Chapter 35 Lifting and Moving Patients and Module Questions

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hiker0001
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260769
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Chapter 35 Lifting and Moving Patients and Module Questions
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2014-02-07 21:19:59
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Chapter 35 Lifting Moving Patients Module Questions
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Chapter 35 Lifting and Moving Patients and Module Questions
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  1. In lifting, the shoulder girdle should be aligned over the ____ and and should be held ____ to the legs.
    • pelvis
    • close
  2. You may injure your back, if you lift with your back ____ of if you lift with your back straight but ____ significantly forward at the hips.
    • curved
    • bent
  3. When using the power grip, palms are facing ____.
    up
  4. More of the patient’s weight rests on the ____ half of the device than on the foot half.
    head
  5. The ____ carry uses one EMT at the head and one at the foot of the backboard, and one on each side of the torso.
    diamond
  6. The ____-____ carry includes four or more rescuers each using one hand to support the backboard so that they are able to face forward as they are walking
    one-handed
  7. A wheeled ambulance stretcher weighs ___–___ lb.
    40-145
  8. A wheeled ____ ____ can be used to bring a conscious patient down to a stretcher
    stair chair
  9. A backboard should be used instead for a patient (three situations):
    • In cardiac arrest
    • Who must be moved in supine position
    • Who must be immobilized
  10. A backboard is a device that provides support to patients whom you suspect have hip, pelvic, spinal, or ____ ____ injuries.
    lower extremity
  11. Three other names for a backboard:
    • spine board
    • trauma board
    • longboard
  12. Two roles of the team leader:
    • Indicates where each team member should be
    • Rapidly describes sequence of steps to perform before lifting
  13. If the patient weighs over ____ lb, use four rescuers.
    250
  14. Place the strongest EMTs at ____ and ____ ends of the board.
    • head
    • foot
  15. The taller person should be at the ____ end of the board.
    foot
  16. Special techniques and equipment are available for those weighing more than ____ pounds.
    350
  17. When you use a body drag, extend arms no more than __″ to __″ in front of you.
    • 15
    • 20
  18. If you must drag a patient on the ground or across a bed, you will have to ____ on the ground or on the bed to minimize the distance that you will have to lean over.  Elbows should extend just beyond the ____ torso.
    • kneel
    • anterior
  19. When you are pulling a patient who is at a different height than you, bend your ____ until your hips are just below the height of plane across which you will be pulling the patient.
    knees
  20. In the hospital, transfer the patient from the stretcher to a bed with a ____ ____.
    body drag
  21. If you are alone in an emergency, use a ____ to pull the patient along the long axis of body.
    drag
  22. Three emergency move techniques (drags) to help prevent aggravation of patient’s spinal injury:
    • Clothes drag
    • Blanket drag
    • Arm drag
  23. Drag where you pull on the patient’s clothing in the neck and shoulder area.
    Clothes drag
  24. Drag where you place the patient on a blanket, coat, or other item that can be pulled.
    Blanket drag
  25. Drag where you rotate the patient’s arms so they are extended straight on the ground beyond his or her head, grasp the wrists, and drag the patient.
    Arm drag
  26. First step to remove an unconscious patient from a vehicle alone:
    move the legs clear of the pedals
  27. An urgent move may be necessary to move patient with (three things):
    • Altered level of consciousness
    • Inadequate ventilation
    • Shock
  28. ____ ____ technique should be used when a patient is sitting in a vehicle and must be urgently moved.
    Rapid extrication
  29. Using the rapid extrication technique, a patient can be moved from sitting in a vehicle to supine on a backboard in __ minute or less.
    1
  30. Non-urgent move used for patients with no suspected spinal injury who are found supine on the ground
    Direct ground lift
  31. -Non-urgent move used for patients with no suspected extremity or spinal injury who are supine or in a sitting position
    -May be helpful when patient is in a small space because it does not require EMTs to stand side by side
    -One EMT is positioned at the patient’s head and the other EMT is positioned at the patient’s feet.
    Extremity lift
  32. Three ways to transfer a patient from a bed to a stretcher:
    • Direct carry
    • Draw sheet method
    • Scoop stretcher
  33. Most patients transported by EMS are ____ patients.
    geriatric
  34. ____ refers to the management (prevention or control) of obesity and allied diseases.
