LIFTING AND MOVING.ppt

is a rapid movement of
patient from unsafe
place to a place of
safety.

Indications for Emergency Rescue
Danger of fire or explosion

Danger of toxic gases or asphyxia
due to lack of oxygen.

is moving a patient from
one place to another after
giving first aid.

1. Nature and severity of the injury.
2. Size of the victim.
3. Physical capabilities of the first aider.
4. Number of personnel and equipment
available.
5. Nature of evacuation route.
6. Distance to be covered.
7. Sex of the victim. (Last consideration)
Selection will depend upon the
following:

Pointers to be observed during transfer.
1. Victim’s airway must be maintained open.
2. Hemorrhage is controlled.
3. Victim is safely maintained in the correct
position.
4. Regular check of the victim ’s condition is
made.
5. Supporting bandages and dressing
remain effectively applied.

6. The method of transfer is safe, comfortable
and as speedy as circumstances permit.
7. The patient’s body is moved as one unit.
8. The taller first aiders stay at the head side of
the victim.
9. First Aiders/bearers must observed
ergonomics in lifting and moving of patient.
Pointers to be observed during transfer.

Methods of Transfer
One-man assist/carries/drags
Assist to Walk Carry in Arms (Cradle)
Pack strap Carry Piggy Back Cary
Fireman’s Carry Fireman’s Drag
Blanket Drag Cloth Drag
Feet Drag Armpit/Shoulder Drag
Inclined Drag

Methods of Transfer
Two-man assist / carries
Assist to Walk Four Hand Seat
Hand as a Litter Chair as a Litter
Carry by Extremities Fireman’s Carry
(Assistance)

Methods of Transfer
Three-man carries
Bearers alongside (for narrow alleys)
Hammock carry

Four/Six/Eight-man carry
Blanket Carry
Improvised stretcher using two poles
with: Blanket , Empty sacks, Shirts
or coats, Triangular bandages
Commercial stretchers
Ambulance or Rescue Van
Other vehicles

 Define body mechanics.
 Discuss guidelines and precautions when lifting
patients.
 Describe safe lifting of cots and stretchers.
 Discuss guidelines and precautions when
carrying patients and/or equipment.
Objectives (1 of 3)

 Discuss one-handed carry techniques.
 Discuss correct and safe carrying
procedures on stairs.
 State guidelines for reaching and their
applications.
 Discuss general considerations for moving
patients.
Objectives (2 of 3)

 Describe correct reaching for log roll.
 State guidelines for pushing and pulling.
 State situations requiring emergency moves.
 Identify patient-carrying devices.
Objectives (3 of 3)

Body Mechanics
 Shoulder girdle should be aligned over the
pelvis.
 Lifting should be done with legs.
 Weight should be kept close to the body.
 Grasp should be made with palms up.

Performing the Power Lift (1 of 3)
 Tighten your back in its
normal upright position.
 Spread your legs apart
about 15".
 Grasp with arms
extended down the side
of the body.
 Adjust your
orientation and
position.
 Reposition feet.
 Lift by straightening
legs.

• A power grip gets the maximum force
from your hands
• Arms and hands face palm up.
• Hands should be at least 10" apart.
• Each hand goes under the handle with
the palm facing up and the thumb
extended upward.

• Curl fingers and thumb
tightly over the top of the
handle.
• Never grasp a litter or
backboard with the
hands placed palms-
down over the handle.

Weight and Distribution
 Patient will be
heavier on head end.
 Patients on a
backboard or
stretcher should be
diamond carried.

Diamond Carry
 One rescuer at head end
 One rescuer at foot end
 One rescuer on each side of
the patient’s torso

One-Handed Carrying
 Face each other and use
both hands.
 Lift the backboard to
carrying height.
 Turn in the direction you
will walk and switch to
using one hand.

Carrying Backboard or Cot on
Stairs
 Strap patient securely to
the backboard.
 Carry patient down stairs
foot end first, head end
elevated.
 Carry patient up stairs
head end first.

