If you watch the news coverage of a rescue incident, you might see firefighters working an extrication in full personal protective equipment (PPE) and EMS personnel with partial (or absent) PPE. Transcripts; Class Schedule; Test Center; Bookstore; Programs The first (or fourth) provider continues to stabilize the head and neck while the second provider and the third provider carry the patient away from the vehicle and onto the prepared stretcher. if there are no intense flames in the vehicle). Does The Recovery Position In First Aid Actually Work? Before we dive into the strategy of extrication, lets discuss five simple tips every provider should know. Just like the term "Fire Suppression", "Rapid Extrication" can vary greatly in procedure and application based on the . The Rapid Extrication chain method is widely in use in Norwegian Fire Departments. -The first provider (relived by the 4th provider if needed) supports the patients head and neck during rotation, The first provider places the backboard on the seat against the patients buttocks, -Third provider moves to an effective position for sliding the patient ,5RK:.94-J-\>7O0!u*"2'$@U@u`l5@*Rn,KaI P\37MG#0/HSUXi[W]^_I1`^jp=}if}P*R{2BA7}|5-? #kK:a:]^61zU;|,5nW8uw^6 .d3Iva#.bAeMQ$R#x@6t1cgCp:3PRKuF,x)j/:`6v,OR''+>hv6P!x8@:B6.sHq{=rnr3CEn[MH!Kr2 s>$IRI*@D"@8`tT@HHK(@Ia|& 6WU%)/*X:Yk rapid extrication technique Which of the following is the most common type of rescue across the United States? Subsequent evaluation in the emergency department (ED) is unremarkable and the patient is discharged. *DONT use pockets or belt loops they may tear 2005 Nov;22(11):817-21. doi: 10.1136/emj.2004.022616. Rescue and Extrication: Principles and Practice, Revised Second Edition Basic Hand Tools Problems in Personnel Management Maintenance and Care of Hand Tools The Management and the Worker Working Wood 1&2 Assessment of the Ergonomic Quality of Hand-held Tools and Computer Input Devices Hand Tools Factory Social Software and the Evolution of User rapid extrication technique 8 stepsis shadwell, leeds a nice area. -Stretcher should be firm against the bed The basic operations to gain proficiency in, beyond vehicle stabilization and scene safety, are the: >> Rapid release of a patient pinned under vehicle. 2001 Aug;26(8):62-6, 68-75; quiz 76. Travel light, gain rapid access, accomplish the task and get out quickly. -Guiding from foot end; hold arms close to body and avoid reaching behind yourself to avoid hyperextending your back I think too many people are getting hung up on trying to define rapid extrication as one specific removal technique. Not having highly qualified medical responders at the patients side due to lack of equipment, training or preparation is unacceptable. How can an aspiration reference group influence behavior? -Do not carry what you can put on wheels Experienced rescuers have noticed a significant change in the type and acuity of motor vehicle crashes (MVCs) being managed today compared to 20 years ago; road and auto safety design features have significantly decreased injuries and fatalities. Nonurgent Moves (1 of 2) Direct ground lift Nonurgent Moves (2 of 2) Extremity lift Direct carry Draw sheet method Transfer Moves Scoop Stretcher Adjust stretcher length. %PDF-1.2 The third provider exits the vehicle, moves to the backboard opposite the second provider, and they continue to slide the patient until the patient is fully on the backboard. Extrication may be simple, such as releasing a stuck door, or complex, with specifically designed tools and techniques being used to alter the internal and external structures of the vehicle [ 3 ]. Phone: +39 340 2246247 To save time a new technique based on reversing the forces of the original crash by anchoring the rear of the vehicle and pulling the steering wheel and the front window pillars forward with chains is developed. 2 ago. EMS personnel should wear the same level of PPE as other workers at an incident. Everyone is on their own path and we are supportive and proud of the equestrian journey our students have chosen. ark hotbar in middle of screen Paramedics Rescue Man from UK Apartment Fire, Documents Detail EMTs Failure to Aid Tyre Nichols, New Course Lets Bystanders Be the Help Until Help Arrives, International Prehospital Medicine Institute Literature Review, March 2023. C. grasp the patient by the clothing and drag him or her from the car. You can always splint by attaching an injured extremity to the torso or to another extremity. 10 tips for EMS crews working at extrication scenes. If it seems like it will be a short extrication, avoid adding ECG, NIBP, SpO2 and other monitoring devices because unnecessary wires and tubes will only impede patient removal. Make sure you find your balance. 