    Bariatrics
  35. Approximately ____ million adults in the United States are overweight or obese.
    100
  36. __% of women older than 19 years are obese or overweight.
    35
  37. __% of men older than 19 years are obese or overweight.
    31
  38. Approximately __% to __% of children are overweight or obese.
    • 20
    • 25
  39. The management of obesity consumes approximately $___ billion per year.
    100
  40. Four types patients will need to be secured to a backboard first before being placed on a stretcher:
    • A patient with suspected spinal injury
    • A patient with multisystem trauma
    • A patient who needs CPR
    • A patient who needs to be carried up or down stairs while supine
  41. Typical stretchers are rated to a maximum weight of ___ lb.
    650
  42. The bariatric stretcher is rated to hold ___ to  ___ lb.
    • 850
    • 900
  43. ____ stretchers are used in areas that are difficult to reach or when a second patient must be transported on the squad bench.
    Portable
  44. The ____ stretcher is the most uncomfortable stretcher but provides excellent support and immobilization.
    flexible
  45. ____ backboards or ____-____ are used to immobilize the head, torso, and neck of a seated patient with a suspected spinal injury until the patient can be moved to a long backboard.
    • Short
    • half-boards
  46. Short wooden backboards have mostly been replaced with a vest-type device such as the ____.
    KED
  47. The basket stretcher is also called the ____ ____.
    Stokes litter
  48. Stretcher used to carry patient across uneven terrain from a remote location that is inaccessible by ambulance or other vehicle.  Used for technical rope rescues and some water rescues.
    basket stretcher (Stokes litter)
  49. A Scoop stretcher is also called an ____ stretcher.
    orthopaedic
  50. Protects a neonate from noise, drafts, infection, and excess handling.
    Neonatal isolette
  51. Never restrain a patient in the prone position.  A patient in the prone position can develop positional ____.
    asphyxia
  52. Restraint requires a minimum of ____ personnel.  One for each extremity of the patient, and one for his or her head.
    five
  53. Preferably a patient should be restrained on a backboard with one arm ____ his or her head and the other arm by his or her side.
    above
  54. The ____ ____ is the safest and most powerful way to lift.
    power lift
  55. ____ is better than ____.
    • Pushing
    • pulling
  56. A stretcher that is a rigid carrying device when secured around a patient but can be folded or rolled when not in use.
    flexible stretcher
  57. If a patient is lying supine on a backboard, the head end of the backboard will hold approximately __% to __% of the weight of the patient.
    • 68
    • 78
  58. An alert and cooperative patient with trouble breathing needs to be carried to the ambulance from the second floor of a house. The most appropriate method is to:
    use a stair chair
  59. An unrestrained patient is sitting in his car after an automobile crash.  He is conscious and alert, has no visible trauma, and is complaining of neck and back pain. Before removing him from his car, you should:
    A. apply a cervical collar and immobilize him with a vest-style device.
    B. perform a detailed head-to-toe assessment and apply a cervical collar.
    C. maintain manual stabilization of his head and grasp him by the clothes.
    D. slide a scoop stretcher under his buttocks and rotate him laterally.
    A. apply a cervical collar and immobilize him with a vest-style device.
    (this multiple choice question has been scrambled)
  60. In which of the following situations would a direct ground lift be the MOST appropriate method of moving a patient?
    A. an unconscious patient with a possible ischemic stroke
    B. a conscious patient complaining of abdominal pain
    C. a patient who complains of hip pain following a fall
    D. a pedestrian with back pain after being struck by a car
    B. a conscious patient complaining of abdominal pain
    (this multiple choice question has been scrambled)
  61. You have two patients who were involved in a motor vehicle crash when their SUV struck a tree—one with neck and back pain, and the other with a deformed left femur. The patient with the deformed femur states that he does not want to be placed on a hard board, nor does he want a collar around his neck. What is the MOST appropriate and practical method of securing these patients and placing them into the ambulance?
    A. Immobilize the patient with neck and back pain on a long backboard and place him on the squad bench; allow the patient with the deformed femur to sit on the wheeled stretcher.
    B. Immobilize both patients with a cervical collar and long backboard based on the mechanism of injury; place one on the wheeled stretcher and the other on the squad bench.
    C. Apply a traction splint to the patient with the deformed femur and place him on the wheeled stretcher; place the patient with neck and back pain on the squad bench immobilized with a cervical collar and scoop  stretcher.
