Bariatric Patients Body Mechanics
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Questions and Answers

Which of these is a reason an emergency move might be required?

  • The patient is in need of a bandage and cannot be treated where they are.
  • The patient is unconscious, but breathing normally.
  • The patient is declining rapidly, and needs to be moved to a safer location. (correct)
  • The patient has a broken arm and needs to be transported to a hospital.

    • What is the main reason to keep the weight close to your body when lifting?

  • To maintain balance and stability.
  • To make it easier to lift the weight.
  • To reduce the risk of injury. (correct)
  • To avoid strain on your back muscles.

    • During a power lift, where should the weight be mainly focused?

  • Equally distributed across the feet.
  • On the balls of the feet and behind the heels. (correct)
  • On the heels.
  • On the arches of the feet.

    • What is the most important factor in choosing between an urgent move and a non-urgent move?

    <p>The severity of the patient's injuries. (C)</p> Signup and view all the answers

    Which of the following is NOT a reason to use a backboard for a patient?

    <p>To immobilize the patient's spine for long periods. (C)</p> Signup and view all the answers

    In what direction should a patient be moved to minimize injury?

    <p>In the direction of the long axis of the body. (D)</p> Signup and view all the answers

    Which of the following actions should be avoided when reaching for an object?

    <p>Twisting your body while reaching. (B)</p> Signup and view all the answers

    What is the main reason to avoid pushing or pulling overhead?

    <p>It can increase the risk of back injury. (C)</p> Signup and view all the answers

    Which type of stretcher is specifically designed for transporting patients with suspected spinal injuries?

    <p>Spine board (C)</p> Signup and view all the answers

    What is the primary purpose of using a stair chair?

    <p>Safely moving patients down stairs (B)</p> Signup and view all the answers

    What is the primary advantage of using a power stretcher?

    <p>It helps prevent back injuries to the EMTs (B)</p> Signup and view all the answers

    What type of stretcher is best suited for transporting patients in restricted areas or narrow hallways?

    <p>Flexible stretcher (C)</p> Signup and view all the answers

    What is the recommended position for transporting an unresponsive patient with no suspected injury?

    <p>Recovery position (C)</p> Signup and view all the answers

    What is the primary purpose of using a scoop stretcher?

    <p>Lifting patients from the ground to a stretcher (D)</p> Signup and view all the answers

    Which of the following is NOT a recommended method for moving a patient with no suspected spinal injury?

    <p>Manual stabilization with a cervical collar (D)</p> Signup and view all the answers

    What is the recommended position for transporting patients who are suspected to be in shock?

    <p>Supine position (C)</p> Signup and view all the answers

    Which of the following statements is TRUE regarding the use of a spine board for a patient with a possible spinal injury?

    <p>The patient's head and neck need to be stabilized (B)</p> Signup and view all the answers

    What is the main reason for using a vacuum mattress?

    <p>To increase the patient's comfort (C)</p> Signup and view all the answers

    What is the primary concern when transporting an unresponsive patient in a chair-type device?

    <p>The patient's airway may be compromised (D)</p> Signup and view all the answers

    What type of stretcher is most likely to be used in a multiple-casualty incident?

    <p>Portable stretcher (C)</p> Signup and view all the answers

    Which of the following statements is FALSE regarding patient positioning during transport?

    <p>Unresponsive patients with no suspected injuries should be placed in the Fowler position (A)</p> Signup and view all the answers

    Which stretcher type is specifically designed for obese patients?

    <p>Bariatric stretcher (A)</p> Signup and view all the answers

    What is the recommended method for moving a patient from an ambulance stretcher to a hospital stretcher?

    <p>Modified draw-sheet method (C)</p> Signup and view all the answers

    When lifting a patient, what is the recommended hand position for a power grip?

    <p>Hands at least 10 inches apart (C)</p> Signup and view all the answers

    It is acceptable to twist your body while lifting a patient, as long as you keep your back straight.

    <p>False (B)</p> Signup and view all the answers

    Which of the following is NOT a recommended action when a patient refuses care?

    <p>Immediately transport the patient to the hospital against their will. (C)</p> Signup and view all the answers

    A DNR order can be considered part of an advance directive.

