Lifting and Moving Patients

Lifting and Moving Patients

Information Covered:

Lifting and moving patients

A.        Lifting techniques

     1.         Safety precautions

     2.         Guidelines for lifting

B.        Safe lifting of cots and stretchers.

C.        Power lift or squat lift position

D.        Power grip

E.         Back in locked-in position

F.         Carrying

     1.         Precautions for carrying

     2.         Guidelines for carrying

     3.         Correct carrying procedure

     4.         One-handed carrying technique

     5.         Correct carrying procedure on stairs

G.        Reaching

     1.         Guidelines for reaching

     2.         Application of reaching techniques

     3.         Correct reaching for log rolls

H.        Pushing and pulling guidelines

     1.         Emergency move

          a.         Indications

               i.          Fire or danger of fire

               ii.         Explosives or other hazardous materials

               iii.        Other hazards at the scene

               iv.        To gain access to other patients in a vehicle who need life- saving care

               v.         Patient's location or position, e.g., a cardiac arrest patient sitting in a chair or lying on a bed

          b.         Technique

     2.         Urgent Move

     3.         Indications        

          a.         Altered mental status

          b.         Inadequate breathing

          c.         Shock (hypoperfusion)

          d.         Technique

     4.         Non-urgent moves

          a.         Indication

               i.          Direct ground lift (no suspected spine injury)

               ii.         Extremity lift (no suspected extremity or back injuries)

     5.         Transfer of supine patient from bed to stretcher

          a.         Direct carry

          b.         Draw sheet method

I.           Equipment

     1.         Stretchers/cots

          a.         Types

               i.          Wheeled stretcher

               ii.         Portable stretcher

               iii.        Stair chair

               iv.        Bariatric stretcher

          b.         Standard

     2.         Tracked systems

          a.         Backboards     

               i.          Long

               ii.         Short

                    a)         Traditional wooden device

                    b)         Vest type device

                         i)          Scoop or orthopedic stretcher

                         ii)         Flexible stretcher          

          b.         Bariatric stretcher

               i.          Pneumatic or electronic stretchers

               ii.         Neonatal Isoletes

          c.         Maintenance - follow manufacturer's directions for inspection, cleaning, repair and upkeep

          d.         Patient positioning

               i.          Unresponsive patient without suspected spine injury

               ii.         A patient with chest pain or discomfort or difficulty breathing

               iii.        A patient with suspected spine injury

               iv.        Pregnant patient with hypotension

               v.         A patient who is nauseated or vomiting

          e.         Bariatric patients

               i.          Patient size

               ii.         Specialized equipment

                    a)         Stretchers

                    b)         Ambulances

                         i)          Ramps

                         ii)         Winches

                    c)         Personnel considerations

 

Content Creator: Chris Hunt

CAPCE Course Number: 17-EMTP-F3-4304

Total CE Hours: 2

Level: Basic

EMT-CE uses the NEMSES guidelines as the foundation for every course outline.