    D. Immobilize the patient with neck and back pain on a long backboard and place him on the wheeled stretcher; place the patient with the deformed femur on a folding stretcher secured to the squad bench.
    D. Immobilize the patient with neck and back pain on a long backboard and place him on the wheeled stretcher; place the patient with the deformed femur on a folding stretcher secured to the squad bench.
    (this multiple choice question has been scrambled)
  62. Typical components of an oral patient report include all of the following, EXCEPT:
    A. the set of baseline vital signs taken at the scene.
    B. the patient's response to treatment you provided.
    C. important medical history not previously given.
    D. the chief complaint or mechanism of injury.
    A. the set of baseline vital signs taken at the scene.
    (this multiple choice question has been scrambled)
  63. You and your partner enter the residence of an elderly couple, both of whom are found unconscious in their bed. There is no evidence of trauma. As you begin your assessment, you and your partner notice the
    smell of natural gas in the residence. Which of the following should be your MOST appropriate action?
    A. Perform a rapid assessment and then move the patients from their residence.
    B. Quickly exit the residence and request the fire department to move the patients.
    C. Rapidly remove the patients from their residence using a blanket or clothes drag.
    D. Request another ambulance to assist with lifting and moving the patients.
    C. Rapidly remove the patients from their residence using a blanket or clothes drag.
    (this multiple choice question has been scrambled)
  64. Which of the following statements regarding the EMS medical director and an EMT's scope of practice is correct?
    A. The EMS medical director can expand the EMT's scope of practice but cannot limit it without state approval.
    B. The EMS medical director can expand or limit an individual EMT's scope of practice without state approval.
    C. An EMT's scope of practice is exclusively regulated by the state EMS office, not the EMS medical director.
    D. An EMT's scope of practice may be expanded by the medical director after proper training and state approval.
    D. An EMT's scope of practice may be expanded by the medical director after proper training and state approval.
    (this multiple choice question has been scrambled)
  65. You suspect that a pregnant 16-year-old girl has a broken leg after she was hit by a car. You explain that you plan to splint her leg,
    and she agrees to treatment. What type of consent is her agreement considered?
    A. expressed
    B. implied
    C. informed
    D. minor's
    A. expressed
    (this multiple choice question has been scrambled)
  66. Which of the following situations would require an urgent patient move?
    A. conscious patient with abrasions and a possibly fractured humerus
    B. imminent risk of a fire or explosion in or near the patient's vehicle
    C. semiconscious patient with shallow respirations and signs of shock
    D. stable patient who is blocking access to a critically injured patient
    C. semiconscious patient with shallow respirations and signs of shock
    (this multiple choice question has been scrambled)
  67. While trying to make a family member feel better after a loved one has died, your partner uses trite statements. The family members may view this as:
    A. coaching them through the grieving process.
    B. a show of respect for the person who has died.
    C. your partner's attempt to diminish their grief.
    D. your partner's caring and supportive attitude.
    C. your partner's attempt to diminish their grief.
    (this multiple choice question has been scrambled)
  68. EMRs such as fire fighters, law enforcement officers, and park rangers, are an integral part of the EMS system because:
    A. they are usually trained to assist paramedics with certain procedures.
    B. the average response time for the EMT crew is approximately 15 minutes.
    C. the presence of a person trained to initiate basic life support (BLS) care cannot be ensured.
    D. they can initiate certain ALS procedures before EMS arrival.
    C. the presence of a person trained to initiate basic life support (BLS) care cannot be ensured.
    (this multiple choice question has been scrambled)
  69. According to the National EMS Scope of Practice Model, an EMT would require special permission from the medical director and the state EMS office in order to:
    A. use an automatic transport ventilator.
    B. perform blood glucose monitoring.
    C. apply and interpret a pulse oximeter.
    D. give aspirin to a patient with chest pain.
    B. perform blood glucose monitoring.
    (this multiple choice question has been scrambled)
  70. A critical aspect of the rapid extrication technique is to:
    A. maintain stabilization of the spine at all times.
    B. extricate the patient with one coordinated move.
    C. move the patient as quickly as you possibly can.
    D. apply a vest-style device before moving the patient.
    A. maintain stabilization of the spine at all times.
    (this multiple choice question has been scrambled)

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