    <p>True (A)</p> Signup and view all the answers

    What is the primary concept behind emergency moves?

    <p>To quickly move a patient when there is a threat to their life or to the safety of the rescuers.</p> Signup and view all the answers

    What are the four elements that must be proven to establish negligence in a medical context?

    <p>Duty to patient, breach of duty (failure to provide standard of care), proximate causation (harm caused by the breach), and damages (physical or psychological harm).</p> Signup and view all the answers

    The recommended distance to avoid reaching more than in front of your body is ______ inches/centimeters.

    <p>20/50</p> Signup and view all the answers

    The scope of practice for an EMT is standardized across all states.

    <p>False (B)</p> Signup and view all the answers

    Match the following types of patient moves with their corresponding descriptions:

    <p>Emergency Moves = Required when the patient must be moved quickly for treatment of an immediate threat to life. Urgent Moves = Used when the scene is hazardous, patient's life-threatening condition requires repositioning, or to reach other patients. Non-Urgent Moves = Used when there is no immediate threat to life and the patient can be moved in a controlled manner for treatment.</p> Signup and view all the answers

    When a patient refuses care, it is important to _______ the risks and consequences of their refusal.

    <p>explain</p> Signup and view all the answers

    What is the legal term for a civil offense resulting from negligence that could lead to a lawsuit?

    <p>Tort</p> Signup and view all the answers

    Match the legal concept with its definition:

    <p>Torts = Civil wrongs that result in harm to another person Negligence = Failure to act properly, resulting in harm Abandonment = Leaving a patient without ensuring their safety and well-being</p> Signup and view all the answers

    Using a backboard is considered a part of a non-urgent move.

    <p>False (B)</p> Signup and view all the answers

    What is the primary reason for using a patient-carrying device?

    <p>To ensure the safe and efficient transport of the patient (B)</p> Signup and view all the answers

    Which of the following may constitute a violation of privacy laws?

    <p>Notifying others and sharing protected information without the patient's consent. (B)</p> Signup and view all the answers

    Which type of consent is assumed when a patient is unconscious or incapacitated and requires immediate medical care?

    <p>Implied Consent (C)</p> Signup and view all the answers

    False and harmful information spread verbally is known as _____.

    <p>Slander</p> Signup and view all the answers

    What is the recommended position for moving a patient in the direction of the long axis of the body?

    <p>Moving the patient in a straight line from the head to the feet, minimizing twisting or bending.</p> Signup and view all the answers

    The legal concept of negligence can always be applied to patients who are seriously injured and cannot be saved.

    <p>False (B)</p> Signup and view all the answers

    Match the following terms to their definitions:

    <p>Scope of Practice = The set of regulations and ethical considerations that define what an EMT can and cannot do Standard of Care = The care that a similarly trained EMT would be expected to provide in a similar situation Consent = Permission from the patient for treatment or actions Refusal of care = A patient's decision to decline treatment or transport, requiring specific conditions to be met</p> Signup and view all the answers

    What should an EMT do if a patient refuses to sign a refusal of care form?

    <p>Document in the patient care report that the risks and consequences of refusal were carefully explained to the patient, and they still refused.</p> Signup and view all the answers

    When there is no immediate threat to life, the patient should be moved when ready for ______.

    <p>transport</p> Signup and view all the answers

    Which of the following is NOT a condition that must be met for a patient to legally refuse care?

    <p>The patient must be under the influence of alcohol or drugs (D)</p> Signup and view all the answers

    Which of the following is NOT a factor that may require an urgent move?

    <p>The patient requires medication that can only be administered at a hospital (D)</p> Signup and view all the answers

    What is the primary reason EMTs may have difficulty obtaining consent from a patient?

    <p>The complexity of the situation and the need for informed consent can lead to challenges in obtaining clear and unambiguous consent from patients.</p> Signup and view all the answers

    A patient who is involuntarily transported must always be physically restrained.

    <p>False (B)</p> Signup and view all the answers

    Which of the following actions is NOT recommended when trying to persuade a patient to accept care and transport?

    <p>Threaten the patient with legal consequences if they refuse care (B)</p> Signup and view all the answers

    In cases where a parent is not present, a designated individual may give consent for a minor's treatment under the doctrine of _____.

