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CH 5
Lifting 7 moving Patients
94
Science
Not Applicable
06/15/2011

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Cards

Term
basket stretcher
Definition
stretcher made of a steel wire mesh & tubular steel rim or plastic & steel rim used to transport patients from one level to another or over rough terrain
Term
body mechanics
Definition
proper use of body to facilitate lifting & moving & to prevent injury
Term
direct carry
Definition
method of transferring a patient from ed to stretcher during which two or more rescuers curl the patient to their chests, then reverse the process to lower the patient to the stretcher
Term
direct ground lift
Definition
method of lifting & carrying a patient from ground level to a stretcher in which two or more rescuers kneel, curl the patient to their chests, stand, then reverse the process to lower the patient to the stretcher
Term
draw-sheet method
Definition
method of transferring a patient from bed to stretcher by grasping & pulling the loosened bottom sheet of the bed
Term
emergency move
Definition
removal of patient from a hazardous environment in which safety is the first priority & spinal integrity is the second priority
Term
extremity lift
Definition
method of lifting & carrying a patient in which one rescuer slips hands under the patients armpits & grasps the wrists while another rescuer grasps the patients knees
Term
log roll
Definition
procedure done by 3 or 4 rescuers that is designed to move a supine patient onto a long backboard without compromising spinal integrity
Term
long axis
Definition
line that runs down the center of the body from the top of the head & along the spine
Term
non-urgent move
Definition
patient move that may be made if speed is not a priority
Term
power grip
Definition
gripping with as much hand surface as possible the object being lifted, with all fingers bent at the same angle
Term
power lift
Definition
made from a squatting position with weight to be lifted close to boy feet apart & flat on ground body weight on or just behind balls of feet back locked in
Term
scoop stretcher
Definition
stretcher that splits in halves which can be pushed together under the patient
Term
stair chair
Definition
portable folding chair with wheels use to transport the patient in a sitting position up or down stairs
Term
urgent move
Definition
patient move that should be done quickly yet without any compromise of spinal integrity
Term
bronchi
Definition
two large tubes that bring air to & from the lungs
Term
pharynx
Definition
area inside mouth joining the nasal passageways and the throat
Term
larynx
Definition
voice-box contain epiglottis & vocal cords
Term
jaw-trust maneuver
Definition
process o correcting blockage of the airway by moving the jaw forward without tilting the head
Term
head-tilt, chin-lift maneuver
Definition
means of correcting blockage of airway by the tongue by tilting the head back& lifting the chin
Term
epiglottis
Definition
flap of tissue that caps the trachea as you swallow
Term
diaphragm
Definition
muscle of breathing that separates the abs from the thorax
Term
cricoid cartilage
Definition
ring-shaped structure that forms the lower portion of the larynx
Term
ventilation
Definition
breathing in air or oxygen
Term
stoma:
Definition
a permanent surgical opening in the neck through which the patient breaths
Term
respiration:
Definition
another word for breathing
Term
humidifier:
Definition
device connected to flow-meter to add moisture to dry O2 from and O2 cylinder
Term
gastric distention:
Definition
expansion of the stomach caused by too forceful ventilation pressures which cause excess air to enter the stomach instead of the lungs
Term
flow-restricted oxygen-powered ventilation device:
Definition
a device that uses oxygen under pressure to deliver artificial ventilation's
Term
cyanosis:
Definition
a blue/gray color of skin from lack of O2 in body
Term
bag-valve mask:
Definition
a handheld device with a face mask & self-refilling bag that can be squeezed to provide artificial ventilation's to a patient
Term
artificial ventilation:
Definition
forcing air or O2 into lungs when patient has stopped breathing or has inadequate breathing
Term
airway:
Definition
the passageway by which air enters or leaves the body
Term
flow-meter:
Definition
a valve that indicates flow of O2 in liters/minute
Term
patent airway :
Definition
open & clean passageway for air into the lungs
Term
suctioning:
Definition
use of vacuum device to remove blood, vomitus & other secretions of foreign materials from the airway
Term
respiratory failure:
Definition
reduction of breathing to the point where not enough O2 is being taken in to sustain life
Term
respiratory arrest: breathing completely stops
Definition
Term
pressure regulator:
Definition
device connected to O2 cylinder to reduce cylinder pressure to a safe pressure for delivery of O2 to patient
Term
pop-off valve:
Definition
valve on a BVM designed to blow off excessive pressure, this valve is no longer allowed per AHA standards on any BVM due to danger of under inflation of the lungs
Term
O2 cylinder:
Definition
container filled with O2 under pressure
Term
pocket face mask:
Definition
device with on-way valve to aid in art. ventilation. a rescuer breaths through the valve when its on the persons face and acts as a barrier to prevent contact with a patients breath or fluids to be used with supplemental O2 when fitted with an O2 inlet.
Term
non-rebreather mask:
Definition
face mask & reservoir bag device that delivers high concentrations of O2; the patients exhaled air escapes through a valve
Term
oropharyngeal airway:
Definition
rigid curved device inserted through patients mouth into the pharynx to help maintain an open airway
Term
nasopharyngeal airway:
Definition
flexible breathing tube inserted through patients nose into the pharynx to help maintain an open airway
Term
nasal cannula:
Definition
device delivers low concentrations of O2 through 2 prongs that rest in the patients nostrils
Term
hypoxia: insufficiency of O2 in tissues
Definition
Term
ventilate:
Definition
provide ventilation's at higher rate to compensate for O2 not delivered during suctioning
Term
gag reflex:
Definition
vomiting when something is placed in pharynx
Term
4 techniques to provide artificial ventilation
Definition
mouth to mouth mask, 2-rescuer bag valve mask, flow restricted O2 power ventilated device, one-rescuer bag valve mask
Term
O2 cylinder safety
Definition

