Emergency Emergency ResponseResponse

American Red Cross Instructor: Joel Bass MS ATCAmerican Red Cross Instructor: Joel Bass MS ATC

1995 USDOT First Responder Curriculum

Lifting and MovingLifting and Moving

Role Of The First ResponderRole Of The First Responder Sometimes a victim must be rescued from a Sometimes a victim must be rescued from a

dangerous situation before care can be given.dangerous situation before care can be given. Always check a vehicle to stabilize it before Always check a vehicle to stabilize it before

providing care.providing care. Always attempt to access the victim in the vehicle Always attempt to access the victim in the vehicle

by using the simplest approach of trying all doors by using the simplest approach of trying all doors and windows first.and windows first.

Always wear protective equipment, such as a Always wear protective equipment, such as a helmet, gloves, and protective eyewear, to keep helmet, gloves, and protective eyewear, to keep you safe.you safe.

Several methods of moving a victim can be done Several methods of moving a victim can be done simply and with little danger to you or the victim.simply and with little danger to you or the victim.

Sometimes you may have to use/assist EMS Sometimes you may have to use/assist EMS personnel in lifting and moving.personnel in lifting and moving.

Body Mechanics/Lifting Body Mechanics/Lifting TechniquesTechniques

Video Video (Lifting and Moving)(Lifting and Moving)

Basic Guidelines for Basic Guidelines for Moving VictimsMoving Victims Only move a victim you can Only move a victim you can

safely handle.safely handle. Bend at knees and hipsBend at knees and hips Lift with your legs, not your Lift with your legs, not your

backback Take short stepsTake short steps Move forward when possibleMove forward when possible Look where you are walkingLook where you are walking Protect victim’s head, neck, Protect victim’s head, neck,

and back.and back.

Emergency MovesEmergency Moves

Fire fighters CarryFire fighters Carry Clothes dragClothes drag Blanket dragBlanket drag Shoulder dragShoulder drag Pack-strap carryPack-strap carry

•Never pull the victim’s head away from the neck and shoulders

Nonurgent MovesNonurgent Moves

Direct liftDirect lift Extremity liftExtremity lift Direct carryDirect carry Draw sheet methodDraw sheet method

Victim PositioningVictim Positioning An unresponsive victim without trauma should be moved into An unresponsive victim without trauma should be moved into

the recovery position.the recovery position. A victim in trauma should not be moved until additional EMS A victim in trauma should not be moved until additional EMS

resources arrive.resources arrive. A victim with pain, discomfort, or difficulty breathing should be A victim with pain, discomfort, or difficulty breathing should be

allowed to assume a position of comfort.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 EquipmentFamiliarity with Equipment Stretchers and cotsStretchers and cots Portable stretchersPortable stretchers Stair chairsStair chairs Long and Short Long and Short

backboardsbackboards

Skill Practice: Emergency Skill Practice: Emergency MovesMoves

Bring your skill sheets to the practice areaBring your skill sheets to the practice area Get in groups of 4Get in groups of 4 Demonstrate a minimum of one emergency Demonstrate a minimum of one emergency

move and one nonurgent move.move and one nonurgent move.

You arrive on the scene of an automobile crash You arrive on the scene of an automobile crash involving one vehicle that has struck a guardrail involving one vehicle that has struck a guardrail head-on. The car is still running. The driver did not head-on. The car is still running. The driver did not have on a safety belt and struck the steering have on a safety belt and struck the steering column. He is seated behind the steering wheel, column. He is seated behind the steering wheel, conscious and complaining of chest and abdominal conscious and complaining of chest and abdominal pain. The other passenger also was not wearing a pain. The other passenger also was not wearing a safety belt. She is lying motionless, facedown on safety belt. She is lying motionless, facedown on the floor of the vehicle. You see blood around her the floor of the vehicle. You see blood around her body. She is unconscious and not breathing. You body. She is unconscious and not breathing. You are unsure if she has a pulse.are unsure if she has a pulse.

Use these steps to guide your answers.Use these steps to guide your answers. Scene size-upScene size-up Initial assessmentInitial assessment Call more advanced medical help (if needed)Call more advanced medical help (if needed) Physical examPhysical exam Use bystanders appropriately Use bystanders appropriately

Break-out SessionBreak-out Session

10 Minute Break10 Minute Break

Putting It All Putting It All TogetherTogether

You Are The ResponderYou Are The Responder Divide up in 4 groupsDivide up in 4 groups Each group will be given a scenarioEach group will be given a scenario Formulate a response to the emergency Formulate a response to the emergency

situation.situation. Demonstrate any previously learned skills Demonstrate any previously learned skills

that would be required as an effective that would be required as an effective response.response.

You may also use a skill you have not You may also use a skill you have not learned and my explain the skill rather learned and my explain the skill rather than demonstrate it. than demonstrate it.

Scenario 1Scenario 1

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

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

Scenario 2Scenario 2

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

Scenario 3Scenario 3

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

Scenario 4Scenario 4

10 Minute Break10 Minute Break

Assessment Exercise #1Assessment Exercise #1

AssignmentsAssignments

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