TRANSPORTING THE INJURED

2 Transporting the Patient  The purpose of transporting the injured is to remove the patient from any further danger and get them to a proper medial aid facility  Transporting the patient consists of the following techniques: actions taken prior to moving the patient lifting techniques manually transporting the patient transporting the patient by toboggan

3 Transporting the Patient  Before moving the patient consider : the best method of transportation relative to the injuries available material, either manufactured or improvised assistance from bystanders the weight of the patient the route and the vehicle to be used, and reception arrangements at home or the hospit al

4 Basic Techniques  Human crutch  Fore and aft carry  Two-handed seat  Three-handed seat  Four-handed seat  Chair carry  Drag carry

5 Lifting  Always keep your back straight and lift with the legs when lifting anything heavy.  When a change of direction must be made, turn with your feet rather than rotating your back.  Keep heavy loads as close to the vertical axis of the body as possible.

6 Human Crutch  Useful mainly in sports where there is a slight injury to a lower extremity and the patient is conscious.  Do the following: Stand on the injured side of the patient Place your arm around their waist, grasping clothing on their uninjured side Have the patient pass their arm around your neck. Grasp their wrist firmly with your free hand. Instruct the patient to use your body as a crutch. Step off together, with the inside feet.

7 Fore and Aft Carry Use to move a supine patient from the ground onto a bed or a Stretcher when the patient is unable to assist you.

8 Two-handed Seat Use with patients light enough to be carried in this manner.

9 Three-handed Seat Use this carry so one hand is free to support an injured leg.

10 Four-handed Seat Use as a replacement for the two-hand seat for a heavy patient who Is able to use his arms.

11 Chair Carry Used to carry a conscious patient down narrow stairs or passages.

12 Drag Carry  To move a patient along the ground when uunresponsive due to fire or gas  Keeps rescuer and patient low where the air is freshest  Also used in confined spaces such as tunnels where the rescuer cannot stand up

13 Drag Carry  With the patient supine, the patroller ties the wrists together in front of the body.  The patroller straddles the patient and places their head through the patient's arms.  The patroller then raises the patient's head and shoulders slightly with their neck.  The patroller crawls on the hands and knees, dragging the patient.  When descending stairs or a sudden drop, reverse the position and crawl backwards, supporting the patient's head.

14 Transporting a Patient by Toboggan  There are two steps to transporting a patient by toboggan: Loading the patient into the toboggan Transferring the patient from a toboggan to a bed or a car

15 Summary  Avoid unnecessary movement of a patient.  The patient should be transported in the position most appropriate to their injuries.  Unless this is a Load and Go do not attempt transportation until all injuries are properly cared for and adequate personnel are available to help.  If a spinal injury is suspected, immobilise the patient to a backboard.  Move the toboggan or stretcher to the patient, rather than the patient to toboggan or stretcher.  Never step into or over the toboggan when loading a patient.