Moving
Patients
Lesson 5
5-1
Moving Victims
Moving injured victim likely to cause further
injury
In most cases wait for professional help
May have to move victim to protect from danger
at scene
May have to move victim to flat surface to
provide CPR
5-2
Body Mechanics
Back injury is hazard
for First Responders
To minimize risks, use
good body mechanics
Body mechanics are
principles of using
your body safely
5-4
Patient Positioning
Reposition a patient only when necessary
Reposition a breathing, unresponsive, nontrauma patient in the recovery position
Dont move or reposition a trauma patient unless
necessary to treat life-threatening condition
Allow responsive patient to assume comfortable
position
5-5
Recovery Position
Skill:
Recovery
Position
(Modified HAINES)
5-8
5-9
5-10
5-11
5-12
5-13
Continue to support
head and neck.
Position victims hand
palm down.
5-14
5-15
Log Roll
Use log roll to move patient from prone to
supine
Three to five rescuers are needed to safely roll
patient
For trauma patient with spinal injury, stabilize
head in line with body
5-16
5-17
Emergency Moves
Use only if:
Patient faces an
immediate danger
You cannot give
lifesaving care
because of location
or position
5-19
5-20
5-21
Clothing Drag
Blanket Drag
Shoulder Drag
Firefighters Drag
Upper Extremity Drag
Upper Extremity Drag for Rapid Extrication
5-22
Emergency Carries
Used when patient must be moved immediately
One or more rescuers may carry patient
Method used depends on patients size,
condition and situation:
Walking assist
Cradle carry
Multiple-rescuer techniques are safer/less stressful
5-23
5-25
5-26
Piggyback Carry
Support the patients weight with your arms
under the patients thighs
If able, have the patient clasp hands and lean
forward; if not able, grasp the patients hands
with yours to keep patient from falling back
5-27
Firefighters Carry
Two-Rescuer Assist
Both rescuers
position the patients
arms over their
shoulders
Each rescuer grasps
the patients wrist,
with the other arm
around the patients
waist
5-32
Non-emergency Moves
Used to move patient when no threat to life
Performed by multiple rescuers
Not used if patient has suspected spinal injury,
internal bleeding, or uncontrolled external
bleeding
Stabilize patients before moving them
Minimize any chance of aggravating illness or
injury
These moves are usually performed by
responding EMS personnel
5-33
5-34
5-35
Extremity Lift
Two-rescuer technique used for patients without
suspected injury to neck, spine, or extremities
May be used with responsive/unresponsive
patient
May be used to carry patient a short distance or
move patient from chair to stretcher
May be used to carry a patient through a tight
space
5-37
Extremity Lift
1. The first rescuer kneels at the patient's head
and the second rescuer kneels by the patient's
feet. The rescuer at the head places one arm
under each of the patient's shoulders while the
rescuer at the feet positions the patient's arms.
2. The rescuer at the head then slips his or her
hands under the patient's armpits and grasps
the patient's wrists and crosses them on the
patients chest. The rescuer at the feet turns
around and reaches his or her hands back and
under the patient's knees.
5-38
5-39
5-40
Direct Carry
1. Position the stretcher at a right angle to the bed, ideally,
with the head end of the stretcher at the foot of the bed.
The stretcher should be at the same height as the bed.
Unbuckle the straps and remove other items from the
stretcher. Both rescuers stand between the bed and the
stretcher, facing the patient.
5-41
5-42
5-43