RESCUE AND CARRY METHODS

1. EMERGENCY RESCUE AND TRANSFER

2. PROCEDURES AND ILLUSTRATIONS ON METHODS OF LIFTS AND

CARRIES
 EMERGENCY RESCUE AND TRANSFER
 Objective:
To provide the students informative ideas, knowledge and skills in the
conduct of emergency rescue and transfer .

 Method of Instruction:
Lecture & Practical Exercise

 Scope of the lesson:

1.Emergency Rescue
2.Methods of Transfer
3.Emergency Action Principles
Emergency Rescue and Transfer

 DEFINITIONS:
 Emergency Rescue - is an immediate procedure of moving a victim from a dangerous/unsafe to a
place of safety.
 Emergency Transfer - the procedure of moving a victim from a safe place to a safer place.

I. Indication for Emergency Rescue :

1. Danger of fire and explosion.
2. Danger of toxic gases or asphyxia.
3. Serious traffic hazard
4. Danger of electrocution
5. Danger of collapsing wall
6. Exposure to cold or intense weather condition
7. Risk of drowning
8. Storm surge

https://www.slideshare.net/SamOlayvar/emergency-rescue-and-transfer-37730149
PICTURES:
Emergency Rescue and Transfer

II. Basic Principles of Emergency Rescue and Transfer Rescue

1. Ensure or maintenance of an open airway.
2. Control of severe bleeding.
3. Moving victim as one unit and in proper body position.
4. Methods of ERT should be safe, comfortable and as fast as
circumstances permit.
5. Check victim's condition regularly before, during and after the ERT.
6. Immobilization of injured body parts before extrication and transfer
7. Taller first aider must stay at the head part of the victim.
8. Supporting bandages and dressing remain effectively applied.
Emergency Rescue and Transfer

III. Criteria for Selection of Methods of Transfer

1. Nature and severity of the Injury.
2. Size of the victim.
3. Physical capabilities of rescuer.
4. Availability of equipment.
5. Evacuation route.
6. Distance of the place where the victim will be transferred.
7. Sex of the victim.
 Emergency Rescue and Transfer

Things to consider during Rescue and Transfer:

1. Move only the victim if his ABC’s are stable.
NOTE: A - Airway, B – Breathing , C - Circultion

2. As much as possible, let the victim move on his

own.
3. Always ask the permission of the victim and keep
him informed.
4. Observe ergonomics in lifting and transfer.
Emergency Medical Services ( EMS )
 - also known as “Ambulance Services “
 - also known as “ Paramedic Services”
 - are emergency services which treat illnesses and
injuries that require an urgent medical response,
providing out-of-hospital treatment and transport to
definitive care.
 Recovery Position
 is a “safe lying position” in which people should be put
when they are unconscious so that they can continue to
breathe.
 The casualty was placed on his sidein the recovery
position and an ambulance was called.
When should a casualty be placed in the recovery position?
- If a person is unconscious but is breathing and has no
other-life threathening conditions to keep their airway
clear and open and to ensure that any vomit or fluid won’t
cause them to choke.
 Step-By-Step Recovery Position
1. Kneel on the floor to one side of the person.

2. Place the person’s arm that is nearest to you at a right angle to their body, so that it is bent at
the elbow with the hand pointing upwards. This will keep it out of the way when you roll them
over.
 Step-By-Step Recovery Position
3. Gently pick up their other hand with your palm against theirs (palm to palm). Turn any rings
inward to avoid scratching their face. Now place the back of their hand onto their opposite cheek
(for example, against their left cheek if it is their right hand). Keep your hand there to guide and
support their head as you roll them.

4. Use your other arm to reach across to the person’s knee that is furthest from you, and pull it up
so that their leg is bent and their foot is flat on the floor.
Step-By-Step Recovery Position
5. Gently pull their knee towards you so that they roll over onto their side, facing you. Their body
weight should help them to roll over quite easily.

6. Move the bent leg that is nearest to you, in front of their body so that it is resting on the floor.
This position will help to balance them.
Step-By-Step Recovery Position
7. Gently raise their chin to tilt their head back slightly, as this will open up their airway and help them
to breathe. Check that nothing is blocking their airway. If there is an obstruction, such as food in their
mouth, remove this if you can do so safely. Stay with them, giving reassurance, until they have fully
recovered.
FINAL RECOVERY POSITION
Step-By-Step Recovery Position
NOTE:
………..Call for an ambulance if:
 it is the person’s first seizure;
 they have injured themselves badly;
 they have trouble breathing after the seizure has stopped;
 one seizure immediately follows another with no recovery in
between;
 the seizure lasts 2 minutes longer than is usual for them; or
 the seizure lasts for more than 5 minutes and you don’t know
how long their seizures usually last.
Step-By-Step Recovery Position VIDEO
PROCEDURES AND ILLUSTRATIONS ON
METHODS OF LIFTS, CARRIES, and
TRANSFER
Initial Positioning on Rescue and Carry

