Trending Topics

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 the Lexipol Editorial Director, leading the efforts of the editorial team on Police1, FireRescue1, Corrections1 and EMS1. Greg served as the EMS1 editor-in-chief for five years. He has a bachelor’s degree from the University of Wisconsin-Madison and a master’s degree from the University of Idaho. He is an educator, author, national registry paramedic since 2005, and a long-distance runner. Greg was a 2010 recipient of the EMS 10 Award for innovation. He is also a three-time Jesse H. Neal award winner, the most prestigious award in specialized journalism, and the 2018 and 2020 Eddie Award winner for best Column/Blog. Connect with Greg on LinkedIn.