The risk of violence at an EMS scene is real and tragically common, but an even more common occurrence is the risk of back injury and other soft tissue strains and sprains while lifting and moving patients.
EMS providers are more likely to be injured than the general public – predominately sprains and strains.
And EMS injuries are dramatically underreported – too many of us won’t go through the hassle of getting paperwork processed and be seen by a physician for a back injury, lumbar strain, shoulder ache or knee sprain.
Improper lifting and moving poses a risk to patients as well. Here are five career-prolonging tips to increase patient and provider safety for the next time you have to move a patient:
1. Think before you lift
When I was in my 20s, I didn’t think twice about lifting 200 to 300 pounds with just one other partner. I still didn’t consider the consequences after suffering my first, then second back injury.
Thirty years later, I wish I had paid attention to my body when the aches and pains didn’t complain as much as they do now. Before you attempt a lift, go through a mental checklist and make sure you have put yourself in the best position to lift anything over 10 pounds.
2. Don’t be afraid to ask for help
Be it a two-person dead lift of a gurney or a one person move of a power cot, many of us continue to risk injury unnecessarily. Know your limitations. Use two rescuers to raise a power cot into the rig. Do a four-person lift of a gurney from floor level.
If there aren’t enough EMS providers on scene, call for assistance and wait. There’s simply no reason to muscle out of a situation and hurt yourself in the process.
3. Consider alternatives to lifting
The days of lifting and carrying every patient to a gurney are long gone. In many cases, patients are able to walk with assistance to a gurney waiting outside a difficult extrication scene or into the ambulance. Perform a thorough assessment of the patient’s condition to make sure they are capable of such activity and have rescuers nearby to assist as needed.
4. Assistive technology is helpful
Access to lift assistive technology, such as power cots and stair chairs, helps to reduce injuries. While the initial cost of such devices can be steep, the potential for injury reduction, cost savings and a better chance of growing old in the profession far outweigh the investment.
5. Be fit to lift
No amount of technology will replace the basic need for being physically fit for the job. All of us have heard how keeping our weight down and our physical activity up will help us live longer and healthier.
Actually doing it is the challenge. Build in better eating habits and mild physical activity during a shift to help you avoid injury. Even simple stretching exercises will help reduce the chance of getting hurt.
I know of too many wonderful people who have had to leave the industry due to an injury. My aching body reminds me of the daily the toll of having the privilege of being in this job. If you’re going to be in the profession for the long haul, simple things that you do today will pay off in the future.
This article, originally published on May 17, 2017, has been updated with a video and additional resources.