1. Position the person’s body straight on the floor.

2. Kneel on the floor to one side of the person.
3. Place the person’s both arms/hands at the top of his stomach.
4. Use your other arm to reach across to the person’s knees and gently pull it up
so that their both legs are bent and their feet are flat on the floor.
5. Go nearest the head part and grab the nape (batok) supporting the head with
your left arm.
6. Raise the person at right angle position while supporting his back with your
right knee and immediately position yourself at his back in squat postion.
7. Grab the arms of the person and ergonomically lift him and standing.
 ONE-MAN ASSIST
1. Assist to walk
2. Pack strap carry
3. Fireman’s carry
4. Piggyback carry
5. Inclined drag or Backward Drag
6. Blanket drag
7. Fireman’s drag
8. Clothes drag
I. ONE-MAN CARRY
 1.1 THE SINGLE HUMAN CRUTCH (Single Rescuer Human Crutch / Assist to
Walk / Supporting Carry )
- For this method to work, the casualty must be conscious and capable of
giving the rescuer some assistance. Take note on how the single rescuer
human crutch is affected. Note the position of the rescuer’s hands, one
holding the casualty’s wrist and the other taking a firm grip of the clothes at
the waist on the far side of the body. The injured side of the casualty should
be closest to the rescuer.
Illustration of Single Human Crutch
THE SINGLE HUMAN CRUTCH (Single Rescuer Human Crutch / Assist to
Walk / Supporting Carry ) VIDEO
 I. ONE-MAN CARRY
 1.2 FIRE FIGHTER CARRY (fireman's carry or fireman's lift )
-is a technique allowing one person to carry another person without assistance, by
placing the carried person across the shoulders of the carrier. The technique was
commonly used by fire-fighters to carry injured or unconscious people away from danger,
but has been replaced in fire-fighting due to the drawback that smoke and heat are
greater higher up, and may be fatal to the person being carried. Casualty is of light
weight and no spinal back injury.
1 2 3 4
FIRE FIGHTER CARRY (fireman's carry or fireman's lift ) VIDEO
I. ONE-MAN CARRY
 1.3 PACK-STRAP CARRY or BACK-STRAP CARRY
- The pack-strap carry can be used with conscious and unconscious persons. Using it
with an unconscious person requires a second responder to help position the injured or ill
person on your back. Do not use this assist if you suspect that the person has a head,
neck or spinal injury. This is an effective method when conducted correctly. When the
casualty has been loaded (he must be conscious) care should be taken to ensure that he is
supported well up on the rescuer's hips and his body literally draped across the rescuers
back.
PACK-STRAP CARRY or BACK-STRAP CARRY VIDEO
I. ONE-MAN CARRY
 1.4 PICK-A-BACK CARRY OR PIGGYBACK CARRY ( Saddle Back Carry )

“Victim should be responsive.”

Notice in the figure that where the casualty is incorrectly

positioned which might off balance the rescuer and fall.

PICK-A-BACK CARRY OR PIGGYBACK CARRY ( Saddle Back Carry ) VIDEO
I. ONE-MAN CARRY
 1.5 LOVER’S OR CRADLE CARRY ( ARM’S CARRY )

Responsive or unresponsive victim

LOVER’S OR CRADLE CARRY ( ARM’S CARRY ) VIDEO
I. ONE-MAN CARRY
 1.6 BACKWARD DRAG (CRADLE DROP DRAG)
- Position the casualty on his back. Kneel at the casualty's head. Slide your hands (palms up)
under his shoulders and grasp the clothing under his armpits. Partially rise so the casualty is
pulled to a semi-sitting position. If possible, bring your elbows together and use both forearms
to support the head. If not, support his head on one of your arms. Rise to a stooped position and
walk backward, dragging the soldier.
CAUTION: If you are going down steps, walk down them carefully going backward. Support the
soldier's head and shoulders, letting his hips and legs drop from step to step.
INCLINED OR BACKWARD DRAG (CRADLE DROP DRAG) VIDEO 1
INCLINED OR BACKWARD DRAG (CRADLE DROP DRAG) VIDEO 2
 TWO-MAN CARRY