2.Clear legs from vehicle Am J Emerg Med. The first provider provides in-line manual support of the head and cervical spine. Time For A Change. & P_1=350 \text { torr, } V_1=200 \mathrm{~mL}, P_2=700 \text { torr, } \\ Piazzale Badalocchio 9/b, 43126 Parma (PR) Italy Chapter pedagogy includes: objectives, opening case -Loosen bottom sheet from under patient What is the labour of cable stayed bridges? If the head is too far forward, the head is brought back to meet the KED unless there is pain or resistance. Belts are characteristically coloured to help the rescuer remember the sequence and not to confuse the various attacks during the excitement of the moment: If the KED is a recent radiolucent model, the KED can be kept in place by placing the patient on the spine board; otherwise the classic KED should be removed as soon as the patient is placed on the spine board. The second provider gives commands, applies a cervical collar, and performs the primary assessment. Be sure to show the pairing of the general terms in the sets Julie S Snyder, Linda Lilley, Shelly Collins, Winningham's Critical Thinking Cases in Nursing. Emergency Live Even MoreLive: Download The New Free App Of Your Newspaper For IOS And Android, What Should Be In A Paediatric First Aid Kit. Move patients legs clear of pedals -You and another EMT kneel on the hospital bed and drag the patient in increments until he/she is properly centered on bed, -Kneel beyond patients shoulders toward groin region What is error code E01-5 on Toyota forklift. Bookshelf -Isolette is placed directly on top of the wheeled stretcher content you are seeking by clicking here. The extrication goal for entrapped patients is 10 minutes or less on scene. The blood sugar is measured at 40 mg/dL, and 25 grams of 50% dextrose is administered. Unauthorized use of these marks is strictly prohibited. -Especially circumstances fort hose over 350lbs, One provider on the foot end, one on the head end, and the other two on the sides of the stretcher, Providers at each SIDE turn the head-end hand palm down and release the other hand, Providers at each side turn toward the foot end. Extrication challenges. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. The patient is unresponsive, tachycardic, normotensive, pale, sweaty and has no obvious trauma. -Two commands should be given The patient is collared, and one rescuer holds the head/neck securely; 2. Can they protect their own airway? Its a two-car head-on collision with one unresponsive driver entrapped by a jammed door. -Never push with arms fully extended By . Rapid Extrication Technique: Step 6-Third provider moves to an effective position for sliding the patient-Second and third providers slide the patient along the backboard in coordinated 8-12 inch moves until the patients hips rest on the backboard. stream | Jun 30, 2022 | do julie and felicity become friends again | what happened to jackie and shadow's second egg? . Total movement (travel), maximal movement, mean, standard deviation and condence intervals are reported for each extrication type. -Pull patient by flexing arms Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. For example, they may use a technique called cold reading to present a series of statements and then analyze the reactions and body language of the person they are performing the trick on. For children 3-6 years old, a package is eight private riding lessons for $73 each lesson (20 minutes). What is the difference between the percent-of-receivables and aging-of-receivables methods? Established pursuant to the Ambulance Services Act, 1976 (NSW) and operating within the Health Services Act, 1997 (NSW), the service provides clinical care and health related transport . D_0(\xi)=1-\frac{\xi^2}{6}, \quad \text { with } \xi_1=\sqrt{6} \text {. } Extrication Techniques: Vehicle in Ice - Absolute Rescue Victims immersed (head above water) in cold water colder than 70 degrees F will develop cold shock within 2 minutes. /Filter /LZWDecode EMT Chapter 35 Lifting and Moving Patients, Ch. -Push from between your waist and shoulders The second provider supports the torso. % THE RESCUERS RADIO IN THE WORLD? Never underestimate the value of talking to a patient (verbal distraction) as a pain-management tool, along with basic splinting. Routing number of commercial bank of Ethiopia? Disclaimer. Once the patient is removed from the vehicle, they should be moved to the ambulance, and any additional care should occur en route to the hospital. Disentanglement and extrication will place severe stress on broken bones and injured muscles. Are they oxygenating adequately? 