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Carrying Backboard or Cot on Stairs

Carrying Backboard or Cot on Stairs. Strap patient securely to the backboard. Carry patient down stairs foot end first, head end elevated. Carry patient up stairs head end first. Wheeled Ambulance Stretcher or Cot. Stair Chair. Backboard. Directions and Commands.

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Carrying Backboard or Cot on Stairs

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  1. Carrying Backboard or Cot on Stairs • Strap patient securely to the backboard. • Carry patient down stairs foot end first, head end elevated. • Carry patient up stairs head end first.

  2. Wheeled Ambulance Stretcheror Cot

  3. Stair Chair

  4. Backboard

  5. Directions and Commands • Anticipate and understand every move. • Moves must be coordinated. • Orders should be given in two parts.

  6. Additional Guidelines • Find out how much the patient weighs. • Know how much you can safely lift. • Communicate with your partners. • Do not attempt to lift a patient who weighs over 250 lbs with fewer than four rescuers. • Avoid unnecessary lifting or carrying.

  7. Using a Stair Chair • Secure patient to stair chair with straps. • Rescuers take their places: one at head, one at foot. • Rescuer at the head gives directions. • Third rescuer precedes.

  8. Principles of Safe Reaching and Pulling (1 of 3) • Back should always be locked and straight. • Avoid any twisting of the back. • Avoid hyperextending the back. • When pulling a patient on the ground, kneel to minimize the distance.

  9. Principles of Safe Reaching and Pulling (2 of 3) • Use a sheet or blanket if you must drag a patient across a bed. • Unless on a backboard, transfer patient from the cot to a bed with a body drag. • Kneel as close as possible to patient when performing a log roll.

  10. Principles of Safe Reaching and Pulling (3 of 3) • Elevate wheeled ambulance cot or stretcher before moving. • Never push an object with your elbows locked. • Do not push or pull from an overhead position.

  11. General Considerations • Plan the move. • Look for options that cause the least strain.

  12. Emergency Moves • Performed if there is some potential danger for you or the patient • Performed if necessary to reach another patient who needs lifesaving care • Performed if unable to properly assess patient due to location

  13. Emergency Drags (1 of 2) • Clothes Drag • Blanket Drag

  14. Arm-to-Arm Drag Arm Drag Emergency Drags (2 of 2)

  15. One-Person Rapid Extrication

  16. Front cradle Fire fighter’s drag One-Rescuer Drags, Carries, and Lifts(1 of 3)

  17. One-person walking assist Fire fighter’s carry One-Rescuer Drags, Carries, and Lifts (2 of 3)

  18. Pack strap One-Rescuer Drags, Carries, and Lifts (3 of 3)

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