Directions and Commands
 Anticipate and understand every move.
 Moves must be coordinated.
 Orders should be given in two parts.

Additional Guidelines
 Find out how much the patient weighs.
 Know how much you can safely lift.
 Communicate with your partners.
 Do not attempt to lift a patient who weighs over
250 lb with only two EMT-Bs.
 Avoid unnecessary lifting or carrying.

Principles of Safe Reaching
and Pulling (1 of 3)
 Back should always be locked and straight.
 Avoid any twisting of the back.
 Avoid hyperextending the back.
 When pulling a patient on the ground, kneel
to minimize the distance.

 Use a sheet or blanket if you must drag a
patient across a bed.
 Unless on a backboard, transfer patient from
the cot to a bed with a body drag.
 Kneel as close as possible to patient when
performing a log roll.

 Elevate wheeled ambulance cot or stretcher
before moving.
 Never push an object with your elbows locked.
 Do not push or pull from an overhead position.

General Considerations
 Plan the move.
 Look for options that
cause the least strain.

Emergency Moves
 Performed if there is some potential danger
for you or the patient
 Performed if necessary to reach another
patient who needs lifesaving care.
 Performed if unable to properly assess
patient due to location.

Emergency Drags (1 of 2)
 Clothes Drag
 Blanket Drag

Emergency Drags (2 of 2)
Arm-to-Arm Drag
Arm Drag

One-Rescuer Drags, Carries,
and Lifts (1 of 3)
Front cradle Firefighter’s drag

and Lifts (2 of 3)
One-person walking assist Firefighter’s carry

and Lifts (3 of 3)
Pack Strap

One man Assist/carries/drags
Assist
to walk
Cradle carry
Firemans
carry

Packstrap
carry
Piggy back
carry

Feet drag
Blanket drag
Cloth drag

Firemans drag
Inclined drag
Armpit/shoulder drag

Two-man assist/carries
Two Man
assist
Hand as
a litter
Four
hand seat

Chair as
a litter
Carry by extremities
Fireman's
carry with
assistance

Three man carries
Bearers
alongside
Hammock carry
Four man carry
Blanket carry

Improvised
stretcher
Commercial
stretcher
Ambulance

Patient-Moving Equipment (1 of 3)
Portable stretcher Flexible stretcher

Urgent Moves
 Used to move a patient who has
potentially unstable injuries
 Use the rapid extrication technique
to move patients seated in a
vehicle.

When to Use Rapid Extrication
Technique
 Vehicle or scene is unsafe.
 Patient cannot be properly assessed.
 Patient requires immediate care.
 Patient’s condition requires immediate transport.
 Patient is blocking access to another seriously
injured patient.

Rapid Extrication (1 of 3)
 Provide in-
line support
and apply
cervical
collar

 Rotate patient as
a unit.

 Lower patient to
the backboard.

Nonurgent Moves (1 of 2)
 Direct
ground
lift

Nonurgent Moves (2 of 2)
 Extremity
lift

Transfer Moves
Direct carry
Draw sheet method

Scoop Stretcher
 Adjust stretcher length.
 Lift patient slightly and slide stretcher into place,
one side at a time.
 Lock stretcher ends together.
 Secure patient and transfer to the cot.

Wheeled Ambulance Stretcher
 Most commonly used device
 Has specific head and foot ends
 Has a folding undercarriage
 EMT-B must be familiar to
specific features of cots used in
the ambulance

Loading the Wheeled Ambulance
Cot
 Tilt the head of the cot upward.
– Place it into the patient compartment.
 Release the undercarriage lock and lift.
 Roll the cot into ambulance.
 Secure the cot to ambulance clamps.

Moving and Positioning the
Patient
 Take care to avoid injury whenever a patient
is moved.
 Practice using equipment.
 Know that certain patient conditions call for
special techniques.

Backboard
Basket stretcher

Scoop stretcher
Stair chair

Basket Stretcher or
Stoke Litter

The Philippine National Red Cross

LIFTING AND MOVING.ppt

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