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Transport a

Casualty

Lesson Nine

MSTC, FT LEWIS WA
Transport A Casualty

You must know


how to transport
your casualty
without causing
further injury or
increasing the
seriousness of
their condition.
Transport A Casualty
The distance a casualty can be carried
depends
on many factors, such as—

•Strength and endurance of the


bearer(s)
•Weight of the casualty
•Nature of the casualty's injury
•Obstacles encountered during
One-Man Carries

Fireman’s Carry- Is one


the easiest ways to for
one person to carry
another. However it
should only be used when
the bearer believes it to
be safe for the casualty
One-Man Carries

The Support Carry-


The casualty must be
able to walk or at least
hop on one leg
One-Man Carries

The Arms Carry -The


arms carry is used
when the casualty is
unable to walk. This
carry is useful when
carrying a casualty for
a short distance and
when placing him on a
litter
One-Man Carries

The Saddleback Carry-


Only a conscious casualty
can be transported by the
saddleback carry because
he must be able to hold
onto the bearer's neck
One-Man Carries
The Pack Strap Carry-
This carry is used when
only a moderate
distance will be
traveled. In this carry
the casualty's weight
rests high on the
bearer's back. To
eliminate the
possibility of injury to
the casualty's arms,
One-Man Carries

The Pistol Belt


Carry- is the best
one-man carry when
the distance to be
traveled is long
One-Man Carries
The Neck Drag- the
bearer can transport
the casualty when he
creeps behind a low
wall or shrubbery,
under a vehicle, or
through a culvert. This
drag is used only if the
casualty does not have
a broken/ fractured arm
One-Man Carries

The Cradle Drop Drag-


effective in moving a
casualty up or down
steps
Two-Man Carries

Two Man Support Carry-


used in transporting both
conscious or unconscious
casualties
Two-Man Carries

Two-Man Arms Carry-


useful in carrying a
casualty for a moderate
distance. It is also useful
for placing him on a
litter. In extreme
emergencies when there
is no time to obtain a
board, this manual carry
is the safest one for
transporting a casualty
with a back/neck injury.
Use two additional
Two-Man Carries

Two-Man fore-and-
aft Carry- most
useful two-man
carry for
transporting a
casualty for a long
distance. Altering
this carry so that
both bearers face
the casualty, it is
also useful for
placing him on a
litter
Two-Man Carries

Two Hand Seat Carry-


used in carrying a
casualty for a short
distance and in placing
him on a litter
Two-Man Carries
Four Hand Seat Carry- Only a
conscious casualty can be
transported with the four-hand seat
carry because he must help support
himself by placing his arms around
the bearers' shoulders. This carry is
especially useful in transporting the
casualty with a head or foot injury
and is used when the distance to be
traveled is moderate
Improvised Litters

Two men can support or carry a casualty


without equipment for only short
distances. By using available materials to
improvise equipment, the casualty can be
transported greater distances by two or
more rescuers.
Improvised Litter

Many different types of litters can be


improvised. Litters can be made by
securing poles inside such items as
blankets, ponchos, shelter halves,
tarpaulins, jackets, shirts, sacks,
bags, and bedding fabric covers.
Improvised Litter

Poles can be improvised from strong


branches, tent supports, skis, and other
like items. Most flat-surface objects of
suitable size can also be used as litters.
Such objects include boards, doors,
window shutters, benches, ladders, cots,
and poles tied together.
If possible, these objects should be
padded
Improvised Litter
Improvised Litter
Improvised Litter
Evacuating a Casualty
using a Sked or
Improvised Litter
Evacuation
Being able to evacuate a casualty in a quick and
efficient manner can result in saving his life

You may need to move the casualty to a company


aid post or other location where the casualty can
receive needed medical care

Sometimes, the casualty can walk, but at other


times he must be carried on a litter
Talon II Litter
Opening Instructions for the 81C (6530-01-452-1651)
and 90C(6530-01-504-9051)Talon Litter Series.

Step 1. Release the buckles

Step 2. Place Litter on the ground and


completely extend with fabric side up.

