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A crucial step before lifting a patient involves:

  1. assessing the weight.

  2. securing a seatbelt.

  3. positive patient identification.

  4. communicating with fellow responders.

The correct answer is: communicating with fellow responders.

Effective communication with fellow responders is essential before lifting a patient. This step ensures that everyone involved in the lift is aware of the plan, understands their roles, and can coordinate their actions. Proper communication reduces the risk of injury to both the patient and EMS personnel, as it allows responders to synchronize their movements and use appropriate techniques. By confirming details such as the timing of the lift and the best approach, responders can provide a safer and more efficient transfer, enhancing patient care and operational safety. Securing a seatbelt, assessing weight, and positive patient identification are all important aspects of patient handling and care, but they do not take precedence over the need for effective communication among all responders involved in the lift.