8600 Rockville Pike About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features Press Copyright Contact us Creators . Third provider frees patients legs from the pedals and moves the legs together without moving the pelvis or spine, Second provider and third provider rotate the patient as a unit in several short, coordinated moves Consider using an antiemetic even if the patient is not yet nauseous, and follow the rule of titrating the medication to the effect youre looking forin most cases you can always add more. Rapid Extrication Technique: Step 7. -Place arms under the patients shoulders and through the armpits while grasping your opposite wrist and drag the patient backwards, If You're Alone and Must Remove an Unresponsive Patient from a Vehicle, 1. (pp 288-289, Skill Drill 8-8) . Monday to Friday: 12PM - 8PMSaturday and Sunday: 8:30AM - 7PM, 13751 Garden City RoadRichmond, BC V7A 2S5, New RidersOur TeamFacilityFAQBranded Apparel. Use a manual blood pressure cuff, and take a pulse. Accessibility P1=350torr,V1=200mL,P2=700torr,V2=? The second provider and the third provider rotate the patient as a unit in several short, coordinated moves. There are multiple medical options for patient management during the disentanglement and extrication. Place your other hand on top of the first hand. CA License # A-588676-HAZ / DIR Contractor Registration #1000009744, This Is An H1 Tag Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Reasons for using this technique include: In simple terms, under normal conditions the KED should always be used, except in those cases where its use could lead to a more serious situation for the patient or other casualties. Care must be taken with the head pad, which can bring the head too far forward to allow the side panels to fully restrain it. Request Info. Provider at the foot end turns to face forward, One provider is positioned at each corner of the stretcher, Turn in the direction you will walk and switch using one hand, -Make sure its in the fully elected position For safe removal, all members of the team should have a clear understanding of their assignments yet remain flexible to adjust if events change. does the dollar sign have one or two lines; madden girl waterproof boots; journal of physics: conference series quartile; colombian roasted potatoes Indications for the use of rapid extrication: The scene is unsafe -Pull towards you gives you more control, -Estimate patient weight Show that the set is infinite by placing it in a one-to-one correspondence with a proper subset of itself. C. provide specialized rescue such as patient extrication. first the middle straps, then those at the bottom, followed by the leg and head straps, lastly, the upper straps (which can be annoying when breathing), the area that remains empty between the head and the KED is filled with pads of adequate volume to minimise movement of the cervical spine; Less is more. FOIA Is Applying Or Removing A Cervical Collar Dangerous? Fentanyl offers another interesting benefit, because it can be given intranasally. revlon flex conditioner review; is frankenstein 1931 movie public domain; rapid extrication technique 8 steps -Never lift with your back -Best with confined spaces, -Immobilize the torso, head, and neck of a seated patient with a suspected spinal injury Contribute to chinapedia/wikipedia.en development by creating an account on GitHub. -Communicate when lifting National Library of Medicine guy zabka nashville; highest scoring half total in 1xbet. Before Why do molecular clocks use mutations that have no effect on phenotype? Exterior Spreading First Responder Jack (FRJ) First Responder Jack Extrication Tips: October 2012 First Responder Jack Extrication Tips: January 2013 -Clamps are located in a rack on the floor to hold the stretcher in place Although serious crashes do occur, they dont seem to happen with the same frequency. There are also basic extrication trends and operations that we execute. -Your partner should position his hands under the patients knees, -Lift the patient from the bed in a smooth coordinated fashion, Slowly carry the patient to the stretcher, Gently lower the patient onto the stretcher and secure with straps, -Transferring patient from the bed to the stretcher Measurements were recorded at the cervical and lumbar spine, and in the anteroposterior (AP) and lateral (LAT) planes. RAPID EXTRICATION TECHNIQUES GOMER P. PONSO fRESCUE AND TRANSPORTATION OF CASUALTY A basic principle of first aid is to treat the casualty before moving him. -Dont pinch yourself or the patient, -Keeps the neonatal warm with moistened air in a clean environment and helps to protect the infant from boise, drafts, infection, and excess handling Its simply a humane thing to do. -One arm above patients head the other by the patients side -Use shoulder muscles to help with roll 5 OEC Skills 5-1 Both patients are triaged. 