Ch. 29-Lifting and Moving VictimsGeneral Principles of MovingWhen to make an emergency move when no other options are available:PROGRESS CHECKOne-Rescuer TechniquesSlide 6Slide 7Slide 8VocabularySlide 10Two- and Three-Rescuer TechniquesSlide 12Other Two- and Three-Rescuer TechniquesSlide 14Slide 1529.4 EquipmentSlide 1711Ch. 29-Lifting andCh. 29-Lifting andMoving VictimsMoving Victims22General Principles of MovingGeneral Principles of MovingIf you find a victim in a facedown position, move If you find a victim in a facedown position, move the person to an assessment position the person to an assessment position after after doing doing the ABCD assessment and checking for possible the ABCD assessment and checking for possible neck and spinal injury neck and spinal injury Generally, you should not move a victim if Generally, you should not move a victim if moving the person will make injuries worsemoving the person will make injuries worseMove a victim only if there is immediate danger Move a victim only if there is immediate danger If it is necessary to move a victim, your speed If it is necessary to move a victim, your speed will depend on the reason for the movewill depend on the reason for the move33When to make an emergency When to make an emergency move when no other options are move when no other options are available:available:Uncontrolled trafficUncontrolled trafficPhysically unstable surroundings (such as a vehicle on Physically unstable surroundings (such as a vehicle on its side that you cannot stabilize)its side that you cannot stabilize)Exposure to hazardous materialsExposure to hazardous materialsFire or threat of fire (fire should always be considered Fire or threat of fire (fire should always be considered a grave threat)a grave threat)Hostile crowdsHostile crowdsThe need to reposition the victim in order to provide The need to reposition the victim in order to provide life-saving treatment (such as moving to a firm, flat life-saving treatment (such as moving to a firm, flat surface to perform CPR)surface to perform CPR)The need for access (you may need to move one The need for access (you may need to move one victim to gain access to another)victim to gain access to another)Weather conditions (you need to control exposure Weather conditions (you need to control exposure if the weather is very cold, wet, or hot, if the weather is very cold, wet, or hot, or windy enough to turn objects into or windy enough to turn objects into projectiles)projectiles)44PROGRESS CHECKPROGRESS CHECK1. In general, you should move a victim to an 1. In general, you should move a victim to an assessment position only after checking for possible assessment position only after checking for possible ____________ injury. ____________ injury. (head/spinal/chest)(head/spinal/chest)2. Unless there is a pressing reason, you should move 2. Unless there is a pressing reason, you should move a victim only after ____________. a victim only after ____________. (necessary first aid (necessary first aid care/thorough assessment/help arrives on the scene)care/thorough assessment/help arrives on the scene)3. The speed with which you move a victim depends 3. The speed with which you move a victim depends on ____________. on ____________. (the victim’s injuries/the victim’s (the victim’s injuries/the victim’s desires/your reason for moving)desires/your reason for moving)4. You should move a victim before assessment or care 4. You should move a victim before assessment or care if the scene ____________. if the scene ____________. (is especially unpleasant/threatens (is especially unpleasant/threatens life/is crowded)life/is crowded)55One-Rescuer TechniquesOne-Rescuer TechniquesWalking AssistWalking AssistBlanket DragBlanket DragShirt DragShirt DragSheet DragSheet DragFirefighter’s CarryFirefighter’s Carry66One-Rescuer TechniquesOne-Rescuer Techniques Walking AssistWalking Assist1. Stand at the victim’s side and drape the victim’s 1. Stand at the victim’s side and drape the victim’s arm across your shoulders.arm across your shoulders.2. Support the victim by placing your arm around his or 2. Support the victim by placing your arm around his or her waist.her waist.3. Using your body as a crutch, support the victim’s 3. Using your body as a crutch, support the victim’s weight as you both walk.weight as you both walk.Blanket DragBlanket Drag1. Spread a blanket alongside the victim; gather half 1. Spread a blanket alongside the victim; gather half the blanket into lengthwise pleats.the blanket into lengthwise pleats.2. Roll the victim away from you, then tuck the pleated 2. Roll the victim away from you, then tuck the pleated part of the blanket as far beneath the victim as you part of the blanket as far beneath the victim as you can.can.77One-Rescuer TechniquesOne-Rescuer TechniquesShirt DragShirt Drag1. Fasten the victim’s hands or wrists loosely together, then link 1. Fasten the victim’s hands or wrists loosely together, then link them to the victim’s belt or pants to keep the arms from flopping them to the victim’s belt or pants to keep the arms from flopping or coming out of the shirt.or coming out of the shirt.2. Grasp the shoulders of the victim’s shirt under the head; use 2. Grasp the shoulders of the victim’s shirt under the head; use your forearms to support both sides of the head.your forearms to support both sides of the head.3. Using the shirt as a handle, pull the victim toward you; the 3. Using the shirt as a handle, pull the victim toward you; the pulling power should engage the victim’s armpits, not the neck.pulling power should engage the victim’s armpits, not the neck.Sheet DragSheet Drag1. Fold a sheet several times lengthwise to form a narrow, long 1. Fold a sheet several times lengthwise to form a narrow, long “harness”; lay the folded sheet centered across the victim’s “harness”; lay the folded sheet centered across the victim’s chest at the nipple line.chest at the nipple line.2. Pull the ends of the sheet under the victim’s arms at the armpits 2. Pull the ends of the sheet under the victim’s arms at the armpits and behind the victim’s head; twist the ends of the sheet and behind the victim’s head; twist the ends of the sheet together to form a triangular support for the head. Be careful together