the ideal procedure for moving an injured patient

3 min read 23-02-2025

the ideal procedure for moving an injured patient

Moving an injured patient requires careful planning and execution to avoid further injury. This process prioritizes patient safety and well-being above all else. This article outlines the ideal procedure, emphasizing the importance of assessment, proper techniques, and teamwork.

Assessing the Situation: The Foundation of Safe Patient Movement

Before attempting any movement, a thorough assessment is crucial. This involves several key steps:

1. Scene Safety: Protecting Yourself and the Patient

First, ensure the scene is safe for both the patient and rescuers. Look for hazards like traffic, unstable structures, or hazardous materials. If necessary, secure the area before proceeding.

2. Patient Assessment: Understanding the Injury

Next, conduct a quick but thorough assessment of the patient's injuries and level of consciousness. This helps determine the appropriate moving technique and level of support needed. Look for obvious injuries, note their responsiveness, and check for signs of shock.

3. Available Resources: Teamwork Makes the Dream Work

Determine the available resources – human power, equipment (backboards, stretchers, etc.), and the distance the patient needs to be moved. This informs the choice of the best moving method. More personnel allows for safer and more controlled movement.

Choosing the Right Moving Technique

The choice of moving technique depends on several factors, including the patient's condition, the nature of the injuries, and available resources. Several common methods exist, each with its own strengths and weaknesses:

1. Emergency Moves: When Speed is Crucial

Emergency moves are only used when immediate danger exists, such as a fire or a collapsing structure. These moves are quick but prioritize speed over spinal immobilization. Examples include a drag and a clothes drag.

2. Non-Emergency Moves: Prioritizing Patient Safety

These methods prioritize patient safety and spinal stabilization. They are used when there's no immediate danger. The selection depends on the patient's condition and available resources.

a) The Log Roll: A Team Effort for Spinal Immobilization

Used for patients suspected of spinal injury, the log roll involves a coordinated team effort to roll the patient onto a backboard while maintaining spinal alignment. This requires careful communication and coordination. [Link to a video demonstrating the log roll technique]

b) The Stretcher Transfer: Utilizing Equipment

Stretchers provide excellent spinal support and facilitate easier movement. Transferring a patient to a stretcher requires careful lifting and coordination to prevent injury. This often involves techniques like the draw sheet method or a team lift.

c) The Scoop Stretcher: For Confined Spaces

Scoop stretchers are ideal for patients in confined spaces or those who need to be moved quickly while minimizing movement of the spine. The two halves are positioned around the patient before being locked together.

Post-Move Considerations: Continuing Care

After moving the patient, reassess their condition and continue to provide appropriate care. Monitor vital signs and be prepared to address any changes in their status. Document all aspects of the move in your patient report.

Frequently Asked Questions (FAQ)

Q: What if I'm alone and need to move an injured person?

A: Prioritize scene safety. If possible, call emergency services. If immediate danger exists, use a drag to move the patient to safety, prioritizing speed over perfect spinal immobilization. However, attempting to move an injured person alone carries significant risks, potentially causing more harm. Calling for help is always the safest option.

Q: What is the best way to lift a heavy patient?

A: Never lift a patient alone unless it's an absolute emergency. Always use proper lifting techniques, including bending your knees, keeping your back straight, and using your leg muscles. Utilize equipment whenever possible. Employing a team lift with proper technique reduces the risk of injury to the rescuers.

Q: How do I know if a patient has a spinal injury?

A: Signs and symptoms vary. Mechanism of injury (e.g., fall from height, car accident) suggests a potential spinal injury. Pain, tenderness, numbness, tingling in the extremities, or any loss of motor function are all potential indicators. However, the absence of these symptoms does not rule out a spinal injury. Always treat any potential spinal injury with caution.

Moving an injured patient is a complex procedure. Prioritizing safety, careful assessment, and the proper technique are crucial for ensuring a successful and injury-free outcome for both the patient and rescuers. Training and practice are essential to mastering these techniques. Always follow your local protocols and guidelines.