Lifting and transportation of the casualty

You should move a victim only if there is immediate

danger such as
Fire.
Lack of oxygen.
Risk of drowning.
Risk of explosion.
A collapsing structure.
Uncontrollable traffic hazards.
Before you act, consider the following limitations as it
will help you decide how to proceed. This will help you
to ensure moving one or more victims quickly and
safely.
Dangerous conditions at the scene.
The size of the icti!.
"our own physical ability.
#hether others can help you.
The icti!$s condition.
To protect yourself and the victim, follow these
guidelines
a. %nly atte!pt to !oe a person when you are sure
that you can co!fortably handle.
b. &end your body at the knees and hips.
c. Lift with your legs not your back.
d. #alk carefully using short steps.
e. #hen possible' !oe forward rather then
backward.
f. Always look where you are going.
g. (upport the icti!$s head and spine'
h. Aoid bending or twisting a icti! with possible
head or spine in)ury.
i. #hile lifting of transporting an in)ured person'
care should be taken that person$s condition does
not worsen *further in)ury takes place+.
Actually seriously inured person should !e transported
on a stretcher and in emergency conditions on a
temporary stretcher.
"f no stretcher is availa!le or if there is no possi!ility of
making it then inured person should !e taken !y
following methods.
#ethod of carrying in hands $cradle% , -t is used when
person is of less weight or is a child. -n this the in)ured
person should be carried fro! below the shoulder and
knees with hands. .e should be carried co!fortably.
&uman crutch , -n this !ethod a person hi!self stands
near the in)ured person' holds his waist and keeps his hand
on his neck lift hi! with his another hand and takes hi! by
giing support.
'ireman(s lift ,
a+ -n this !ethod keeps the in)ured person standing.
b+ .old one of his hands and keep your other hand under
the two legs at the knee area.
c+ .old one of the legs oer the knee and carry hi! on
your back or !ake the in)ured person sit on so!e
height.
d+ &end before hi! keeping your back at his face.
e+ /ow ask hi! to fold his leg around your waist and
hand around your shoulders and now carry hi!
slowly.
'ireman(s carry ,
a+ 0neel down and bring the icti! to seated position
facing you.
b+ .oist the icti! across your shoulder length wise' feet
on one side' and head on other.
c+ 1ut your ar! around icti!$s leg.
d+ 2rasp icti!$s ar!s and stand up.
The Advantages The )isadvantages
-t is useful in !oing
3uickly a person fro!
dangerous situation.
"ou !ay need help' to position
the icti! across your
shoulders.
-t leaes one of your hands
free while you !oe the
icti!.
-t should not be used for a
icti! with suspected head'
spine or abdo!inal in)ury.
This !ethod can be used
for both conscious and
unconscious patients.
The techni3ue is not
appropriate for icti!s of
!a)or trau!a.
"f helpers are more and wound is maor
*alking assist 4ither one or two persons can assist. For
walking assist place the icti!$s ar! across your shoulders
and hold it in place with one hand. (upport the icti! with
your other hand around the icti!$s waist.
'our handed seat ,
5. &oth the helper for! a chair type seat by catching
each other$s wrist.
6. Then ask the in)ured to sit and put both his hand
around the neck of the helpers.
7. /ow the helper towards the right hand should start
with the right foot
8. And the left helper should start with the left foot.
Two handed seat , This method is used when there is a
hand fracture of the inured person, and he cannot
catch the helpers.
5. &oth helpers stand face to face by the side of the
in)ured person and hold hi! by one hand.
6. /ow they lift hi! slightly and catch each other$s
fingers by inserting hand fro! the !iddle portion of
his thighs.
7. The left side helper should keep his pal! towards the
upper side and the right side helper should keep his
pal! towards the lower side by for!ing shape of the
hook with the help of the fingers.
8. &oth should catch a handkerchief of so!e cloth
tightly.
9. /ow both helpers should walk slowly.
+n chairs , -n this !ethod an in)ured person is !ade to sit
on a chair and slowly carried by the helper.
Blanket lift , -f in)ured person is lying on so!e bed sheet
or a blanket then fold it fro! both the sides and helpers
should catch fro! all the sides on the instruction of one of
the helper and should start walking slowly. 2ie support at
the neck with so!e thick cloth.
,lothes drag ,
-t is !ost appropriate for !oing a person suspected
of haing a head or spine in)ury.
This !oe keeps the head and neck stabilized.
This e!ergency !oe is exhausting and !ay cause
back strain for the rescuer' een when done properly.
"mprovised method ,
-n this !ethod the button of the shirt of the in)ured
person are opened and the open flaps of the shirt are
folded and caught by helpers.
The legs and head are hold by helpers' and the person
is !ade to lie on a stretcher.
The patient is coered by blanket or a sheet.
And the neck is supported on both sides by sand bag
or any thing aailable.
-tretchers , The seerely in)ured person should be
transported on stretchers only. -f ready stretchers are not
aailable' te!porary stretchers can be prepared by
following !ethods.
By two sticks and two sacks , Two holes on each bag
towards the lower !argin of the bag on either side should
be !ade and the sticks are passed through these holes
length wise. A te!porary stretcher is ready in this way.
By two sticks and two coat or shirts ,
5. Turn the coat and the full shirt. &utton the! properly.
6. 0eep their sleees in opposite direction.
7. /ow insert the two sticks through the sleees in both
the sides.
8. The button portion should be kept downwards.
9. &road wooden piece or door can be used as stretcher
*but it should be cushioned by grass cloth or blanket
before patient is !ade to lie on it+.
#ost important
Before carrying the inured person on the a!ove
descri!ed temporary stretchers, some other fit person
should !e made to lie on the stretcher to confirm
whether the stretcher is strong enough to carry the
inured person or not.
Lifting an inured person
5. For lifting' three helpers lay down on the knees on one
side and one sits on other side of the in)ured person.
6. All the helpers then carry the person with their hands
and support on their knees and at the sa!e ti!e one
other helper keep the stretcher in position.
7. /ow the helpers keep the person on the stretcher
slowly.
8. The head is supported by blanket or bed sheet.
,arry !y four helpers ,
%n indication of one helper the other helpers lift the
stretcher with their inner hand up to the length of their
ar!.
All four should proceed stepping first with their inner
leg' and then walk co!fortably.
#hile keeping the stretcher on the floor or an
a!bulance' it should be kept slowly and by bending
yourself on the instruction of one of the helper. All the
helpers should sit:down and stand:up at the sa!e ti!e.
The !ethod applied for unloading are the sa!e as
loading.
.ules for carrying the casualties on stretcher
a+ 1rincipally' the feet of the in)ured person should be in
front side when he is carried on the stretcher. &ut in
so!e cases where the stretcher is carried at height' on
stairs' or while co!ing downstairs' or if the leg is
in)ured' the aboe rule is not followed.
b+ #hile walking on an uneen ground the stretcher
should be carried by four helpers.
c+ The stretcher is kept inside the a!bulance with the
head end ahead. /ow two helpers go inside the
a!bulance and gently pull the stretcher inside' while
the other two helpers stand towards the end.
,an you answer/
As you co!e upon the scene of a car crash' you notice a
downed electrical wire hanging across the da!aged car.
The drier is slu!ped oer the steering wheel and appears
unconscious. (eeral people gathered at the scene are
discussing what to do and if the drier should be !oed.
Describe the action you will take.