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Lesson Plan Industry Sector
Public Services

Lesson Plan Originally Created By: Claudia Blidaru

Lifting, moving, and positioning patients - Kendrick Extrication Device (KED)

Part of Unit: Emergency Medical Services

Lesson Plan Overview / Details

Students will identify the principles of moving patients. They will be able to decide when it is appropriate to move a patient and in which way. Body mechanics and lifting techniques will be explained and demonstrated to students. Students will practice and demonstrate the proper techniques used to help immobilize patients found in a seated position and remove them from a vehicle. 

Lesson Time

2 Hours

Standards

Objectives and Goals

  • Students will describe the principles of moving patients.
  • Students will demonstrate proper lifting techniques.
  • Students will define body mechanics.

Activities in this Lesson

  • Simple questions Hooks / Set

    Students will form groups of 3 members and describe two situations when they will remove the patient from a car immediately.

    Students will describe the safety precautions used when they suspect spinal cord injury.

    Each group will answer the following questions:

    Q: When will you remove a patient involved in a traffic accident immediately?

    A: The car is on fire.

         The scene becames unsafe due to traffic.

    Q: What devices will you use to remove the patient from the car safely?

    A: Cervical collar (C-collar)

        Short or long spine board.

  • The teacher will start with general information about principles of moving, body mechanics, and lifting techniques.

    1. Principles of moving patients
    • Whenever possible keep the patient at rest, even if the patient appears to be able to move
    • Not all signs and symptoms appear immediately
    • Some patients might not be straightforward in answering questions
    1. Body mechanics

    Definition:

    Body mechanics is the proper use of the body to facilitate lifting and moving and to prevent injury.

    Before you lift or move a patient it is important to first plan what you will do and how you will do it.

    Rules to follow to prevent injuries when lifting a patient:

    • position your feet properly
    • use your legs, not your back, to do the lifting
    • minimize twisting during a lift
    • when lifting with one hand, avoid leaning to either side
    • keep the weight as close to your body as possible
    • when carrying a patient on stairways use a chair or commercial stair chair instead of a wheeled stretcher whenever possible
    1. Emergency move

    Definition:

    Emergency move is a move carried out quickly when the scene is hazardous, care of the patient requires repositioning, or you must reach another patient who needs life-saving care.

    Emergency moves rarely provide any protection for a patient's injuries, and they may cause great pain for the patient.

    Emergency  move should take place when:

    1. there is immediate danger to the patient if not moved
    2. life-saving care cannot be given because of the patient's location or position
    3. you are unable to gain access to other patients who need life-saving care

     

    1. Nonemergency moves

    Definition:

    Nonemergency moves are used when there is no immediate threat to life.

    Nonemergency moves are carried out if there are factors at the scene causing the patient to decline.

    Unless you are alone, all nonemergency moves should be carried out with the help of other trained personnel or bystanders.

    During move prevent additional injury to the patient as well as avoid patient discomfort and pain.

    Rules to follow for a nonemergency move:

    • initial assessment  completed
    • airway, breathing, and circulation (ABC) intact
    • vital signs stable
    • no uncontrolled external bleeding or any indication of internal bleeding
    • avoid compromising neck or spine injury
    • avoid moving a patient with neck pain, numbness, or weakness
    • splint all suspected fractures

    Nonemergency move can be justified if:

    1. factors at the scene cause patient decline
    2. you must reach other patient
    3. care requires moving the patient
    4. patient insists on being moved

    Safety tips:

    • minimize the number of total body lifts you have to perform
    • coordinate every lift in advance
    • minimize the total amount of weight you have to lift
    • never lift with your back
    • don't carry what you can put on wheels
    • ask for help any time

    Situations in which to use the rapid extrication technique:

    • the vehicle or the scene is unsafe
    • explosives or other hazardous materials are on the scene
    • there is a fire or a danger of fire
    • the patient cannot be properly assessed before being removed from the car
    • the patient needs immediate intervention that requires a supine position
    • the patient has a life-threatening condition that requires immediate transport to the hospital
    • the patient blocks your access to another seriously injured patient

    The teacher will explain and describe the use of vest extrication device.

    Vest extrication device - Kendrick Extrication Device (KED)

    • Is used to help immobilize patients found in a seated position and remove them from a vehicle.
    • It wraps around the patient's torso to stabilize the spine and has an extended section above the vest with side flaps for stabilizing the patient's head and neck.
    • Rescuers will secure the patient's head, neck, and torso with straps and padding.
    • The vest has handles that aid in lifting the patient onto a long spine board.
  • Skills - KED Demo / Modeling
    • The teacher will use a Power Point presentation to describe the KED and demonstrate the use of the device.
    • The teacher will demonstrate the proper use of the KED device with the help of the students, either by using a manikin (120 lbs. manikin), or volunteers (students).
    • The teacher can demonstrate the skills simultaneously with the Power Point presentation or after the presentation.

    Resources and Materials

    • KED [ Download ] KED description and use - Power Point presentation
    • Students will practice in groups of 3 or 4 members the proper use of the KED.
    • Teacher will assist with the skills whenever necessary.

Assessment

Assessment Types:
Demonstrations,

Project / Demonstration

  • Students will be assigned to a group.
  • Each group will have 4 members.
  • The group will demonstrate patient assessment for a trauma patient.
  • They will also demonstrate the proper use of KED for rapid extrication of a patient involved in a traffic accident.
  • Each group will receive a scenario with a trauma patient.

Example:

You are dispatched to a motor vehicle collision where you find a 28 years old female seated in the driver seat with trauma to the face. She is responsive only to pain. She is not wearing a seatbelt. You smell gas and have to rapidly extricate the patient. Demonstrate the skills necessary for rapid extrication.

  • Patient Assessment and Management.docx Patient Assessment and Management [ Download ] Skills - Patient assessment for a trauma patient
  • Spinal immobilization- seated patient.docx Spinal immobilization- seated patient [ Download ] Skills - Spinal immobilization
  • P1010003 (2).JPG Patient assessment [ View Image ] [ Download Original ] Patient assessment - medical and trauma