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MSTC, FT LEWIS WAMSTC, FT LEWIS WA
Transport a Transport a CasualtyCasualty
Lesson NineLesson Nine
Transport A CasualtyTransport A Casualty
You must know how to transport
your casualty without causing further injury or increasing the seriousness of their condition.
Transport A CasualtyTransport 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 transport
One-Man CarriesOne-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 CarriesOne-Man Carries
The Support Carry-
The casualty must be able to walk or at least hop on one leg
One-Man CarriesOne-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
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 CarriesOne-Man Carries
One-Man CarriesOne-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, the bearer must hold the casualty's arms in a palms-down position
One-Man CarriesOne-Man Carries
The Pistol Belt Carry- is the best one-man carry when the distance to be traveled is long
One-Man CarriesOne-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 CarriesOne-Man Carries
The Cradle Drop Drag- effective in moving a casualty up or down steps
Two-Man CarriesTwo-Man Carries
Two Man Support Carry- used in transporting both conscious or unconscious casualties
Two-Man CarriesTwo-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 bearers to keep his head and legs in alignment with his body
Two-Man CarriesTwo-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 CarriesTwo-Man Carries
Two Hand Seat Carry- used in carrying a casualty for a short distance and in placing
him on a litter
Two-Man CarriesTwo-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 LittersImprovised 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 LitterImprovised 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 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 LitterImprovised Litter
Improvised LitterImprovised Litter
Improvised LitterImprovised Litter
Evacuating a Casualty Evacuating a Casualty using a Sked or using a Sked or
Improvised LitterImprovised Litter
EvacuationEvacuation
Being able to evacuate a casualty in a quick Being able to evacuate a casualty in a quick and efficient manner can result in saving his and efficient manner can result in saving his life life
You may need to move the casualty to a You may need to move the casualty to a company aid post or other location where company aid post or other location where the casualty can receive needed medical the casualty can receive needed medical care care
Sometimes, the casualty can walk, but at Sometimes, the casualty can walk, but at other times he must be carried on a litter other times he must be carried on a litter
Talon II LitterTalon II Litter1o
f 6
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.
Step 3. Grab handles and rotate inward until all hinges rotate and lock and lock.
Step 4. While maintaining hinges in the locked positionapply 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 directionsIn reverse
Talon II LitterTalon II Litter
SKED LitterSKED Litter
►CompactCompact
►LightweightLightweight
►StrongStrong
SKEDSKED
SKEDSKED
SKEDSKED
SKEDSKED
Load Casualties Using Load Casualties Using a Military Vehiclea Military Vehicle
Overview
Triage casualties for priority of evacuation
Movement by litter
Identify procedures for loading litter casualties
Load and unload casualties using military vehicles
Load Casualties Using a Military Vehicle
Triage Categories
1st Priority (Urgent):
• Life, Limb, or Eyesight
2nd Priority (Priority):
• Serious injuries requiring medical intervention
3rd Priority (Routine):
• Walking wounded, Minor injuries
4th Priority (Convenience)
Load Casualties Into Ground And Air Ambulance
Four Man Litter Carry• #1 man is Highest Medically Qualified• Casualty is transported feet first
Litter Rotation•Casualties loaded head-first into vehicle
Movement by Litter
Four-Man Litter Four-Man Litter SquadSquad
Casualties are usually evacuated by:
•Medical helicopter
•Medical ground
vehicle
•Non-medical military
vehicle
Load Casualties Into Ground And Air Ambulance
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
1st: Upper right berth
2nd: Lower right
berth
3rd: Upper left
berth
4th: Lower left
berth
All ground ambulances that are designed to carry four litter casualties have the same load plan.
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 (on left side)
Load Casualties Into Ground Ambulance
M996 armored ambulance
• Two litter casualties
• Six ambulatory casualties
• One litter and three ambulatoryNote: 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
Casualties may be evacuated by helicopter if:
• Distance to be traveled is
great
• Location is hard to reach
Load Casualties Into An Air Ambulance
CH-47 Chinook Air Ambulance
UH-1H/V Iroquois Air AmbulanceUH-1H/V Iroquois Air AmbulanceUH-60A Blackhawk Air AmbulanceUH-60A Blackhawk 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 An Air Ambulance
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 casualties.
General Rules for Using Tactical Ground Vehicle
• Load the most seriously injured casualty last
• Heads pointing toward the direction of travel
• Make sure each casualty is secured to his
litter
• Make sure all litters are secured to the
vehicle
• Unload casualties in the reverse order
Load Casualties Into Ground Military Vehicles
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 three litters
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
D) Open chest wound, respiration's rapid and shallow
QUIZ!!!
Questions ????Questions ????