1. Two-man assist to walk

2. Two-man carry by extremities
3. Two-man fireman’s carry with assistant
4. Two-man hand as litter
5. Two-man four hand seat
II. TWO-MEN CARRY
 2.1 DOUBLE HUMAN CRUTCH ( ASSISTS TO WALK / TWO-MAN SUPPORTING CARRY )
- this method is similar to the one rescuer human crutch, except that the casualty is
supported on both sides. The arms of the rescuers cross over on the casualty's back and
grasp the clothing on the opposite sides of his body.
DOUBLE HUMAN CRUTCH ( ASSISTS TO WALK / TWO-MAN SUPPORTING CARRY ) VIDEO
II. TWO-MEN CARRY
 2.2 TWO-PERSON DRAG HUMAN CRUTCH (By arms and legs Carry or Extremity Carry)

 VICTIM IS UNREPONSIVE OR UNCONCIOUS

TWO-PERSON DRAG HUMAN CRUTCH (By arms and legs Carry or Extremity Carry) VIDEO
II. TWO-MEN CARRY
 2.3 TWO-HANDED SEAT ( Hand as a litter or two arms carry)
- This is a simple method of dealing with a casualty who has to be carried. The victim is
conscious and responsive.
The two-hand seat carry is used to move a casualty a short distance. The carry is
performed in the following manner
 a. The bearers position the casualty on his back.
 b. The bearers position themselves on opposite sides of the casualty's hips (facing each
other) and kneel on either side of casualty, get him into a sitting position
 c. Each bearer passes one arm under the casualty's back and the other arm under the
casualty's thigh. Their free arms are then crossed over the casualty's back.
II. TWO-MEN CARRY
 continuation of TWO-HANDED SEAT ( Hand as a litter or two arms carry)……….
 d. The bearers grasp each other's wrists securely.

 e. Upon command from the leader, both bearers (still facing each other) rise in
unison, lifting the casualty.

 f. Upon command from the leader, both bearers move forward

TWO-HANDED SEAT ( Hand as a litter or two arms carry) VIDEO
TWO-HANDED SEAT ( Hand as a litter or two arms carry) VIDEO
 II. TWO-MEN CARRY
 2.4 THREE-HANDED SEAT
This method gives the casualty good support and is reasonably comfortable for the rescuers and to carry a casualty
with one leg injured. It has the added advantage that the two rescuer team has a spare hand for steadying.
- One rescuer grasps his left wrist with his right hand and the second rescuer places his hand and wrist as shown in Figure (a) .
This forms a seat.

- If the casualty is capable of standing for a short period he can be loaded by placing
the seat under his buttocks, but if not, the rescuers' hands must be placed under the
casualty's knees first and then joined up. In either case the result should be as in
Figure (b) .
THREE-HANDED SEAT ILLUSTRATION
THREE-HANDED SEAT VIDEO
II. TWO-MEN CARRY
 2.5 FOUR-HANDED SEAT ( FOUR-HAND SEAT CARRY )
This is a method where each rescuer grasps their left wrist and the hands are joined up . This provides a
comfortable seat for the casualty and places a minimum strain on the rescuers. However, as can be seen in Figure
5:34b the casualty must be sufficiently conscious to hold on.

 OR
FOUR-HANDED SEAT ILLUSTRATION
FOUR-HANDED SEAT ( FOUR-HAND SEAT CARRY ) VIDEO
FOUR-HANDED SEAT ( FOUR-HAND SEAT CARRY ) VIDEO
II. TWO-MEN CARRY
 2.6 CHAIR CARRY (Chair as a litter)
 - The chair carry can often by used to move a sick or injured person away from a position of danger.
The casualty is seated on a chair and the chair is carried by two rescuers. This is a particularly good
method to use when you must carry a person up or down stairs or through narrow, winding passageways.
It must NEVER be used to move a person who has an injured neck, back, or pelvis.

(a) Victim is Conscious or Responsive (b) Victim is unconscious or unresponsive

Chair as a litter VIDEO
Chair as a litter VIDEO
II. TWO-MEN CARRY

 2.7 TWO-MAN ARMS CARRY

 1. Hammock carry

 2. Bearer’s along side

 THREE-MAN CARRY

1. Hammock carry

2. Bearer’s along side

III. THREE-MAN CARRY :
 3.1 HAMMOCK CARRY ( Three-man hammock carry )
How is it helpful?
 The Hammock Carry, or the Three-man Carry, is helpful when the patient is unconscious or cannot move
and needs to be moved.
 The hammock carry is a method of moving a patient with three or more rescuers positioned on both
sides of the victim. (usually with the strongest on a side with the fewest rescuers. )
 There are three rescuers, two on one side and one on the other.
 They have a tight grasp on the other rescues wrist guaranteeing a secure hold.
 III. THREE-MAN CARRY :
Continuation of HAMMOCK CARRY ( Three-man hammock carry )……

How do you carry it out?