    <p>in loco parentis</p> Signup and view all the answers

    Which of these devices is NOT recommended for patients with suspected spinal injuries?

    <p>Scoop Stretcher (D)</p> Signup and view all the answers

    Power stretchers can lift patients up to 1,000 lbs.

    <p>False (B)</p> Signup and view all the answers

    The ______ position is used for unresponsive patients with no suspected injury, where the patient is placed on one side to aid in drainage and prevent aspiration.

    <p>recovery</p> Signup and view all the answers

    Match the following stretcher types with their primary characteristics:

    <p>Power Stretcher = Battery-powered hydraulic system for lifting and lowering Portable Stretcher = Foldable for easy transport and storage Scoop Stretcher = Splits into two pieces for easy placement under the patient Basket Stretcher = Used for moving patients over rough terrain or between levels</p> Signup and view all the answers

    Which of these actions is recommended when moving a patient with a suspected spinal injury?

    <p>Manually stabilize the patient's head, neck, and spine (A)</p> Signup and view all the answers

    The use of a spine board is recommended for all patients who experience trauma (injury).

    <p>False (B)</p> Signup and view all the answers

    What is the primary benefit of using a vacuum mattress?

    <p>Reduce the discomfort associated with rigid backboards.</p> Signup and view all the answers

    The modified ______ method is commonly used when transferring a patient from an ambulance stretcher to a hospital stretcher.

    <p>draw-sheet</p> Signup and view all the answers

    Which of these devices is specifically designed for transporting obese patients?

    <p>Bariatric Stretcher (D)</p> Signup and view all the answers

    It is generally safe to transport an unresponsive patient in a chair-type device if their airway is not a concern.

    <p>False (B)</p> Signup and view all the answers

    A ______ order is a legal document stating that a patient does not wish to be resuscitated.

    <p>Do Not Resuscitate (DNR)</p> Signup and view all the answers

    Which of these is NOT a type of patient-carrying device?

    <p>Intravenous pump (D)</p> Signup and view all the answers

    If an EMT performs CPR and the patient dies, the EMT's actions can be considered proximate causation in a lawsuit.

    <p>False (B)</p> Signup and view all the answers

    Which of the following is NOT a common cause of lawsuits against EMTs?

    <p>Lack of training (A)</p> Signup and view all the answers

    What is the concept used in tort law to describe a situation where the circumstances suggest negligence, even without direct evidence?

    <p>Res ipsa loquitur</p> Signup and view all the answers

    Good Samaritan laws generally grant immunity from liability for EMTs who act in ______ and within their level of training.

    <p>good faith</p> Signup and view all the answers

    Which of the following is NOT a requirement under HIPAA for handling patient medical information?

    <p>Disclosure to family members without consent (C)</p> Signup and view all the answers

    An off-duty EMT has a legal obligation to provide care if they witness an emergency situation.

    <p>False (B)</p> Signup and view all the answers

    What type of legal term might apply when an EMT spreads false or inappropriate information about a patient?

    <p>Libel or slander</p> Signup and view all the answers

    Patients who are organ donors should be treated the same way as any other patient, with the exception of potentially needing to perform ______ in certain situations.

    <p>CPR</p> Signup and view all the answers

    Match the following types of incidents that EMTs are required to report with their corresponding categories.

    <p>Child abuse = Mandatory reporting Human trafficking = Mandatory reporting Domestic violence = Mandatory reporting Sexual assault = Mandatory reporting Shooting incident = Mandatory reporting Alcohol intoxication = Not mandatory reporting</p> Signup and view all the answers

    What is the primary responsibility of an EMT at a crime scene once the police have declared the scene safe?

    <p>Provide patient care</p> Signup and view all the answers

    An EMT who encounters a crime scene should avoid touching anything to minimize contamination of evidence.

    <p>True (A)</p> Signup and view all the answers

    Which of the following actions is NOT considered ethically appropriate for an EMT?

    <p>Prioritizing personal comfort over patient well-being (A)</p> Signup and view all the answers

    Which of the following methods for transferring a patient from bed to stretcher involves rescuers curling the patient to their chests?

    <p>Direct Carry (D)</p> Signup and view all the answers

    Body mechanics are essential for preventing injuries only when lifting heavy objects.

