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Patient in distress: Have a seat on this kitchen chair

Article updated July 10, 2018

Consider this example: Our geriatric patient had lowered himself to the floor and crawled half way to the bathroom. The patient was uninjured and now was stranded on the floor. He lacked the strength to push his 275-pound frame off the floor.

Have you ever encountered situations like this?

I like to use a kitchen chair as an intermediary resting place before moving patients like this back into a recliner or bed or onto the patient cot.

Take a good look at the chair before you let the patient plop into it. Make sure the legs, seat and back are stable and in good condition.

This is what we did for this patient:

  1. Confirmed that the patient was uninjured.
  2. Helped the patient roll over onto his back.
  3. Assisted him into a sitting position. My partner was in back and I was in front.
  4. Assisted and lifted the patient to a standing position.
  5. Spotted the patient, as he was able to support his own weight.
  6. Asked a family member to slide a kitchen chair behind the patient.
  7. Spotted the patient as he sat on the kitchen chair.

Now the patient was off the floor, able to take full and easy breaths, and able to look at us as he answered our SAMPLE history questions. We could assess his vital signs and collect history information with him in a more comfortable and stable position.

If a kitchen chair is not available, a patient wheelchair, walker with an attached seat, or a stair chair could serve the same purpose. Tell us in the comments area what methods you use to lift and assist uninjured geriatric fall patients.

Greg Friese, MS, NRP, is a contributing editor at EMS1 and a public safety training and technology thought leader. His work translates incident analysis and research-to-practice insights into how-to guidance that supports clinical performance, operational readiness and workforce resilience. Friese writes frequently about practical technology adoption in public safety operations, including generative AI. He co-founded First Responder Wellness Week and co-hosts the Wellness Brief video series in the Lexipol Wellness app. Connect with Friese on LinkedIn or by email, greg@gregfriese.com.