 Reach under the victim and grasp one wrist on the opposite rescuer.

 The rescuers on the ends will only be able to grasp one wrist on the opposite rescuer.

 The rescuers with only one wrist grasped will use their free hands to support the victim's head and feet/legs.

 Then the rescuers will squat and lift the victim on the command of the person nearest the head.

Hands Positoning (Top View) How to Lift Final Position prior to Leader’s Command
THREE-MAN CARRY – Hammock Carry HANDS POSITIONING
HAMMOCK CARRY ( Three-man hammock carry ) VIDEO 1
HAMMOCK CARRY ( Three-man hammock carry ) VIDEO 2
HAMMOCK CARRY ( Three-man hammock carry ) VIDEO 3
III. THREE-MAN CARRY :
 3.2 BEARERS ALONG SIDE (NARROW ALLEY) : “STRETCHER LIFT”
 - This technique is for lifting a patient into a bed or stretcher, or for transporting them short
distances. The PROCEDURES will be as follows:
 Each person kneels on the knee nearest the victim’s feet.
 On the command of the person at the head, the rescuers lift the victim up and rest the victim
on their knees.
 If the patient is being placed on a low stretcher or litter basket : On the command of the
person at the head, the patient is placed down on the litter/stretcher.
 If the victim is to be placed on a high gurney/bed or to be carried: At this point, the rescuers
will rotate the victim so that the victim is facing the rescuers, resting against the rescuers’
chests. On the command of the person at the head, all the rescuers will stand. To walk, all
rescuers will start out on the same foot, walking in a line abreast.
BEARERS ALONG SIDE (NARROW ALLEY) : “STRETCHER LIFT” VIDEO 1
BEARERS ALONG SIDE (NARROW ALLEY) : “STRETCHER LIFT” VIDEO 2
BEARERS ALONG SIDE (NARROW ALLEY) : “STRETCHER LIFT” VIDEO 3
 FOUR/SIX/EIGHT-MAN CARRY
1. Hammock Carry and Bearers along Side

2. Blanket
3. Use of stretchers:
3.1 Improvise stretcher
1.1.2 Shirts or Coats
2.1.2 Empty Sacks
3.2 Military stretcher
3.3 Ambulance stretcher
4. Use of long spinal board
5. To load and unload in an ambulance
FOUR-MAN CARRY – Hammock Carry HANDS POSITIONING
FOUR-MAN CARRY – Hammock Carry
FOUR-MAN CARRY – Bearers along side
IV. FOUR-TO-SIX MAN LIFT/CARRY:
 4.1 BLANKET CARRY
 This is an effective method for loading or moving a casualty in a confined space. This 'blanket carry can also be used as an
improvised stretcher for carries over moderate distances.
 NOTE: Suspected spinal injured casualties can be safely transported by this method with correct immobilisation of the spine
and with particular attention paid to the head and neck.
 PROCEDURES:
(a) Make a stretcher ready using one blanket only.
(b)Roll a blanket lengthwise and lay the rolled edge along the side of the casualty (casualty flat on back).
(c) Roll the edge back to about half the width of the blanket.
(d) The leader then directs two (or three) rescuers to kneel down on each side of the casualty. The rescuers on one side ease
the casualty over on one side and the rolled section of the blanket is pushed well underneath the casualty.
(e) With the rolled up section of the blanket now under the centre of the casualty, the casualty is eased over in the opposite
direction and the blanket is unrolled. The casualty should now be lying flat on two thicknesses of blanket.

(f) The sides of the blanket are rolled up close to the casualty's body to provide handgrips for the bearers. (Figure 5:21)

(g) On the order from the leader, the casualty is lifted waist high, and carried to the stretcher.

(h) On the order from the leader, the casualty is lowered onto the stretcher.

(i) The blanketing is then completed with one blanket, leaving the lifting blanket in position.
 IV. FOUR-TO-SIX MAN LIFT/CARRY:

continuation of BLANKET CARRY…………

 This 'blanket carry' can also be used as an improvised stretcher for carries over moderate
distances.
NOTE:
Suspected spinal injured casualties can be safely transported by this method with
correct immobilisation of the spine and with particular attention paid to the head and neck.
Improvised stretcher, Blanket VIDEO: Part 1
Improvised stretcher, Blanket VIDEO: Part 2
SUMMARY of Emergency Carry Techniques VIDEO 1
SUMMARY of Emergency Carry Techniques VIDEO 2
SUMMARY of Emergency Carry Techniques VIDEO 3
END OF PRESENTATIONS…
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GOD BLESS!

BY:
ENGR. HERDINIO Z. CAÑEJA