    <p>False (B)</p> Signup and view all the answers

    What is the primary purpose of using a power grip?

    <p>To maximize the surface area of contact between the hands and the object being lifted to distribute the weight more evenly and prevent strain.</p> Signup and view all the answers

    The ______ method uses a loosened bottom sheet of the bed to transfer a patient.

    <p>Draw-Sheet</p> Signup and view all the answers

    An off-duty EMT has a legal obligation to provide care in an emergency situation.

    <p>False (B)</p> Signup and view all the answers

    What does the legal term 'res ipsa loquitur' mean?

    <p>The thing speaks for itself.</p> Signup and view all the answers

    Good Samaritan laws grant ___ from liability to individuals who act in good faith within their level of training.

    <p>immunity</p> Signup and view all the answers

    Which of the following is NOT a common medical condition that may be indicated by a medical identification device?

    <p>Hepatitis (C)</p> Signup and view all the answers

    Emergency care for an organ donor should differ significantly from the care of a patient who is not a donor.

    <p>False (B)</p> Signup and view all the answers

    What are the two types of legal terms that may apply when information is shared inappropriately or falsely?

    <p>Libel and slander.</p> Signup and view all the answers

    According to the content, what is the EMT's priority at a crime scene once it has been deemed safe by police?

    <p>patient care</p> Signup and view all the answers

    Match each type of evidence to its description:

    <p>Condition of the scene = Observations of the scene's appearance The patient = Information provided by the patient about the incident Fingerprints and footprints = Traces left at the scene that can be used to identify individuals Microscopic evidence = Tiny pieces of evidence that may require specialized equipment for examination</p> Signup and view all the answers

    Which of the following is NOT a situation that requires mandatory reporting by EMTs?

    <p>Motor Vehicle Accidents (D)</p> Signup and view all the answers

    Morality and ethics are essentially the same concept.

    <p>False (B)</p> Signup and view all the answers

    What is the primary difference between expressed consent and implied consent?

    <p>Expressed consent is given verbally or non-verbally, while implied consent is assumed in situations where the patient is unconscious or incapacitated.</p> Signup and view all the answers

    Failure to act properly when you have a duty to act is known as ___.

    <p>negligence</p> Signup and view all the answers

    What does the term 'abandonment' refer to in the context of EMS?

    <p>Leaving a patient before transferring care to a person with equal or higher training (D)</p> Signup and view all the answers

    EMTs are legally obligated to provide care to a patient even if that patient refuses care.

    <p>False (B)</p> Signup and view all the answers

    Which of the following is NOT a factor to consider when using proper body mechanics for lifting a patient?

    <p>The patient's medical history (D)</p> Signup and view all the answers

    A 'power grip' involves gripping with the palm facing up and fingers extended.

    <p>False (B)</p> Signup and view all the answers

    What is the primary purpose of the 'Draw-Sheet Method' for transferring a patient?

    <p>To move a patient from a bed to a stretcher using a sheet to slide them smoothly.</p> Signup and view all the answers

    Match the following patient transfer methods with their descriptions:

    <p>Direct Carry = Two or more rescuers curl the patient to their chests. Direct Ground Lift = Rescuers kneel and lift the patient to their chests. Extremity Lift = One rescuer supports the patient's armpits, another grasps the knees.</p> Signup and view all the answers

    Subjecting patients to unwanted care and transport has actually been viewed in court as assault and battery.

    <p>True (A)</p> Signup and view all the answers

    If a patient refuses to sign a refusal of care form, you should specifically document in your patient care report that you carefully explained the ______ and consequences of refusal to the patient, and they still refused.

    <p>risks</p> Signup and view all the answers

    Match the following legal concepts with their definitions:

    <p>Torts = Civil wrongs that result in harm to another person Negligence = Failure to act as a reasonable and prudent person would in a similar situation Abandonment = Termination of care without proper transfer to a qualified person Informed Consent = Patient's voluntary agreement to treatment after understanding the risks, benefits, and alternatives</p> Signup and view all the answers

    When lifting, how far apart should your hands be in a power grip?

    <p>10 inches (A)</p> Signup and view all the answers

    It is acceptable to turn or twist your body while lifting a patient, as long as you keep your back straight.

