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Exam 6: Lifting and Moving Patients

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Question 1

Multiple Choice

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You and two other EMTs are preparing to move a patient down several flights of stairs using a stair chair. After assigning one rescuer to hold the chair at the head and another to hold the chair at the foot facing the patient, you should:

A) assist the EMT at the patient's head.
B) direct movement from behind the EMT at the head.
C) assist the EMT at the patient's feet.
D) "spot" by standing behind the EMT at the feet.

E) A) and B)
F) None of the above

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Question 2

Multiple Choice

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When reaching to perform a logroll, the EMT must:

A) keep his back flexed.
B) lean from the waist.
C) use his shoulder muscles.
D) reach no more than 30 inches.

E) All of the above
F) None of the above

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Question 3

Multiple Choice

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You have been charged with writing a policy regarding reaching for equipment. In that policy, you indicate that the maximum distance an EMT should reach is no more than:

A small car and tanker truck loaded with gasoline have collided. The car is lodged under the tanker, from which gasoline is leaking from a ruptured valve. The car engine is smoking and the threat of fire and explosion is great. Assessment reveals your patient to be unresponsive with a patent airway, but breathing with difficulty at 8 times a minute. In caring for this patient, your immediate action should be to:

The EMT would perform an urgent move when the:

Which of the following would be considered an appropriate position for transport?

A large patient has been placed on the stretcher, and you and your partner are preparing to raise the stretcher using the power lift. Which one of the following observations of your partner would cause you to stop the lift in order to correct his technique?

A patient has developed chest pain while working in his wood shop. After assessing and providing care to the patient, the chest pain remains, although his vital signs are normal. To get him to the ambulance, the EMTs must first go up a short flight of stairs from the basement to the first floor, where the front door is located. Which one of the following would be the safest for both the patient and crew?

When an EMT places his palm and all fingers in contact with the object being lifted, he is using the:

Your coworkers would like to purchase a scoop (orthopedic) stretcher with some grant money. Before the purchase can be authorized, you have been asked to inform the purchasing committee of how this piece of equipment will benefit the service as well as enhance patient care. Your response would be:

A large female patient has fallen in a parking lot between two cars. She must be moved on the backboard to the waiting stretcher which is located approximately 200 feet from your location. Four rescuers are present. How would they best be used to promote the safest movement of the patient?

You have been called to assist a pediatric physician, a pediatric nurse, and a respiratory therapist in the transfer of a 2-week-old baby who is very sick. The baby is to be transferred in an isolette to a large metropolitan teaching hospital in a nearby city, where specialized care can be provided. The isolette is secured to the stretcher, and the stretcher is loaded into the ambulance. The physician, nurse, and respiratory therapist will provide all patient care. Prior to departing the hospital, it is essential that you:

An elderly patient is being taken care of at home by family members and lies in a hospital-type bed in the living room. After providing necessary care, you prepare to move her from the bed to the stretcher. There is no mechanism that suggests a head, neck, or spinal injury. Which one of the following methods would be most appropriate in this situation?

An obese patient cannot ambulate and must be carried down several flights of stairs. The patient exceeds your physical capabilities; however, your partner is very strong and physically fit. Which of the following statements, made by you, indicates the best means to safely lift and move the patient as well as minimize your opportunity of suffering an injury?

You are trying to convince the equipment committee to purchase a hydraulic power stretcher. When discussing advantages over a more traditional stretcher, what would you emphasize?

In preparing the schedule, you have been instructed to pair EMTs in a way that decreases the chance of injury when lifting and moving patients. Given this directive, who would make the best partner for a tall and very strong EMT?

You and your partner are preparing to move a trauma patient down a flight of stairs using a portable stretcher. As you begin the move, a third EMT shows up and asks to help. Which one of the following instructions would be most appropriate to ensure a safe move for both the patient and crew?

A patient involved in a motor vehicle collision has critical injuries and must be immediately removed from the car for lifesaving care and transport to the hospital. Prior to removing the patient from the vehicle, which one of the following must be done?

When lifting or moving any patient, the EMT must remember to primarily use the muscles of his or her:

After immobilizing an elderly female patient who fell in her bathroom, you prepare to carry her down a flight of stairs on a backboard. Which of the following instructions would be most appropriate to give to your partner?