Chapter 9 - Transport A Casualty

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 CarryThe 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 CarryOnly 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 CarryThis 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 Drageffective in moving a casualty up or down steps

Two-Man Carries Two Man Support Carryused in transporting both conscious or unconscious casualties

Two-Man Carries Two-Man Arms Carryuseful 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-andaft 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 Carryused 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

Squad

Litter

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 ????