    <p>False (B)</p> Signup and view all the answers

    What is the line that runs down the center of the body from the top of the head and along the spine called?

    <p>Long axis</p> Signup and view all the answers

    When reaching, avoid reaching more than ______ in front of your body.

    <p>20 inches/50 cm</p> Signup and view all the answers

    Match the types of patient moves with their corresponding descriptions:

    <p>Emergency move = Required when the scene is hazardous, life-threatening conditions require repositioning, or you must reach other patients. Urgent move = Required when the patient must be moved quickly for treatment of an immediate threat to life and spinal injury precautions are necessary. Non-urgent move = Used when there is no immediate threat to life, the patient should be moved when ready for transport, and on-scene treatments can be performed.</p> Signup and view all the answers

    When lifting, you should use your back muscles to provide the primary force.

    <p>False (B)</p> Signup and view all the answers

    What is the primary purpose of a power lift?

    <p>To lift heavy objects safely using leg muscles and keeping the back straight.</p> Signup and view all the answers

    Which of the following is NOT a recommended action when reaching?

    <p>Reach as far as possible to retrieve an object quickly. (B)</p> Signup and view all the answers

    Drags are an ideal method for moving patients as they provide excellent protection for the neck and spine.

    <p>False (B)</p> Signup and view all the answers

    What is the primary difference between the 'scope of practice' and the 'standard of care' for an EMT?

    <p>Scope of practice defines the EMT's job duties, while standard of care dictates how those duties are performed. (D)</p> Signup and view all the answers

    In all states, emancipated minors are able to provide consent for their own medical care.

    <p>False (B)</p> Signup and view all the answers

    What is the legal term for a civil offense that results from negligence and can lead to a lawsuit?

    <p>Tort</p> Signup and view all the answers

    The legal principle of _______ consent applies when a patient is unconscious or incapacitated and requires emergency care.

    <p>implied</p> Signup and view all the answers

    Match the following types of consent with their corresponding definitions:

    <p>Expressed Consent = Consent that is assumed based on the patient's condition and the need for immediate medical care Implied Consent = Consent that is explicitly given by the patient, acknowledging the risks and benefits of treatment Informed Consent = Consent provided by a parent or legal guardian for a minor or incompetent patient</p> Signup and view all the answers

    If a patient refuses care, it's acceptable for an EMT to simply leave the scene without any further action.

    <p>False (B)</p> Signup and view all the answers

    What is the legal term for false and harmful information spread verbally?

    <p>Slander</p> Signup and view all the answers

    What does 'anatomical position' refer to?

    <p>Standard reference position for studying anatomy (C)</p> Signup and view all the answers

    Abandonment occurs when an EMT leaves a patient before transferring care after initiating treatment.

    <p>True (A)</p> Signup and view all the answers

    Define 'superior' in anatomical terms.

    <p>Toward the head</p> Signup and view all the answers

    The anatomical term for 'back of the body' is __________.

    <p>posterior</p> Signup and view all the answers

    Match the following prefixes with their meanings:

    <p>Ab- = Away from Intra- = Within, inside Dys- = Difficult or painful Tachy- = Above normal, rapid</p> Signup and view all the answers

    Which of the following correctly describes the term 'medial'?

    <p>Toward the midline of the body (B)</p> Signup and view all the answers

    A prefix is added to the end of a root word to alter its meaning.

    <p>False (B)</p> Signup and view all the answers

    What does 'unilateral' mean in anatomical terminology?

    <p>Limited to one side</p> Signup and view all the answers

    The medical term for 'inflammation of the nerves' includes the root _______ and the suffix _______.

    <p>neur, -itis</p> Signup and view all the answers

    Which anatomical term refers to the front of the body?

    <p>Anterior (C)</p> Signup and view all the answers

    What is the primary study focus of physiology?

    <p>Function of organs and organ systems (A)</p> Signup and view all the answers

    Abbreviations and acronyms are usually beneficial in medical communication.

    <p>False (B)</p> Signup and view all the answers

    What term describes a position that is closer to the midline of the body?

    <p>Medical</p> Signup and view all the answers

    The _____ position refers to lying on the back.