1of 6
Step 3. Grab handles and rotate inward
until all hinges rotate and lock and lock.
Talon II Litter

Step 4. While maintaining hinges in the


locked position
apply firm, steady pressure on the
spreader bar with foot.
Increase pressure with foot until spreader
bar locks into place.

Note: To close and store the litter repeat the directions


In reverse
SKED Litter

► Compact

► Lightweight

► Strong
SKED
SKED
SKED
SKED
Load Casualties Using
a Military Vehicle
Load Casualties Using a
Military Vehicle
Overview

 Triage casualties for priority of


evacuation

 Movement by litter

 Identify procedures for loading litter


casualties
Load Casualties Into Ground
And Air Ambulance
Triage Categories
 1st Priority (Urgent):
• Life, Limb, or Eyesight
 2nd Priority (Priority):
• Serious injuries
requiring medical
intervention
 3rd Priority (Routine):
• Walking wounded,
Minor injuries
Movement by Litter

 Four Man Litter Carry


• #1 man is Highest Medically Qualified
• Casualty is transported feet first

 Litter Rotation
•Casualties loaded head-first into vehicle
Four-Man Litter
Squad
Load Casualties Into Ground
And Air Ambulance
Casualties are usually
evacuated by:

•Medical helicopter

•Medical ground
vehicle

•Non-medical military
Load Casualties Into Ground
Ambulance
General Rules:

•Load litter with head toward the front of


vehicle
•Load most seriously injured casualty last
•Each litter casualty is secured to his/her litter
•Each litter secured to the vehicle
•Unload casualties in the reverse order
Load Casualties Into Ground
Ambulance
All ground ambulances that are designed to
carry four litter casualties have the same
load plan.
 1st: Upper right
berth
 2nd: Lower right
berth
 3rd: Upper left
berth
Load Casualties Into Ground
Ambulance
When only two litter casualties are loaded,
the sequence is:

 1st: Upper right


berth
 2nd: Lower right
berth
 Ambulatory
casualties
Load Casualties Into Ground
Ambulance

M996 armored ambulance


• Two litter casualties
• Six ambulatory casualties
• One litter and three ambulatory
Note: When 2 litter casualties are transported, the 1st is
placed in the right berth and the 2nd in the left berth.
Load Casualties Into Ground
Ambulance

M997 armored ambulance


• Four litter casualties
• Eight ambulatory casualties
• Two litter and four ambulatory
Load Casualties Into An Air
Ambulance

Casualties may be evacuated


by helicopter if:

• Distance to be traveled is
great
UH-1H/V Iroquois Air Ambulance
UH-60A Blackhawk Air Ambulance

CH-47 Chinook Air


Ambulance
Load Casualties Into An Air
Ambulance
General Rules

• Remain 50 yards from the helicopter until signaled


• to approach
• Approach the aircraft from the front
• Keep a low silhouette
• Approach and leave quickly, but do not run
• Avoid the area near the rear rotor
• Go around the front of the helicopter
Load Casualties Into
Ground Military Vehicles

 Non-medical military vehicles can be used


to
evacuate casualties when no medical
evacuation
vehicles are available.

 If medical personnel are present, follow


their
instructions for loading, securing,and
unloading
Load Casualties Into
Ground Military Vehicles
General Rules for Using Tactical Ground
Vehicle

• Load the most seriously injured casualty las


• Heads pointing toward the direction of trav
• Make sure each casualty is secured to his
litter
Load Casualties Into Ground
Military Vehicles

The 2 1/2-ton truck and 5-ton cargo truck

• Can transport up to 12 litter casualties


each
Load Casualties Into Ground
Military Vehicles

The 1 1/4-ton cargo truck or HMMWV

 Four-man configuration can transport


QUIZ!!!
In what order would you load these
casualties?

A) Open head wound, bleeding controlled,


patient
is alert

B) Closed fracture, lower leg, splinted

C) Open fracture, upper leg, bleeding


controlled,
splinted
Questions ????

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