always use nonferreous metal O2 wrenches to adjust flow rates

always use medical grade O2

always open valve fully then close it halfway

check tanks every 5 years

Term
inadequte breathing in a child
Definition
less than 15 bpm & more than 30 bpm
Term
inadequate breathing
Definition

chest movements are absent/ min, limited to abs breathing, no air felt or heard, weezes, snoring, rate of breath is slow, shallow, skin lips are blue/gray, unable to speak, in children may be retractions in clavical or ribs, nasal flaring

 

 

Term
normal breathing for an adult is
Definition
12-20 bpm
Term
cyanosis can be observed by
Definition
tongue, nail beds, & earlobs
Term
indication that patient experiences inadequate breathing
Definition
talks in short choppy sentences
Term
first step to aid someone not breathing
Definition
open the airway
Term
important mechanism of injury to airway care
Definition
the procedure for opening the patients airway is different in trauma
Term
to open the airway of a patient with no head, neck, or spine injury
Definition
head-tilt, chin-lift maneuver
Term
head-tilt, chin-lift manuever
Definition
should not allow the patients mouth to close
Term
jaw thrust maneuver
Definition
kneel at top of patients head, stabilze patients head with forearms, use index finger to push angles of patients lower jaw forward, do not touch heaed or neck
Term
inadequate artificial ventilations
Definition
chest does not rise & fall with ventiliation, rate of vent is too slow or too fast, patients heart rates does not return to normal with ventilations
Term
mouth-mask ventilation ventilations delivered?
Definition
over 1 1/2 ---> 2 seconds
Term
bag valve mask
Definition
should have a non-jam valve with o2 inlet and be cabable of withstanding cold temps, & wen ventilating a suspected trauma patient best to use a device with 1,000-1,600mL use 2 EMTs and postion the EMT who has the mask seal at the patients head, when ventilating an unconscious patient must be used with a reservoir bag, oral airway, and an o2 tank & liter flow regulator
Term
if patients chest does not rise or fall using the bag-valve mask the EMT should
Definition
 repostion the head & reattempt ventilations, check for escape of air around mask, and use an alternative method of artifical ventilation
Term
if patient has a stoma and needs ventilatory assistance best device to use is a
Definition
bag valve mask
Term
flow restricted O2 powered ventilation device should
Definition
operate in both ordinary & extreme environmental conditions, have audible alarm when relief valve is activated, have a trigger so two hands can be used to seal the mask
Term
oral or nasal airway
Definition
should be used to keep the tongue from blocking the airway
Term
oropharyngeal airway of proper size
Definition
extends from the corner of the patients mouth to the top of an earlobe
Term
oral airway
Definition
should be inserted upside down with tip toward the roof of the mouth then flipped 180 degress over the tongue //// right side up using tongue depressor to press the tongue down & forward to keep it from obstructing the ariway
Term
nasopharyngeal airway
Definition
should be measured from patients nostril to earlobe
Term
lubricant for nasopharyngeal airway outside of the tube with
Definition
water based lubricant
Term
purpose of suctioning include removal of
Definition
blood vomit & other secretions
Term
vomit must have
Definition
suction unit
Term
yankauer suction tip
Definition
it has a rigid tip, allows for excellent control over distal end of the device, has a larger bore than flexible catheters
Term
avoid suctioning for X time when a patient is unconscous
Definition
15 seconds
Term
insert a rigid tip suction catheter
Definition
as far as you can see
Term
atmospheric air contains
Definition
21% O2
Term
fully presurized O2 tank should have
Definition
2,000 psi
Term
portable O2 cylinder when ful will last the longest when delivering O2
Definition
E
Term
before connecting a regulator to an O2 supply cylinder EMT should
Definition
stand to the side of the main valve opening & crack the cylinder valve slightly
Term
humidified O2 isused for patients
Definition
on chornic O2 therapy and is habit forming but  not needed in adult patients being transported for short distances
Term
givign too much O2 to patients with COPD
Definition
are invalid in the prehospital setting
Term
best method to use when givign a high concentration of O2 to breathing patients is a
Definition
NRM nonrebreather mask and O2 concentration is between 80% - 100%
Term
flow rate of a nonrebreather mask should be
Definition
12-15 litters/minute
Term
O2 concentration of a nasal canula
Definition
24%-44%
Term
elderly patient injured ribs found berathing rapidly at rathe of 4o & shallow
Definition
her minute volume may be diminished
Term
anatomical dead space
Definition
area in lungs outside the alveoli
Term
no gag reflec, what airway adjunt woudl you consider using
Definition
oropharyngeal airway try inserting one of the appropriate size straight in with a tongue depressor
Term
if patient vomits during BVM ventilations
Definition

quickleey turn the patient onto hsi side remove airway adjunct and BVM and allow him to vomit, make sure you clear out the airway so he does not aspirate vomit into his lungs

 

Term
patients pulse has not increased so quckley should have called for an ALS intercept?
Definition
yes consider an als unit if one is not on the scene when you are ready to transport arrange an intercept en route to the hospital, ALS providers can intubate the patient & administer medication as needed
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