    <p>supine</p> Signup and view all the answers

    Match the following age stages with their corresponding age ranges:

    <p>Infancy = Birth to 1 year Adolescence = 13 to 18 years Early Adulthood = 19 to 40 years Late Adulthood = 61 years and older</p> Signup and view all the answers

    What is the primary reason to avoid using complex medical terminology with patients?

    <p>It can lead to confusion (A)</p> Signup and view all the answers

    Directional terms are only useful for medical students.

    <p>False (B)</p> Signup and view all the answers

    What reflex causes an infant to automatically turn towards a stimulus when their cheek is touched?

    <p>Rooting Reflex</p> Signup and view all the answers

    The ____ refers to the universal starting point for anatomical descriptions.

    <p>anatomic position</p> Signup and view all the answers

    Match the terms with their definitions:

    <p>Proximal = Closer to the torso Distal = Farther away from the torso Bilateral = Both sides Unilateral = One side</p> Signup and view all the answers

    Which anatomical plane divides the body into anterior and posterior sections?

    <p>Frontal Plane (A)</p> Signup and view all the answers

    Ventral is synonymous with posterior.

    <p>False (B)</p> Signup and view all the answers

    What are the four reflexes that diminish over time in infants?

    <p>Moro Reflex, Palmar Reflex, Rooting Reflex, Sucking Reflex</p> Signup and view all the answers

    An infant primarily breathes through their _____ until at least 4 weeks of age.

    <p>nose</p> Signup and view all the answers

    At what age do infants typically start sleeping through the night?

    <p>4 months (C)</p> Signup and view all the answers

    During the toddler phase, children develop more individuality.

    <p>True (A)</p> Signup and view all the answers

    What is the purpose of the anterior fontanelle in infants?

    <p>It allows for growth of the brain and skull during infancy.</p> Signup and view all the answers

    The average body temperature for toddlers ranges from _____ degrees F.

    <p>96.8-99.5</p> Signup and view all the answers

    Match the developmental milestones with the corresponding ages:

    <p>2 months = Tracks objects with eyes 6 months = Sits upright in high chair 10 months = Pays attention to own name 12 months = Walks with help</p> Signup and view all the answers

    Which stretcher is best used for transporting patients over rough terrain?

    <p>Basket Stretcher (A)</p> Signup and view all the answers

    What does sunken anterior fontanelle in an infant indicate?

    <p>Dehydration (A)</p> Signup and view all the answers

    What is the purpose of using a vacuum mattress?

    <p>To reduce discomfort associated with rigid backboards.</p> Signup and view all the answers

    What is the primary means of communication for infants?

    <p>Crying</p> Signup and view all the answers

    Patients who are believed to be in shock are placed in a ______ position to maximize blood flow.

    <p>supine</p> Signup and view all the answers

    Match the type of stretcher with its primary function:

    <p>Power Stretcher = Lift patients with minimal strain Scoop Stretcher = Scoop and support patients Stair Chair = Assist patients over stairs Bariatric Stretcher = Transport obese patients</p> Signup and view all the answers

    Match the following age groups with their characteristic physiological changes:

    <p>12 months = Begins to grasp that words mean something 24-36 months = Begins developing magical thinking 3-4 years = Masters the basics of language 6-12 years = Gains 6.6 lbs per year</p> Signup and view all the answers

    What is the primary psychosocial task for infants according to the core concept?

    <p>Trust versus mistrust (D)</p> Signup and view all the answers

    Manual stabilization is not necessary for patients with suspected spinal injuries.

    <p>False (B)</p> Signup and view all the answers

    The growth plates, or physis, are located only at the ends of long bones.

    <p>False (B)</p> Signup and view all the answers

    At what age do primary teeth typically emerge?

    <p>By 36 months</p> Signup and view all the answers

    What is the maximum weight that a power stretcher can lift?

    <p>700 lbs</p> Signup and view all the answers

    The soft spot on an infant's skull where the bones meet is called a __________.

    <p>fontanelle</p> Signup and view all the answers

    The ______ stretcher is designed specifically for patients weighing 800 lbs or more.

    <p>bariatric</p> Signup and view all the answers

    Match the following patient positioning to their use:

    <p>Recovery Position = For unresponsive patients Fowler Position = Semi-sitting position for breathing issues Supine Position = For patients in shock Direct Carry = From bed to stretcher</p> Signup and view all the answers

    What is the primary legal classification of proceedings against EMTs?

