Emergency Response American Red Cross Instructor: Joel Bass MS ATC 1995 USDOT First Responder Curriculum

Lifting and Moving

Role Of The First Responder Sometimes a victim must be rescued from a dangerous situation before care can be given. Sometimes a victim must be rescued from a dangerous situation before care can be given. Always check a vehicle to stabilize it before providing care. Always check a vehicle to stabilize it before providing care. Always attempt to access the victim in the vehicle by using the simplest approach of trying all doors and windows first. Always attempt to access the victim in the vehicle by using the simplest approach of trying all doors and windows first. Always wear protective equipment, such as a helmet, gloves, and protective eyewear, to keep you safe. Always wear protective equipment, such as a helmet, gloves, and protective eyewear, to keep you safe. Several methods of moving a victim can be done simply and with little danger to you or the victim. Several methods of moving a victim can be done simply and with little danger to you or the victim. Sometimes you may have to use/assist EMS personnel in lifting and moving. Sometimes you may have to use/assist EMS personnel in lifting and moving.

Body Mechanics/Lifting Techniques Video (Lifting and Moving) Video (Lifting and Moving) Basic Guidelines for Moving Victims Basic Guidelines for Moving Victims Only move a victim you can safely handle. Only move a victim you can safely handle. Bend at knees and hips Bend at knees and hips Lift with your legs, not your back Lift with your legs, not your back Take short steps Take short steps Move forward when possible Move forward when possible Look where you are walking Look where you are walking Protect victim’s head, neck, and back. Protect victim’s head, neck, and back.

Emergency Moves Fire fighters Carry Fire fighters Carry Clothes drag Clothes drag Blanket drag Blanket drag Shoulder drag Shoulder drag Pack-strap carry Pack-strap carry Never pull the victim’s head away from the neck and shoulders

Nonurgent Moves Direct lift Direct lift Extremity lift Extremity lift Direct carry Direct carry Draw sheet method Draw sheet method

Victim Positioning An unresponsive victim without trauma should be moved into the recovery position. An unresponsive victim without trauma should be moved into the recovery position. A victim in trauma should not be moved until additional EMS resources arrive. A victim in trauma should not be moved until additional EMS resources arrive. A victim with pain, discomfort, or difficulty breathing should be allowed to assume a position of comfort. A victim with pain, discomfort, or difficulty breathing should be allowed to assume a position of comfort. First responders should be ready to manage the victim’s airway. First responders should be ready to manage the victim’s airway.

Familiarity with Equipment Stretchers and cots Stretchers and cots Portable stretchers Portable stretchers Stair chairs Stair chairs Long and Short backboards Long and Short backboards

Skill Practice: Emergency Moves Bring your skill sheets to the practice area Bring your skill sheets to the practice area Get in groups of 4 Get in groups of 4 Demonstrate a minimum of one emergency move and one nonurgent move. Demonstrate a minimum of one emergency move and one nonurgent move.

You arrive on the scene of an automobile crash involving one vehicle that has struck a guardrail head-on. The car is still running. The driver did not have on a safety belt and struck the steering column. He is seated behind the steering wheel, conscious and complaining of chest and abdominal pain. The other passenger also was not wearing a safety belt. She is lying motionless, facedown on the floor of the vehicle. You see blood around her body. She is unconscious and not breathing. You are unsure if she has a pulse. You arrive on the scene of an automobile crash involving one vehicle that has struck a guardrail head-on. The car is still running. The driver did not have on a safety belt and struck the steering column. He is seated behind the steering wheel, conscious and complaining of chest and abdominal pain. The other passenger also was not wearing a safety belt. She is lying motionless, facedown on the floor of the vehicle. You see blood around her body. She is unconscious and not breathing. You are unsure if she has a pulse. Use these steps to guide your answers. Use these steps to guide your answers. Scene size-up Scene size-up Initial assessment Initial assessment Call more advanced medical help (if needed) Call more advanced medical help (if needed) Physical exam Physical exam Use bystanders appropriately Use bystanders appropriately Break-out Session

10 Minute Break

Putting It All Together

You Are The Responder Divide up in 4 groups Divide up in 4 groups Each group will be given a scenario Each group will be given a scenario Formulate a response to the emergency situation. Formulate a response to the emergency situation. Demonstrate any previously learned skills that would be required as an effective response. Demonstrate any previously learned skills that would be required as an effective response. You may also use a skill you have not learned and my explain the skill rather than demonstrate it. You may also use a skill you have not learned and my explain the skill rather than demonstrate it.

Scenario 1 Your are summoned to respond to a call for injuries from a fall. You arrive to find a child lying motionless on the ground. He had fallen from a third-story window. Two women are standing by the fallen child. One women rushes to you and starts to tell you that if happened 10 minutes ago. Another woman, the child’s mother, is kneeling nest to the child crying and screaming. It appears the child is dead. As you try to get close to the child, the mother refuses to let you near, screaming at you to stay away. How do you respond? Your are summoned to respond to a call for injuries from a fall. You arrive to find a child lying motionless on the ground. He had fallen from a third-story window. Two women are standing by the fallen child. One women rushes to you and starts to tell you that if happened 10 minutes ago. Another woman, the child’s mother, is kneeling nest to the child crying and screaming. It appears the child is dead. As you try to get close to the child, the mother refuses to let you near, screaming at you to stay away. How do you respond?

A vehicle has struck a pedestrian. The victim is lying motionless in the street, bleeding from a wound on the thigh. Bystanders are surrounding the car, claiming the driver had started to drive away. The driver is still in the car. He is shouting out the window and looks extremely upset. How do you respond? A vehicle has struck a pedestrian. The victim is lying motionless in the street, bleeding from a wound on the thigh. Bystanders are surrounding the car, claiming the driver had started to drive away. The driver is still in the car. He is shouting out the window and looks extremely upset. How do you respond? Scenario 2

You and another rescuer are searching for a missing hiker. You find the victim at the bottom of a dry gully where he fell and injured one leg. He is in sever pain and unable to walk. The sides of the bully are steep. You can see a rapidly approaching storm and realize that it is going to rain shortly and the gully will flood. How do you respond? You and another rescuer are searching for a missing hiker. You find the victim at the bottom of a dry gully where he fell and injured one leg. He is in sever pain and unable to walk. The sides of the bully are steep. You can see a rapidly approaching storm and realize that it is going to rain shortly and the gully will flood. How do you respond? Scenario 3

You arrive at a scene where a man is lying on the sidewalk. One leg appears to be bleeding, but not profusely. He is very pale and is breathing heavily, but he is conscious and able to speak, although he appears to be in pain. When you approach him, he waves you off and yells at you to go away. When you explain who you are and that you are trained and want to help him, he says he doesn’t want any help. His friends will take care of him. How do you respond? You arrive at a scene where a man is lying on the sidewalk. One leg appears to be bleeding, but not profusely. He is very pale and is breathing heavily, but he is conscious and able to speak, although he appears to be in pain. When you approach him, he waves you off and yells at you to go away. When you explain who you are and that you are trained and want to help him, he says he doesn’t want any help. His friends will take care of him. How do you respond? Scenario 4

10 Minute Break

Assessment Exercise #1

Assignments Reading Assignment: Read Chapter 7 Reading Assignment: Read Chapter 7 Workbook Unit 7 (Turn in at the beginning of class) Workbook Unit 7 (Turn in at the beginning of class)