Stair Chair Patient Lifting Quiz & Flashcards

Questions and Answers

Upon arriving at the scene of a motor vehicle crash, you find a single patient still seated in his car. There are no scene hazards. As you approach the vehicle, you note that the patient is semiconscious and has a large laceration to his forehead. You should:

Apply a vest-style extrication device before attempting to move the patient.

Apply a cervical collar and quickly remove the patient with a clothes drag.

Slide a long backboard under his buttocks and lay him sideways on the board.

Direct your partner to apply manual in-line support of the patient's head. (correct)

To protect a restrained patient and prevent him from using leverage to break free, the EMT should secure __________.

Only the patient's torso

Both arms at the patient's sides

One arm above the head (correct)

Both arms above the head

You have been called to the scene of a high-speed motor vehicle collision involving two compact cars. For the passenger in the second vehicle, you may need to perform a(n) _____ on the driver in order to reach the patient.

Extremity lift

You should do nothing different; treat each patient the same.

Short backboard

Emergency move (correct)

When moving a conscious, weak patient down a flight of stairs, you should:

Place the wheeled stretcher at the bottom of the stairs and carry the patient down the stairs with a stair chair. Signup and view all the answers

You should use a rigid _____, often called a Stokes litter, to carry a patient across uneven terrain from a remote location that is inaccessible by ambulance or other vehicle.

Basket stretcher Signup and view all the answers

Which of the following conditions or situations presents the MOST unique challenge to the EMT when immobilizing an elderly patient on a long backboard?

Abnormal spinal curvature Signup and view all the answers

You may injure your back if you lift:

All of these answers are correct. Signup and view all the answers

In lifting with the palm down, the weight is supported by the _____ rather than the palm.

Fingers Signup and view all the answers

You are attending to a 26-year-old female who is 34 weeks pregnant. In placing your patient on the stretcher and preparing for transport, you should place her:

On her left side. Signup and view all the answers

When pulling a patient, you should do all of the following, EXCEPT:

When you can pull no farther, lean forward another 15 to 20 inches (38 to 50 cm). Signup and view all the answers

To facilitate a safe and coordinated move, the team leader should:

Use preparatory commands to initiate any moves. Signup and view all the answers

As you and your partner are carrying a stable patient down a flight of stairs in a stair chair, you feel a sudden, sharp pain in your lower back. You should:

Stop the move and request additional lifting assistance. Signup and view all the answers

You should perform an urgent move in all of the following situations, EXCEPT:

If the patient is complaining of neck pain. Signup and view all the answers

Which of the following statements regarding patient weight distribution is correct?

The majority of a horizontal patient's weight is in the torso. Signup and view all the answers

You are attending to a 34-year-old male patient who requires transport to the hospital. Your bariatric stretcher has a wider surface area to allow for:

Increased patient comfort and dignity. Signup and view all the answers

The _________ is both the mechanical weight-bearing base of the spinal column and the fused central posterior section of the pelvic girdle.

Sacrum Signup and view all the answers

To minimize the risk of injuring yourself when lifting or moving a patient, you should:

Keep the weight as close to your body as possible. Signup and view all the answers

It is essential that you ____________ your equipment to prevent the spread of disease.

Decontaminate Signup and view all the answers

In contrast to typical wheeled ambulance stretchers, features of a bariatric stretcher include:

Increased stability from a wider wheelbase. Signup and view all the answers

The proper technique for using the power grip is to:

Lift with your palms up. Signup and view all the answers

Which of the following statements regarding an emergency patient move is correct?

An emergency move is performed before the primary assessment and treatment. Signup and view all the answers

The MOST serious consequence of a poorly planned or rushed patient move is:

Injury to you or your patient. Signup and view all the answers

An EMT may injure his or her back, even if it is straight, if the:

Back is bent forward at the hips. Signup and view all the answers

You are attending to a 22-year-old female patient who has overdosed. The most appropriate way to bring the patient downstairs is:

Secured to a fracture board with the strongest provider at the head end. Signup and view all the answers

When pulling a patient, you should extend your arms no more than ________ in front of your torso.

15 to 20 inches Signup and view all the answers

Which of the following is the MOST appropriate device to use when immobilizing a patient with a suspected spinal injury?

Long backboard Signup and view all the answers

Study Notes

Lifting and Moving Patients

For semiconscious patients: Apply manual in-line support to the head before attempting to move (manual stabilization is crucial in trauma cases).
To secure a restrained patient adequately: Only one arm should be secured above the head to avoid leverage and allow for safety.
In emergencies with obstructed access, an emergency move may be necessary to reach victims in vehicles.
When managing a conscious, weak patient down stairs: Utilize a stair chair and place the wheeled stretcher at the bottom for proper transport.
For transporting patients across uneven terrain: A basket stretcher is preferred for stability and support.

Special Considerations for Patient Handling

Elderly patients may present a challenge due to abnormal spinal curvature, requiring careful handling to avoid injury while immobilizing.
Improper lifting techniques, such as lifting with a curved back or leaning incorrectly, can lead to back injuries.
When using palm down grip during lifting: Weight should be supported by the fingers, not the palm, for better strength and control.
In pregnancy-related transport: Placing a patient on her left side is preferred for safety and to reduce pressure on blood vessels.

Techniques for Patient Movement

Correct stance and positioning are vital when pulling a patient; maintaining an appropriate distance can help prevent back strain.
Coordination during a team move is essential; the team leader should give clear preparatory commands to ensure safety.
If experiencing back pain while moving a patient, it is crucial to stop and request additional help rather than risk further injury.
For urgent moves, avoid moving patients presumed to have neck injuries unless absolutely necessary.

Equipment and Safety

Understanding weight distribution is important: A horizontal patient's weight is largely in the torso, affecting how you maneuver and lift.
Bariatric stretchers designed for heavy patients have a wider surface area that emphasizes patient comfort and dignity during transport.
The sacrum serves as a crucial weight-bearing base for the spinal column and is essential knowledge for patient handling.
Always keep carrying weight close to your body to minimize back strain and ensure proper lifting techniques.

Cleaning and Maintenance

Decontamination of equipment is essential to prevent disease transmission; proper cleaning protocols must be strictly followed.

Additional Key Points

A bariatric stretcher differs from standard stretchers with increased stability from a wider wheelbase, catering to heavier patients.
The power grip technique should involve lifting with palms facing up for maximum strength and safety.
Emergency moves are performed before primary assessment to quickly remove patients from hazardous situations but should be done with caution to prevent injury.
Always ensure lifting or carrying techniques do not place unnecessary strain on the back to avoid injuries during patient transfers and handling.

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Description

Test your knowledge on the proper techniques for lifting and moving patients in various scenarios. This quiz covers guidelines for handling semiconscious, restrained, and elderly patients, as well as procedures for transporting patients on uneven terrain. Understand the importance of safety and correct techniques to prevent injuries.

Lifting and Moving Patients Quiz