chapter 9 - transport a casualty

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


The Support Carry-

The casualty must be able to walk or at least hop on one leg


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



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


The Pistol Belt Carry- is the best one-man carry when the distance to be traveled is long


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


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 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 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 Hand Seat Carry- used in carrying a casualty for a short distance and in placing

him on a litter


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

Evacuating a Casualty Evacuating a Casualty using a Sked or using a Sked or


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

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


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.


When only two litter casualties are loaded, the sequence is:

1st: Upper right berth

2nd: Lower right

berth

Ambulatory

casualties (on left side)


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.


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



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

• Can transport up to 12 litter casualties each


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 ????

chapter 9 - transport a casualty

Documents

man litter carry

conscious casualty

casualty nature

litter step

litter talon

place litter

andaft carry

manual carry