~Transport~ ^^

GOALS:

Prevent additional wounds or complications. Choose the best method according to circumstances.
Prevent victim of ANY useless jolts during preparation or transport. Shocks can aggravate the patients condition.

BEFORE MOVING THE VICTIM:

1) Take the situation well in hand, be the leader.
2) Consider the following points when you can transport the victim without danger:
A) Best method according with the type of wound.
B) Material around which can be used, manufactured or improvised.
C) Help coming from people around which you could use.
D) Weight of the person
E) Ways: Roads, air, water, Weather condition?
F) Preparative to receive the victim: home or hospital. Give warnings.

HOW TO MOVE A BADLY INJURED PERSON

With great care, lift the injured person without bending him anywhere. Take special care that the head and neck do not bend.

 Have another person put the stretcher in place.

With the help of everyone, place the injured person carefully on the stretcher.

If the neck is injured or broken, put tightly folded clothing or sandbags on each side of the head to keep it from moving.

 When carrying, try to keep the feet up, even on hills.

TRANSPORT ON THE STRETCHER:

1) You need at least 5 persons, one who commands & 2 to do the traction of the feet & head.
2) The chief chooses 2 or 3 persons who place the same knee on the ground, & on the unhurted side of the victim.
3) The chief kneels on the opposite side & tells his assistants to slide their hands under the body's victim neck, chest, hips & ankles.
4) The chief ties himself by a hand-grip with the centre assistant, this MUST be told ahead.
5) At the chief signal, the assistants rise the victim & put him over their knees, while staying with their knee bent.
6) The chief let's go with his hands then place the stretcher under the victim.
7) Then the chief ties his hands once again with his centre assistant & gives the signal to lower the victim on the stretcher. Once the victim is well tied up then release the traction, not before.

STRETCHER:

Best method if you have one near by, to carry the victim when seriously wounded & conscious or not.

PREPARATION:

When you use a "normal" stretcher, verify if the cross-bar is straight & in their right position.
Try it yourself to see if it can support your weight. You MUST cover the canvas with a carpet or blankets or overcoat. The victim MUST be well protected over as well as under him. (Heat loss) etc.

SEMI-PRONE POSITION RECOMMENDED WHEN UNCONSCIOUS:

It maintains the respiratory channels free. If the victim is to be put into this position on stretcher. You MUST get help from others in case there would be a spinal cord injury and improvised stretcher.

Other Methods:

HUMAN CRUTCH:

When victim is Conscious & with a light wound to an inferior limb.

1) Place yourself on the wounded side. Put your arm around the victim's waist & grab his clothes on the intact side.
2) Place the victim's arm around your neck & from your free hand hold his hand tightly.
3) Tell the victim to lean on you as he would on a crutch.
4) Start together on the same foot, begin with the wounded side.

SEAT USING 2 or 3 or 4 HANDS:

Can only be used if there are 2 rescuers, if the distance to do is small & the victim is conscious.

2 HANDS SEAT: WAY TO DO SO:

1) The 2 rescuers bent a knee on each side of the victim, then each one passes an arm around the back & grab his clothes on each side.
2) Then passing each on their free arm under the victim's thighs they grab one another by a "hook hold" or "wrist hold"* If the victim can do it, she passes his arms around their neck.
3) Giving a signal the 2 rescuers get up together.

3 HANDS SEAT: USED WHEN 1 WOUNDED LEG MUST BE UPHELD.

1) The rescuers bend 1 knee on each victim's side.
2) If it's the left leg wounded, the rescuer on the left side, keeps his left hand free. The second rescuer places his left wrist & each one grabs the free wrist of the other.
3) The victim places his arms around the rescuers' neck then lift himself a bit, so that the 3 hand seat can slide under him.
4) The left rescuer holding the wounded leg with his free hand, both lift together with a signal.

4 HANDS SEAT: USED FOR A HEAVY PERSON WHO CAN USE HIS ARMS.

1) The 2 rescuers bend a knee on each victim side & each one grabs his own left wrist.
2) Each rescuer then grabs the other one free wrist.
3) Victim place arms around rescuer's neck & lift himself up a bit to permit this seat to slide under him.
4) Using a signal the rescuers lift together.

TRANSPORT USING A CHAIR:

Used by 2 rescuers when: Transporting Victim Conscious & in stairs & narrow passages.

1) Placing behind the chair, one rescuer leans it while holding the chair back on his thigh, getting one of his foot aback.
2) The second rescuer turning his back to the chair, between the victim's legs, leans & spreads the same leg towards the back of the chair.
3) The second rescuer, his back & elbows straight up grabs the legs of the chair over the victim's legs.
4) At a given signal they lift the chair & move out.

TO DRAG A VICTIM:

Used in narrow space where you can't get up. Or when victim unconscious in a fire & the rescuer and the victim heads are low to the ground where air is less suffocating.

1)Victim being on his back, tie his wrists.
2) Overlap the victim, place your head between his tied up wrist, using your neck, lift up a bit victim head and shoulders.
3) If an obstacle or stair stops you, reverse your position & drag the victim while you draw backward & while supporting the head & shoulders of the victim.

TRANSPORTATION FIREMAN'S WAY:

When alone its the best way to transport the victim.

1) After turning the victim on its stomach, place yourself above him, your legs on each side, bend down & join your hands under his chest & moving backward, lift him up until the victim is resting on his knees.
2) Go backward enough to straighten his legs.
3) Walk forward a bit in such a way as to permit the victim to be on its feet. While keeping him inclined backward so that his knees don't bend.
4) While uplifting the victim with your left arm, free your right arm, grab quickly his right wrist & lift up his arm straight. Pass immediately your head under his uplifted arm then let it get down at the same time. Turn around then to face up the victim & hold his waist with your arms. Using the tip of your foot, spread victim's feet about 15cm.
5) Using your left hand, grab his right wrist, then lift his arm above your head.
6) Bend down a bit so as to bring back the victim's arm above your left shoulder. His body then lays upon your shoulders. Then pass your right arm between his legs.
7) Place his right wrist in your right hand.
8) In leaning your left hand upon your left knee, get up. Your left hand stays free, & the victim stays comfortable.

TRANSPORTATION USING BELT:

This is the best method to transport a victim on long distance. The victim is solidly held on your shoulders by a belt. This way your hands & victims hands stay free to hold arms or supply and helpful to go over obstacles. This way the rescuer can better move around in the bushes or to crawl about and around. 

1) Join 2 belts to make one or use ties, ropes that don't slip nor are too narrow. Place the attach under the thighs & under the kidneys 's victim in a manner as to form a loop on each side.
2) Lay down on your back between the spread out legs of the victim. Pass your arms in the loops, then grab the hand & leg of the victim wounded side.
3) Turn around on your belly by the opposite side of the victim wound bringing this way the person on your back. Adjust adequately the attach.
4) Get on your knees. The attach holds the victim in place.
5) Put one of your hand upon a knee & straighten up. The victim is now upon your shoulders. Your hand are now free to help you.

TRANSPORT OF A VICTIM WITH PROBABLE SPINAL CORD FRACTURE:

A) If not necessary to move victim then, DON'T move him. Stay with him & send for help, doctor, ambulance.
B) If you MUST move him, & he is conscious proceed as such;
1) The rescuer in charge choose a minimum of 4 assistants.
2) He puts on charge an assistant to do the head traction & another one the feet traction.
3) He places the assistants as in photo (PHOTO REQUIRED!)
NOTE: TRACTION MUST BE MAINTAINED AT ALL TIMES DURING HANDLING!