Chapter 8 Workbook Flashcards by Tom Bowl

Used for patients who are supine or sitting without an extremity or spinal injury; especially helpful in narrow spaces

Extremity lift

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Can be folded or rolled up; particularly useful in confined spaces

Flexible stretcher

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Used to carry patients up and down stairs

Stair chair

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Used to carry patients across uneven terrain from remote locations; commonly used in technical and water rescues; Stokes litter

Basket stretcher

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Separates into two halves and then inserted under the patient for carrying

Scoop stretcher

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A spine board or longboard

Backboard

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Used for patients who are found lying supine with no suspected spinal injury

Direct ground lift

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A tubular framed stretcher with rigid fabric stretched across it

Portable stretcher

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A specifically designed stretcher that can be rolled along the ground and secured into the patient compartment

Wheeled ambulance stretcher

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A medical specialty focusing on the management of obesity

Bariatrics

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___ safety depends on the use of proper lifting techniques and maintaining a proper hold when lifting or carrying a patient.
A. Your
B. Your team’s
C. The patient’s
D. All of the above

D. All of the above

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An urgent move would be required in which of the following circumstances:
A. if a patient has a normal level of consciousness
B. if the patient is complaining of neck pain
C. in extreme weather conditions
D. if a patient has normal vital signs

C. in extreme weather conditions

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You may injure your back if you lift:
A. with your back straight
B. using a power lift technique
C. with the shoulder girdle anterior to the pelvis
D. keeping the weight close to you

C. with the shoulder girdle anterior to the pelvis

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When lifting, you should:
A. spread your legs past shoulder width
B. lift a patient while reaching far in front of your torso
C. keep the weight that you are lifting as close to your body as possible
D. use your back muscles by bending at the waist

C. keep the weight that you are lifting as close to your body as possible

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When lifting a patient, proper technique involves which of the following?
A. Leaning forward over the patient
B. Avoiding bending at the waist
C. Holding the weight away from your body
D. Keeping the legs and knees locked straight

B. Avoiding bending at the waist

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In lifting with the palm down, the weight is supported by the ___ rather than the palm.
A. fingers
B. forearm
C. lower back
D. wrist

A. fingers

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When you must carry a patient up or down a flight of stairs or other significant incline, use a ___ if possible.
A. backboard
B. stair chair
C. stretcher
D. short backboard

B. stair chair

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Most of a patient’s weight will be distributed on which part of a backboard or stretcher?
A. Head
B. Foot
C. Side
D. Center

A. Head

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A backboard is a device that provides support to patients who you suspect have all of the following EXCEPT:
A. hip injuries
B. pelvic injuries
C. spinal injuries
D. symptoms of heart attack

D. symptoms of heart attack

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Which of the following team leader actions is NOT required to safely lift and move a patient?
A. Giving a command of execution
B. Indicating where each team member is to be located
C. Giving an abbreviated overview of the lifting and moving stages
D. Completing all documentation prior to moving the patient

D. Completing all documentation prior to moving the patient

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Special ___ stretchers are usually required to move any patient who weighs more than 650 pounds (295 kg) to an ambulance.
A. orthopedic
B. pediatric
C. geriatric
D. bariatric

D. bariatric

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Which of the following statements is FALSE regarding the use of a stair chair?
A. Keep your back in a locked-in position.
B. Lean back to help distribute the weight.
C. Keep the patient’s weight and your arms as close to your body as possible.
D. Flex at the hips, not at the waist.