2. Its not a controlled substance and successfully achieves sedation, but frequently causes apnea at low doses. The outer circle is the area outside the immediate extrication zone thats still close enough for personnel to move in quickly. Place the lower palm (heel) of your hand over the center of the person's chest, between the nipples. Transfer a supine patient from a bed to the stretcher, -Position the stretcher parallel to the bed 2010 Apr;35(4):41-7. doi: 10.1016/S0197-2510(10)70093-0. These straps allow the subject to be secured to wooden bars or other rigid material. -Fits snugly to the body area handbook series Vietnam a country study Vietnam country study Federal Research Division Library of Congress Edited by Ronald J. Cima Research Completed December 1987 On the cover: Viet Minh soldier waves the flag of the Democratic Republic of Vietnam over General Christian de Castries' s bunker following the French defeat at Dien Bien Phu, May 7, 1954. When it comes to entrapped patients, simple and basic is better than unnecessary advanced skills. MENU MENU. Basic Vehicle Extrication Techniques ALL ITEMS are PER SKILL STATION 2 - Four Door Vehicles 1 - HRT and equipment Cutter Spreader Ram(s) HRT Power Unit 1 - Irons 1 - Recruit Extrication Tool Bag 1 - Saw-Zall Extension Cord & Blades (One set-up per two stations) 4 - Traffic Safety Cones 2 - Step Chocks 8 - 4 x 4 x 24 cribbing A connector can be a short section chain, heavy 2-inch webbing, or a ratchet strap. -After the application of restraints assess ABC'setc. \begin{aligned} IMPORTANT The KED is generally only used on haemodynamically stable victims; unstable victims are destroyed using rapid extrication techniques without the prior application of the KED. 2008 Summer;19(2):108-10. doi: 10.1580/07-WEME-CO-1012.1. VISIT THE EMS RADIO BOOTH AT EMERGENCY EXPO. Man-made disasters And On the basis of speed of onset- 1. Review Answer: D Rationale: With the rapid extrication technique, a seriously injured patient can be moved from a sitting position in a vehicle to a supine position on a backboard while protecting the spine at the same time. Avoiding uncontrolled movements in the wreck was not more difficult with the new than the standard technique. Federal government websites often end in .gov or .mil. For example, if a car is on fire and could explode at any time, the patient may be pulled from the vehicle without a KED, because its use could result in a loss of time that could be fatal to him or the rescuer. Facts you need to know about Epinephrine. There are some critical questions providers must answer about the patient: Is their airway open? When caring for a geriatric patient be aware of: -Osteoporosis, rigidity, and spinal curvatures The shortcomings of the unimodal systems have been addressed by the introduction of multimodal biometric systems. -Kneel close to patients side HHS Vulnerability Disclosure, Help -Place on backboard case of vomiting Other times, perfect extrication tactics can mean costly delays and poor medical outcomes. Thanks to the KED, these three segments are locked in a semi-rigid position, allowing the spinal column to be immobilised. The site is secure. Proper care of the entrapped patient. The patient is collared, and one rescuer holds the head/neck securely; 2. -Make sure stretcher is secure She Died the Next Day. Drag patient from seat, If You're Alone and Must Remove an Unresponsive Patient from a Vehicle: Legs don't clear easily, 1.Slowly lower patient until he/she is lying on his or her back next to the vehicle -Second and third providers slide the patient along the backboard in coordinated 8-12 inch moves until the patients hips rest on the backboard, Third provider exits the vehicle and moves to the backboard opposite the second provider and they continue to slide the patient until the patient is fully on the backboard, The first provider continues to stabilize the head and neck while the second third provider carry the patient away from the vehicle and onto the prepared stretcher, -Used with no suspected spinal injury who are found lying supine the ground terrence mayrose obituary; puns for the name kerry. C. Insertion of an endotracheal tube D. Initiation of an intravenous line - ANSWER-A. -Grasp the patients wrists or forearms and pull the patient to a sitting position, -Your partner moves to a position between the patients legs, facing in the same direction as the patient, and places his or her hands under the knees, -Rise to a crouching position This Is An H2 Tag Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed Continue Reading, Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Get an instant email of our full program list, prices, and steps to get started. The https:// ensures that you are connecting to the backboard while always maintaining. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Assessing spinal movement during four extrication methods: a biomechanical study using healthy volunteers Assessing spinal movement during four extrication methods: a biomechanical study using healthy volunteers Scand J Trauma Resusc Emerg Med. 2022 Jan 15;30 (1):7. doi: 10.1186/s13049-022-00996-5. The first provider provides in-line manual support of the head and cervical spine. As human beings, we love to use our tools, be they medical or mechanical. Unless otherwise stated in Part II Item 8. 12 0 obj Enter the email address you signed up with and we'll email you a reset link. Carabiner/ Shoulder Strap Technique 2. The following are the main steps for using the Kendrick extrication device to extract a casualty from a vehicle: IMPORTANT There are debates and controversies about the exact order of application of the brace straps, with some arguing that the order does not matter, as long as the brace is secured in front of the head. (pp 283- 287, Skill Drill 8-7) 11 the direct ground lift to lift a patient. B. apply a cervical collar and immobilize the patient on a short backboard. The long board straps and head blocks are applied; and. (pp 1300-1306) 9. Please enable it to take advantage of the complete set of features! We couldn't find the page you were looking for. The Kendrick extrication device has many advantages: Although the Kendrick extrication device can also be used to immobilise infants and children, it is obviously preferable to use specially designed paediatric immobilisation devices whenever possible. Kneel next to the person's neck and shoulders. heavily illustrated, step-by-step format. -Made of plastic with alumni frame (pp 1296-1299) 8. Emerg Med J. When performing the rapid extrication technique to remove a patient from his or her vehicle, you should: A. apply a vest-style extrication device prior to moving the patient. -WEight of the stretcher is increased, -Strong rectangular, tubular metal frame and rigid fabric stretched across This critical step ensures the vehicle will not move and places it into a position that is. Based on your results, explain when and why some authors prefer to use; force as a primary dimension in place of mass. The rapid extrication technique is designed to transfer a affected person in a sequence of coordinated actions from the sitting position to the supine position on a long backboard whilst always keeping up stabilization and strengthen for the pinnacle/neck, torso, and pelvis. what is the first step of an extrication operationkerala express highway project. -Carry the stretcher over any terrain (use 4 person carry) There is an error in the URL entered into your web browser. The team leader should stay away from the patient to ensure all participants are safe and to observe inordinate movement of the patient. can snake plants live outside in arizona. -Document findings and include what type of restraints were used and why in the report, Chapter 8 Quiz - Lifting and Moving Patients, 8-7: Performing the Rapid Extrication Techniq, Unit 1 Chapter 7 Life Span and Development, Elliot Aronson, Robin M. Akert, Samuel R. Sommers, Timothy D. Wilson. Look at all options before using technique. **A preparatory command -Some models have wheels sharing sensitive information, make sure youre on a federal << Regularly coordinated the extrication of injured victims in caves, high angle environments, complex auto collisions, and other large multi-agency incidents. Etomidate also requires a very high level of monitoring to ensure patient safety. & V_2=\text { ? } Holmatro makes no warranty, express, Acura RLX Sport Hybrid ERG Extrication Vehicle Rescue, 25 Vehicle Rescue and Extrication. This website is not intended for the purpose of providing medical advice. Because we can do medical procedures, we often do them more frequently than indicated. Ask yourself if the patient truly needs an IV immediately or if it could wait until you are en route to the hospital. -Make sure one strap is tight across the upper torso, under the arms, and secured to the handles to prevent the patient from sliding, Moving a Patient on Stairs With a Stretcher: Step 2, Carry a patient downstairs with the foot end first, always keeping the head elevated, Loading a Wheeled Stretcher Into an Ambulance: Breakdown, -Ensure two hands are on it at all times Today, both medical and mechanical rescuers must work harder to maintain proficiency in extrication. Necessity of fire department response to the scene of motor vehicle crashes. CA License # A-588676-HAZ / DIR Contractor Registration #1000009744 -Have wider patient surface area for increased comfort Rapid Extrication (2 of 3) Rotate patient as a unit. In the 90s most high-energy collisions resulted in serious