Patient Transfer Techniques Flashcards

(44 cards)

1
Q

What is the primary goal when transferring a casualty with suspected or known spinal cord injury?

A

To avoid secondary injury while ensuring a safe transfer.

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2
Q

What technique has been traditionally used to transfer casualties in the supine position?

A

Log roll technique.

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3
Q

What have recent studies shown about the log roll technique?

A

It creates significantly more motion in the unstable spine than other alternatives.

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4
Q

What is the exception to the log roll technique during patient transfers?

A

When the casualty is found face down (prone), they should be log rolled directly onto the spine board.

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5
Q

What are the three patient transfer techniques used by QFR?

A
  • Straddle lift and slide
  • Six + lift and slide
  • Prone (face down) log roll push
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6
Q

How many rescuers are needed for the Straddle Lift and Slide manoeuvre?

A

Five rescuers.

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7
Q

What is the primary responsibility of the rescuer maintaining manual inline stabilization during the Straddle Lift and Slide?

A

To stabilize the head.

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8
Q

How many rescuers are required for the Six + Lift and Slide manoeuvre?

A

Eight rescuers.

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9
Q

What is the role of the fifth rescuer in the Prone (face down) log roll push?

A

To hold the spine board at a 45° angle beneath the patient.

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10
Q

What equipment can be used to secure a casualty before transfer?

A
  • Hasty harness
  • Neann Vacuum Immobilisation Mattress (VIM)
  • V-lashing
  • Litter lashing.
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11
Q

What is a hasty harness used for?

A

To prevent longitudinal movement of the casualty within a litter.

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12
Q

What is the purpose of the NEANN Vacuum Immobilisation Mattress (VIM)?

A

To meet spinal immobilisation requirements with improved resistance qualities.

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13
Q

What is V-lashing used for?

A

To prevent the casualty from sliding down the litter during pitch changes.

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14
Q

What are the advantages of a spine board?

A
  • Low profile for controlled sliding
  • Can be placed within SKED and traverse litters for support.
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15
Q

What are the disadvantages of a spine board?

A
  • Not intended for prolonged immobilisation
  • Can cause tissue damage and worsen spinal injuries
  • Difficult to carry over long distances.
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16
Q

What is the scoop stretcher designed to do?

A

Limit the amount of casualty movement during transfer.

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17
Q

What are the advantages of using a scoop stretcher?

A
  • Splits in half to limit rolling
  • Ergonomic grab handles for longer distances.
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18
Q

What is a significant disadvantage of the SKED stretcher?

A

Not an approved spinal immobilisation device.

19
Q

Fill in the blank: The _______ stretcher is ideally suited for patient extrication in confined spaces.

20
Q

True or False: The Straddle Lift and Slide technique is preferable to the log roll technique when a spinal injury is suspected.

21
Q

What can occur when dragging a casualty or moving from a horizontal position to a vertical one if not managed correctly?

A

Significant spinal flexion can occur.

22
Q

What is a disadvantage of the horizontal lifting bridal?

A

It lacks the adjustment range of other stretchers.

23
Q

What feelings may casualties experience due to the constrictive nature of the stretcher?

A

Feelings of claustrophobia, pain, or discomfort.

24
Q

What is the first step in unrolling the SKED?

A

Unfasten the retainer strap.

25
How should the head end of the SKED be positioned when using the pull method to drag a casualty feet first?
Curl the head end downward to form a ramp.
26
What must be done to prevent snagging the casualty's clothing when dragging?
Tuck the drag webbing under the SKED.
27
What should be done to secure the casualty on the SKED after dragging?
Secure buckles.
28
What is the first step in rigging the SKED for a horizontal lift?
Fasten the four cross straps to buckles directly opposite the straps.
29
What should be done with the head end of the SKED prior to hoisting?
Curl the head end over the patient’s head.
30
What type of knot should be tied at the lower end of the SKED during vertical lift rigging?
Tie a square knot.
31
What is a feature of the Traverse Titan basket stretcher?
It can split into two and can be carried in a backpack.
32
What is the SWL rating for the Traverse Titan basket stretcher?
11.3 kN.
33
What must rescuers do if they are concerned about the casualty sliding during vertical operations with the Titan stretcher?
Use lashing.
34
What is the first step in rigging the Titan Traverse basket stretcher for a horizontal lift?
Connect the bridle to the stretcher at the bridle lifting points.
35
What is important to consider when the litter attendant is above the stretcher?
The attendant must not sit on the casualty.
36
What is a barf strap used for?
To clear the casualty's airways if they vomit.
37
How is the barf strap connected to the stretcher?
It is connected to the side rail of the stretcher with a carabiner.
38
When should the drag handle webbing be tied to the second cross strap on the SKED?
Prior to hoisting.
39
What should be done to prevent the SKED from bending in the middle during rigging?
Do not crisscross straps on the SKED.
40
What feature allows the Traverse Titan basket stretcher to drain water easily?
High-density polyethylene in its construction.
41
What must be adjusted when connecting the Ferno bridle to the stretcher?
The bridle leg lengths individually.
42
What is a consequence of not padding over bony prominences when using the Titan stretcher?
Pressure point injuries may occur.
43
What is the ideal position for the litter attendant when negotiating overhangs?
Above the stretcher.
44
What can happen if the litter attendant is not low enough under the stretcher?
The stretcher could come to rest on the attendant’s legs.