B. Lean back to help distribute the weight.

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When you use a body drag to move a patient:
A. your back should always be locked in a slight curve
B. twist so that the vertebrae can flex during the move
C. consider hyperextending to gain more leverage
D. drag the patient by the ankles

A. your back should always be locked in a slight curve

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When pulling a patient, you should do which of the following:
A. extend your arms no more than about 15 inches to 20 inches (38 cm to 50 cm)
B. stagger your feet so that the force of pull will be distributed toward your dominant hand
C. move both yourself and the patient simultaneously
D. pull the patient in rapid bursts of movement

A. extend your arms no more than about 15 inches to 20 inches (38 cm to 50 cm)

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When log rolling a patient, you should do which of the following: A. avoid kneeling too closely to the patient's side B. hyperextend the back to reach completely across the patient C. refrain from using the belt loops or belt as a grab point D. use your shoulder muscles to help with the roll

D. use your shoulder muscles to help with the roll

If the weight you are pushing is lower than your waist, you should push from: A. the waist B. a kneeling position C. the shoulder D. a squatting position

B. a kneeling position

If you are alone and must remove an unconscious patient from a car, you should first move the patient's: A. legs B. head C. torso D. pelvis

A. legs

Situations in which you should use an emergency move include all of the following EXCEPT: A. when fire, explosives, or hazardous materials are present B. when the patient feels like he or she might pass out C. when you are unable to gain access to others in a vehicle who need lifesaving care D. when you are unable to protect the patient from other hazards

B. when the patient feels like he or she might pass out

You can move a patient on his or her back along the floor or ground by using all of the following methods EXCEPT: A. pulling on the patient's clothing in the neck and shoulder area B. placing the patient on a blanket, coat, or other item that can be pulled C. pulling the patient by the legs if they are the most accessible part D. placing your arms under the patient's shoulders and through the armpits, and while grasping the patient's arms, dragging the patient backward

C. pulling the patient by the legs if they are the most accessible part

The sacrum is both the mechanical weight-bearing base of the spinal column and the fused central posterior section of the pelvic girdle. A. lumbar spine B. sacrum C. coccyx D. ileum

B. sacrum

Which of the following is NOT an indication for use of the rapid extrication technique? A. The patient is in severe pain. B. The patient's condition cannot be properly assessed before being removed from the vehicle. C. The patient blocks access to another seriously injured patient. D. The vehicle or the scene is unsafe.

A. The patient is in severe pain.

To avoid the strain of unnecessary lifting and carrying, you should use ________ or assist an able patient to the stretcher whenever possible. A. the direct ground lift B. the extremity lift C. the draw sheet method D. a scoop stretcher

C. the draw sheet method

You should use a rigid ________, also called a Stokes litter, to carry a patient across uneven terrain from a remote location that is inaccessible by ambulance or other vehicle. A. basket stretcher B. scoop stretcher C. molded backboard D. flotation device

A. basket stretcher

Which of the following is true regarding the lifting and moving of geriatric patients? A. They generally have no fear or anxiety when being transported. B. Many will require additional padding or support to transport comfortably. C. They tend to have more flexibility than younger patients. D. They have less risk of skin tears or bruising than younger patients.

B. Many will require additional padding or support to transport comfortably.

Bariatrics is: A. the branch of medicine concerned with the elderly B. the branch of medicine concerned with the obese C. the branch of medicine concerned with infants D. the method used to assess blood pressure

B. the branch of medicine concerned with the obese

You have been called to the scene of a high-speed motor vehicle collision involving two compact cars. The first vehicle was a rollover, ejecting the driver. The second vehicle contained both a driver and a front-seat passenger who cannot be reached because the door is up against a building. You note that the second vehicle is beginning to smoke, and flames can be seen from under the hood. What device will you use to put the rollover victim onto the wheeled ambulance stretcher? A. Extremity lift B. Scoop stretcher C. Short backboard D. Backboard

D. Backboard

You have been called to the scene of a high-speed motor vehicle collision involving two compact cars. The first vehicle was a rollover, ejecting the driver. The second vehicle contained both a driver and a front-seat passenger who cannot be reached because the door is up against a building. You note that the second vehicle is beginning to smoke, and flames can be seen from under the hood. For the passenger in the second vehicle, you may need to perform a(n) ________ on the driver in order to reach the patient. A. extremity lift B. emergency move C. short backboard D. You should do nothing different; treat each patient the same.