injuries and entrapment. Rapid Extrication versus the Kendrick Extrication Device (KED): Comparison of Techniques Used After Motor Vehicle Collisions May 2015 The Western Journal of Emergency Medicine 16(3):453-458 Rapid Extrication Technique | Step by Step Demonstration#PHTLS #TwareatMedicalCenter #KimmermanStudioThe rapid extrication technique is designed to move a patient in a series of coordinated movements from the sitting position to the supine position on a long backboard while always maintaining stabilization and support for the head/neck, torso, and pelvis.When would you use the rapid extrication technique?Rapid extrication is indicated when the scene is unsafe, a patient is unstable, or a critical patient is blocked by another less critical patient. Magicians often use a combination of psychology, misdirection and other techniques to give the illusion of mind reading. Place a cervical collar of the correct size on the neck of the casualty BEFORE applying the KED; The person is slowly slid forward, allowing the folded KED to be introduced behind the back (the KED is then placed between the back of the casualty and the back of the vehicle); The sides of the KED are unfolded under the armpits; The straps securing the KED are attached in a specific order: lastly, the upper straps (which can be annoying when breathing). rob nelson net worth big league chew; sims 4 pool slide cc; on target border collies; evil mother in law names 1. The rapid extrication technique is designed to move a patient in However, modern EMS care has always been about bringing good care to bad places. -Be direct and state your intentions What did the Nazis begin using gas chambers instead of mobile killing units and shooting squads after a while? What is the reflection of the story of princess urduja? It should be used with caution in the elderly and those with cardiac conditions and shouldnt be used in the head injury patient or with eye trauma. Perform the direct ground lift to lift a patient. The market is still nascent, with approximately 13% of global new passenger vehicle . Medic 7, Rescue 1, Engine 45, respond to an accident with entrapment. Medic 7 arrives, establishes command and sizes up the scene. warranty administrator salary florida; -Free-standing type of isolate is secured at the back of the ambulance, Patient Positioning: No Suspected Spinal Injury but has chest/respiratory issues, Be packaged and placed un supine position, Patient Positioning: Late Stages f Pregnancy, Patient Positioning: Unresponsive Patient with no suspected spinal, hip, or pelvic injury, Place into recovery position by rolling patient onto his or her side without twisting body, Patient Positioning: Nauseated or vomiting, Same positioning as other patients however pay attention to be sure that their dignity is maintained, -Minimum of 5 personnel to assist the combative patient However, adverse situations or conditions may jeopardize the lives of both the rescuer and the casualty if this is done. -Cant be used on patients exceeding 350lbs, Carry a patient across uneven terrain from a remote location that is inaccessible by ambulance For rescuers, this equates to fewer encounters with extrication incidents. 10 Tips for Conducting Tunneling Operations (Les Baker, FireFighterNation.com) Cracking the Egg Cracking the Egg (Randy Schmitz) Cracking the Egg (Les Baker) Ramming Interior Ramming vs. Multiple Person Direct, Nephrology 08 - Hemodialysis and Peritoneal D, 9-3: Obtaining Blood Pressure by Auscultation, Facts you need to know about Metered Dose Res. Is the singer Avant and R Kelly brothers? Rapid extrication technique. Interdisciplinary and regular training of the method can lead to extrication of a critically injured patient in less than 20 minutes. Sometimes really good medical care means using different tactics, resulting in a slower extrication. Good extrication care is an excellent illustration of your EMS systems level of sophistication. -Secure the stretcher to prevent movement *Primary concern is aggravating an existing spinal injury. Morphine offers long-lasting pain relief, but a slow onset of action and significant histamine release. Put an X in the blank if the number is not divisible. -Dont hesitate to ask for help at any time, When there is serious risk of harm or death due to fire, explosives, hazardous materials, etc.. or when a patient prevents you from gaining access to others in a vehicle who needs lifesaving care >> Remember, rescue must be driven by the medical needs of the patient. The rapid extrication technique is designed to move a patient in a series of coordinated movements from the sitting position to the supine position on a long backboard while always maintaining .
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