Techniques for Emergency Patient Carries


 
Each staff person should find the emergency patient carry 
that he/she can handle most easily.  If practiced often 
enough, the patient's weight and height will not be important 
factors.
 
CARRIES FOR ONE PERSON
 
Pack strap carry (face head of bed)
 
1.  Grasp patient's nearest wrist with your nearest hand-palm 
    down. Raise patient's arm.
 
2.  Grasp patient's other wrist by slipping your free hand 
    under his arm.
 
3.  Pull patient to a sitting position by stepping backward.
 
4.  In a continuous operation:
    A.  Lift patient's arms over your shoulders as you turn 
        toward the foot of the bed. Sit on edge of bed.
    B.  Cross patient's arms over your chest pulling down 
        firmly. (CAUTION: Bring your shoulder tight up into 
        patient's armpit.)
    C.  Turn toward the head of the bed and your forward 
        momentum will roll patient on to your back.
 
5.  Carry patient in a stooped position.
 
Hip carry (face patient)
 
1.  Grasp patient's farthest wrist, palm down with hand 
    closest to head of bed.


 
2.  In a continuous operation:
    A.  Turn toward head of bed.
    B.  Place patient's arm over your head and around your 
        neck.
    C.  Sit on bed, slip free hand around patient's back and 
        grasp patient at armpit.
 
3.  Secure upper half of patient's body firmly against you.
 
4.  Grasp patient around knees with free hand.
 
5.  Pull patient onto your back. Stand and walk away in 
    slightly stooped position.
 
Blanket carries
 
The blanket is the most important piece of equipment for 
patient relocation and evacuation.  Blankets (or commercially 
available large towels) can be utilized to:
 
1.  Smother a fire.
2.  Drag a patient to a safe area.
3.  Act as a stretcher.
 
Cradle drop (place blanket parallel to bed)
 
1.  Slip both arms under body and pull patient toward edge of 
    bed.
 
2.  Drop to knee nearest the head.
 
3.  Pull lower half of body from bed so that extended knee 
    supports patient's hips.


 
 
4.  Use both arms to lower upper body of the patient to the 
    floor.
 
5.  Let legs slide gently to blanket. Grasp corners of 
    blanket and pull patient from room, head first. 
 
Hip roll (when patient found face down on floor)
 
1.  Place blanket (folded lengthwise in half) next to patient.
 
2.  Position self at patient's feet.
 
3.  Cross ankle farthest from blanket, over the other ankle.
 
4.  Using both hands, press down on top ankle and left bottom 
    foot. With a twisting motion roll patient from room, head 
    first.
 
CARRIES FOR TWO OR MORE PERSONS (Person at patient's head 
gives commands)
 
Swing carry
 
1.  Raise patient to sitting position by placing one hand 
    under patient's neck and grasping far shoulder. With 
    other hand, grasp under biceps. Simultaneously: Second 
    person swings patient's legs off bed
 
2.  Both people
    A.  Sit on bed next to patient.
    B.  Place patient's arms around neck. 
    C.  Reach arms under patient's waist. 
   D.  Reach under patient's knees grasping wrists or using 
        a finger locking grip.
 
3.  Stand and walk close to patient. Hips support the weight.
 
Extremity carry
 
1.  Raise patient to sitting position by placing one hand 
    under patient's neck and grasping far shoulder. With 
    other hand, grasp biceps.
 
2.  First person:  Slip your arms under patient's and lock
                   them across his chest.  
    Second person: Grasp ankles of patient.  Separate legs 
                   and back between them, grasping patient at
                   the knees.
 
3.  Remove patient from room, feet first.
 
Three-person carry
 
1.  First Person:  One hand under patient's shoulders; Other 
                   above the wrist. 
    Second Person: One hand above and one below the hips. 
    Third Person:  One hand above knees, one above ankles. 
 
2.  Move patient to edge of bed, assume semi-kneeling 
    position, lift and roll patient high on your chest.
 
3.  Remove patient from room, feet first.
 
Four person carry
 
 
1.  One person at each of patient's shoulders and knees.
 
2.  Head person grip blanket above shoulders and opposite 
    elbows
 
3.  Other person grip blanket 6 inches above and below the 
    knees.
 
4.  All carriers roll blanket tightly to patient.
 
5.  Lift and carry patient with arms extended.
 
 
Approved By Governing Board    
EV.2
Control #195.0
GUPTA GASTRO