    <p>Torts (C)</p> Signup and view all the answers

    Which stretcher is NOT recommended for patients with suspected spinal injuries?

    <p>Scoop Stretcher (D)</p> Signup and view all the answers

    An off-duty EMT has a legal obligation to provide care in all situations.

    <p>False (B)</p> Signup and view all the answers

    What is the typical function of the draw-sheet method?

    <p>To transfer patients between beds and stretchers.</p> Signup and view all the answers

    What legal concept means 'the thing speaks for itself' in tort law?

    <p>res ipsa loquitur</p> Signup and view all the answers

    Good Samaritan laws grant immunity from liability if acts in ____.

    <p>good faith</p> Signup and view all the answers

    When transporting an unresponsive patient, it is important to monitor their ______.

    <p>airway</p> Signup and view all the answers

    Match the medical identification devices with the conditions they alert EMTs to:

    <p>Heart Conditions = Medical alert bracelets Allergies = Medical alert necklaces Diabetes = Insulin pumps Epilepsy = Seizure alert devices</p> Signup and view all the answers

    Which situation is commonly associated with lawsuits against EMTs?

    <p>Patient's refusal of care (A)</p> Signup and view all the answers

    EMTs may be sued for abandonment if they leave a patient before other trained personnel arrive.

    <p>True (A)</p> Signup and view all the answers

    What must EMTs report in accordance with special reporting requirements?

    <p>Child abuse, elderly abuse, human trafficking, gunshot wounds, and sexual assaults</p> Signup and view all the answers

    Which of the following is NOT protected under Good Samaritan laws?

    <p>Gross negligence (B)</p> Signup and view all the answers

    Match the legal terms with their definitions:

    <p>Libel = Written false information Slander = Verbal false information Negligence = Failure to act properly Abandonment = Leaving a patient without care</p> Signup and view all the answers

    EMTs have a duty to act at all crime scenes regardless of the situation.

    <p>False (B)</p> Signup and view all the answers

    What are Safe Haven Laws intended to provide?

    <p>Protection for infants or children by allowing them to be left at designated public safety locations.</p> Signup and view all the answers

    Patient consent can be expressed or ______.

    <p>implied</p> Signup and view all the answers

    At what age do girls typically finish growing?

    <p>16 (B)</p> Signup and view all the answers

    During adolescence, boys and girls both typically reach reproductive maturity.

    <p>True (A)</p> Signup and view all the answers

    What major psychosocial change occurs during adolescence?

    <p>Striving for independence and developing identity</p> Signup and view all the answers

    In late adulthood, the cardiovascular system becomes less __________.

    <p>efficient</p> Signup and view all the answers

    Match the developmental stage with its characteristics:

    <p>Adolescence = Development of sexual characteristics Early Adulthood = Peak physical condition Middle Adulthood = Midlife crisis Late Adulthood = Increased financial concerns</p> Signup and view all the answers

    What is a common issue adolescents face regarding their body image?

    <p>Eating disorders (C)</p> Signup and view all the answers

    Which age group is associated with the risk of serious family conflicts due to the desire for independence?

    <p>Adolescents (D)</p> Signup and view all the answers

    Study Notes

    Bariatric Patients and Body Mechanics

    • Bariatric: Relating to significantly overweight or obese patients.
    • Body Mechanics: Proper body use for lifting/moving to prevent injury. Key considerations include the object's weight, your physical abilities, and clear communication with your partner. Plan the lift, communicate, weigh your abilities, and consider assistance.

    Lifting Techniques

    • Power Lift (Squat-Lift): Lifting from a squat position, keeping the load close to your body. Feet flat, weight on balls of feet, back locked. Raise the upper body before raising hips when lifting, and reverse this sequence for lowering. Weight should be close to your center of gravity.
    • Power Grip: Gripping with as much hand surface as possible, hands at least 10 inches apart. All fingers bent at the same angle. This ensures controlled lifting and avoids twisting.
    • Direct Carry: Two or more rescuers curl the patient to their chests, then reverse the process to lower the patient to the stretcher.
    • Direct Ground Lift: Two or more rescuers kneel, curl the patient to their chests, stand, and then reverse the process to lower the patient to the stretcher.
    • Draw-Sheet Method: Grasping and pulling the loosened bottom sheet of the bed to transfer a patient.
    • Extremity Lift: One rescuer slips hands under the patient's armpits and grasps the wrists, while another rescuer grasps the patient's knees.

