created by: lifting and moving patients. principles of moving patients
TRANSCRIPT
Created By:
Lifting and Moving Patients
Principles of Moving Patients
What is the role of the First Responder?Whenever possible, you should not move
patient.Keeping your patient at rest is the best
course of action.
When do you move a patient?1. Only if there is an immediate danger to
patient or others if not moved2. In order to prevent further injury3. To assist other EMS responders to lift and
move patient
Body Mechanics and Lifting Techniques
Body Mechanics1. Proper use of your body to facilitate lifting
and moving2. Lift with partner whose strength and
height are similar to yours.3. Communicate with partner and patient
throughout move.
Follow these rules to prevent injury:1. Position your feet properly.2. Use your legs not back to lift. Keep back
straight and bend knees.3. Never twist or attempt to make any moves
other than lift.4. When lifting with one hand, do not
compensate.5. When carrying patient on stairs, use a stair
chair.
Moving and Positioning Patients
Emergency moves1. There are times when an emergency move is
necessary. There is immediate danger to patient if not moved. Lifesaving care cannot be given because of patient's
location or position. You are unable to gain access to other patients who
need lifesaving care.
2. Emergency moves provide little protection to patient.
3. Greatest danger is possibility of making a spinal injury worse.
4. Extreme care must be taken to move the body in one
Types of emergency moves
Non-emergency moves
Used when there is no immediate threat to life:Patient should be conscious.Initial assessment should be completed.Pulse and breathing rates and character
should be stable and within normal ranges.There should be no uncontrolled external
bleeding or any indications of internal bleeding.
There must be absolutely no signs of neck or spinal injury.
All possible fractures and extremity injuries must be immobilized or splinted.
A non-emergency move could be justified when:Factors at scene cause patient declineYou must reach other patientsCare requires moving patientPatient insists on being moved
Types of non-emergency movesDirect ground lift Extremity lift
Patient Lifting and Moving video
http://youtu.be/D_XN2Lq4QAY
Equipment Familiarity
Types of packaging and loading devicesWheeled ambulance stretcherPortable stretcherStair chairScoop (orthopedic) stretcherSpine boards
LongShort
Vest-type extrication deviceBasket stretcherFlexible stretcher
Cervical Spine Immobilization CollarUse correct type Use correct size Applying to a seated patient Applying to a supine patient