B. emergency move

You have been called to the scene of a high-speed motor vehicle collision involving two compact cars. The first vehicle was a rollover, ejecting the driver. The second vehicle contained both a driver and a front-seat passenger who cannot be reached because the door is up against a building. You note that the second vehicle is beginning to smoke, and flames can be seen from under the hood. Which of the following is an advantage of the diamond carry? A. It uses an even number of people (less likely to drop). B. It can be done with one person, freeing up others for patient care. C. The patient can be slid along the ground. D. It provides the best means of spinal immobilization.

A. It uses an even number of people (less likely to drop).

You have been called to the scene of a high-speed motor vehicle collision involving two compact cars. The first vehicle was a rollover, ejecting the driver. The second vehicle contained both a driver and a front-seat passenger who cannot be reached because the door is up against a building. You note that the second vehicle is beginning to smoke, and flames can be seen from under the hood. You’ll likely use the ________ to transfer the patient from your stretcher to the hospital bed. A. diamond carry B. scoop stretcher C. portable stretcher D. draw sheet method

D. draw sheet method

A portable stretcher is typically a lightweight folding device that does not have the undercarriage and wheels of a true ambulance stretcher.

True

The term power lift refers to a posture that is safe and helpful for EMTs when they are lifting.

True

If you find that lifting a patient is a strain, try to move the patient to the ambulance as quickly as possible to minimize the possibility of back injury.

False

It is not important that you and your team use the correct lifting technique to lift a stretcher.

False

One-person techniques for moving patients should be used only when immediate patient movement is necessary due to a life-threatening hazard and only one EMT is available.

True

When carrying a patient down stairs or on an incline, make sure the stretcher is carried with the head end first.

False

The rapid extrication technique is the preferred technique to use on all sitting patients with possible spinal injuries.

False

It is unprofessional for you to discuss and plan a lift at the scene in front of the patient.

False

Bariatrics is a medical specialty that deals with the care of the obese.

True

An isolette is used to transport neonatal patients.

True

The flexible stretcher is useful for moving patients through confined spaces.

True

Pneumatic stretchers were developed to decrease the risk for EMS provider back injuries.

True

Bariatric stretchers are the same as standard ambulance stretchers except for added lifting capacity.

False

To avoid injury to you, the patient, or your partners, you will have to learn how to lift and carry the patient properly, using proper __________ __________and a power grip.

body mechanics

The key rule of lifting is to always keep the back in a straight, __________ position and to lift without twisting.

upright

The safest and most powerful way to lift, lifting by extending the properly placed flexed legs, is called a(n) __________ __________.

power lift

The arm and hand have their greatest lifting strength when facing __________ up.

palm

Be sure to pick up and carry the backboard with your back in the _______-____ position.

locked-in

During a body drag where you and your partner are on each side of the patient, you will have to alter the usual pulling technique to prevent pulling __________ and producing adverse lateral leverage against your lower back.

sideways

When you are rolling the wheeled ambulance stretcher, your back should be __________, straight, and untwisted.

locked

A patient on a backboard or stretcher can be lifted and carried by four providers in a(n) __________ carry.

diamond

Whenever a patient has been placed onto the stretcher, one EMT must hold the main frame to prevent __________.

movement

The manual support and immobilization that you provide when using the rapid extrication technique produce a greater risk of __________ __________.

spine movement

The __________ __________ __________ is used for patients with no suspected spinal injury who are found lying supine on the ground.

direct ground lift

The __________ __________ may be especially helpful when the patient is in a very narrow space or when there is not enough room for the patient and a team of EMTs to stand side by side.

extremity lift

The mattress on a stretcher must be __________ __________ so that it does not absorb any type of potentially infectious material, including water, blood, or other body fluids.

fluid resistant

It is essential that you __________ your equipment after use.

decontaminate

Short Answers List the nine different one rescuer emergency moves.