    Reaching/Pushing/Pulling

    • Reaching: Maintain a locked-in back position, avoid twisting, reaching no more than 20 inches in front of your body, and avoid prolonged reaching.
    • Pushing: Use pushing over pulling whenever possible. Keep back straight, weight close to your body, line of pull through center of body by bending knees. Kneel for weight below waist. Avoid overhead pushing/pulling.

    Protecting Yourself While Lifting

    • Foot Placement: Plant feet firmly shoulder-width apart on a level surface.
    • Leg Use: Use your legs, not your back, when lifting.
    • Body Positioning: Never turn or twist.
    • Single-Handed Lifting: Do not compensate, maintain a straight, locked back, and stay centered—do not lean to one side.
    • Weight Proximity: Keep the weight close to your body. This minimizes strain and risk of injury.
    • Lifting Considerations: Plan the lift, communicate your plan with your partner, weigh the object and your limitations, and be mindful of any need for additional help. Consider the condition of the floor and the patient's position.

    Patient Protection During Moves

    Emergency Moves

    • Rationale: Scene hazards, life-threatening conditions, or multiple patients requiring care.
    • Methodology: Move the patient along their body's long axis whenever possible (the center of the body) to minimize injury aggravation. Drags are reserved for emergencies only, offering no spinal protection. Common drag point is the shoulders. Prioritize patient safety and avoid unnecessary movement.

    Urgent Moves

    • Rationale: Patient transport for rapid treatment needing immediate transport, or support for inadequate breathing, shock, or altered mental status. This includes situations with deteriorating patient conditions.
    • Backboards: Used for safe transfer to a stretcher or as a firm CPR surface for transport only.

    Non-Urgent Moves

    • Rationale: No immediate life threat.
    • Procedure: On-scene treatments (like splinting) are performed before moving the patient. The patient is then moved onto a patient transport device.

    Patient-Carrying Devices

    • Purpose: Safely transport patients.
    • Power Stretchers: Common, lifting up to 700 lbs, preventing back injuries, hydraulic lift system.
    • Manual Stretchers: Lifted by EMTs, self-loading.
    • Bariatric Stretchers: Larger, designed for obese patients (800 lbs+).
    • Scoop Stretchers: Used to “scoop” patients under, but used only when spinal injury isn't suspected.
    • Basket Stretchers: Moving over rough terrain or to other levels; used to move a patient over uneven ground.
    • Flexible Stretchers: Useful in confined spaces.
    • Vacuum Mattresses: Reduce patient discomfort on rigid boards.
    • Stair Chairs: Useful for stairs, allowing patient transfer with minimized friction. Ideal for patients with breathing difficulties. Caution: do not use on patients with suspected neck/spine injuries, unresponsive patients, altered mental status, or those requiring airway management.
    • Wheeled Stretchers: For reclining patient transport; head elevation possible.

    Patient Positioning and Movement onto the Device

    • Spinal Injury Suspected: Manual stabilization (cervical collar), restricted movement of the neck and spine. If possible, assist the patient to move on their own when appropriate.
    • No Spinal Injury Suspected: Extremity lift, direct ground lift, draw-sheet or direct carry for transfer.

    Patient Positioning During Transfer

    • Unresponsive Patients: Recovery position (on side) to prevent vomitus aspiration.
    • Shock: Supine position (lying flat on back) to maximize blood flow.
    • Trauma (injury): Position to restrict movement and prevent further spinal injury.

    Transferring Patient to a Hospital Stretcher

    • Procedure: Modified draw-sheet method. Consider the safety and comfort of the patient and the equipment throughout the transfer.

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    Description

    Explore essential body mechanics for handling bariatric patients effectively. This quiz covers vital lifting techniques, including power lifts and grips, as well as best practices for reaching, pushing, and pulling to reduce injury risks. Enhance your understanding of safe movements when working with significantly overweight individuals.

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