physical activities such as lifting, sitting, and pushing heavy objects

5. Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Equipment Special devices for lifting and moving makes the task easier, safer, and more comfortable for the patient

6. Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Emergency Moves Greatest danger is possibility of aggravating spinal injury –Special precautions must be taken to protect spine Pull patient in direction of long axis of body –This minimizes side-to-side movement of spine

7. Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Clothes DragIncline drag Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.

8. Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Upper Extremity Drag Modified Upper Extremity Drag Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.

9. Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Blanket Drag Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.

10. Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Firefighter’s Drag Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.

11. Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Firefighter Carry with Assist Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.

12. Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Firefighter Carry with Assist Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.

13. Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. One-Person Cradle Carry One-Person Assist Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.

14. Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Piggyback carryPack Strap Carry Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.

15. Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Firefighter’s Carry

16. Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Non-emergency Moves Made with help of other responders Not to be used for patient with suspected spinal injury

17. Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Direct Ground Lift Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.

18. Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Extremity Lift Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.

19. Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Draw Sheet Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.

20. Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Patient Positioning At times a patient does not need to be relocated (moved), but must be repositioned for optimal patient care

21. Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Unresponsive – No Trauma Patient placed in recovery position

22. Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Trauma Patients If possible, do not move until a more advanced healthcare provider can evaluate and stabilize patient

23. Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Position of Comfort For patients with –Pain or difficulty breathing –Nauseated or vomiting Be prepared to manage the airway if needed

24. Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Preventing Back Injuries Click to play video

25. Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Summary Lifting and moving patients is one of the EMS provider’s responsibilities Always use proper body mechanics and follow safety guidelines to prevent injury

26. Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Questions?