1. Emergency clothes drag 2. Blanket drag 3. Arm drag 4. Arm‑to‑arm drag 5. Firefighter’s drag 6. Front cradle 7. One‑person walking assist 8. Firefighter’s carry 9. Pack strap

Short Answers List six situations where using a rapid extrication technique would be appropriate.

1. The vehicle or scene is unsafe. 2. Explosives or other hazardous materials are on the scene. 3. There is a fire or a danger of fire. 4. The patient cannot be properly assessed before being removed from the vehicle. 5. The patient has a life‑threatening condition that requires immediate transport to the hospital. 6. The patient blocks the EMT’s access to another seriously injured patient.

Short Answers List three guidelines for loading the stretcher into the ambulance.

1. Make sure there are enough providers for sufficient lifting power. 2. Follow the manufacturer’s directions for safe and proper use of the stretcher. 3. Make sure that all stretchers and patients are fully secured before you move the ambulance.

Short Answers List five guidelines for carrying a patient on a stretcher

1. Estimate the weight of both the patient and the associated equipment to be lifted and gauge the limitations of the team's abilities. 2. Coordinate your movements with those of the other team members while constantly communicating with them. 3. Do not twist your body as you are carrying the patient. 4. Keep the weight that you are carrying as close to your body as possible while keeping your back in a locked‑in position. 5. Do not bend at the waist; this could hyperextend your back. Instead, flex at the hips and bend at the knees

Short Answers Identify the key rule of lifting.

Always keep your back in a straight, upright position and lift without twisting.

Ambulance Calls You are dispatched to a construction site for a 26 year old man who fell into a ravine. He is approximately 35 feet (11 m) down a rocky ledge. He is alert, with an unstable pelvis and weak radial pulses. You have all the help you need from the construction crew and the volunteer fire department. How would you best manage this patient?

Immobilize the patient on a long backboard, apply high flow oxygen, and consider the use of a basket stretcher. Use a minimum of four people to carry the patient back up the ledge. Plan the route, and brief your helpers before moving the patient. Clarify whether you will move on “three” or count to three, then move. Coordinate the move until the patient is loaded into the ambulance.

Ambulance Calls You are dispatched to an “unknown medical problem” at a local residence. You are met at the door by the wife of the patient, who tells you that her husband is in the bathroom and is not acting right. You find the 350 pound (159 kg) patient lying in the bathroom, stuck between the toilet and the wall. He is not breathing and has no pulse. How would you best manage this patient?

One of the most critical steps in caring for this patient is realizing that it will require additional help and calling for that help as early as possible. It is highly unlikely that you will be able to move this patient, especially without significantly hurting yourself or your partner. You can attempt to move the patient, but if you cannot successfully do so, you will have to open his airway in his current position. Do the best you can until additional personnel arrive and the patient can be moved.

Ambulance Calls You are dispatched to “difficulty breathing” at a nearby apartment complex. The patient’s apartment is located on the top floor of a three story building, is accessed through an exterior entryway, and no elevators are available. Your patient is morbidly obese and cannot walk. How would you best manage this patient?

Patients whose conditions will be exacerbated by physical activity should not walk to the stretcher or ambulance. If a patient’s condition is such that it is not medically necessary that you carry him or her, it is safer for the patient to walk on his or her own power to the ambulance. However, this patient should not/cannot walk. This produces a safety issue for you and your partner, especially given the fact that there is no elevator. Fortunately, this patient can sit upright; thus, the use of a stair chair would be appropriate in this situation. Regardless, you should ask for more personnel, given the patient’s large size. Back injuries are very common in EMS. For providers to avoid these injuries, correct lifting techniques should be used, and assistance should be requested whenever the patient is large or in a position not conducive to correct lifting procedures.

Chapter 8 Workbook Flashcards

(74 cards)