• UNIT 6 VICTIM’S EVACUATION TECHNIQUES

    Key unit competence
    Apply correctly the technique of victim’s evacuation during emergencies
    Introductory activity 6

    Observe the image below and respond to the asked questions

    1. What does the illustrates A, B, C and D above show?
    2. What are the materials do you see in use in the mentioned illustrate?
    3. Differentiate different technique for victim evacuation observed on the
    illustrate above.
    6.1.Basic concepts of emergency response and management

    (ERM)

    1) Observe the image above and mention what they all have in common.
    2) Referring to the above image explain the term emergency and emergency
    response
    a) Emergency /Disaster
    An emergency is a situation that poses an immediate risk to health, life, property,
    or environment. Most emergencies require urgent intervention to prevent a
    worsening of the situation. While some emergencies are self-evident (such as
    a natural disaster that threatens many lives), many smaller incidents require that
    an observer (or affected party) decide whether it qualifies as an emergency.
    b) Emergency Response
    Response is a reaction to an emergency situation or event. Response can range
    from individual to national level. The response phase of an emergency may
    commence with search and rescue but in all cases the focus will quickly turn to
    fulfilling the basic lifesaving and humanitarian needs of the affected population.
    For the disaster, emergency response is the phase of the disaster-management
    cycle that often attracts the most attention and resources. It should therefore be
    seen as a critical part of the disaster management cycle. Emergency response is
    a cyclical process, involving repeated assessment, planning, action and review, to
    respond appropriately to needs and capacities as they evolve. It starts with an initial
    assessment and may be triggered spontaneously by the disaster event, or officials
    may authorize the mobilization of people and resources. Rapid and effective
    mobilization is facilitated by proper disaster preparednes
    -Aim of the Emergency Response Management
    To reduce mortality rate and damage to property thereby reducing the impacts of
    disaster and to ensure successful recovery of maximum number of people
    -Importance of a Timely and Coordinated Response
    Depending on injuries sustained by the victim, outside temperature, and victim’s
    access to air and water, the vast majority of those affected by a disaster will die
    within 72 hours after impact
    -Activities included in emergency response management
    • Search & Rescue
    • Fire Fighting
    • Emergency Medical Assistance including first aid, mass casualty
    management and physiological first aid etc.
    • Transportation of victims
    • Need Assessment Survey
    • Hospital Preparedness
    • Evacuation
    • Provision of food and non-food items
    • Temporary shelter
    • Emergency repair of critical facilities
    • Security measures/tracing/family reunification
    c) Emergency management
    Emergency management
    is the organization and management of the resources
    and responsibilities for dealing with all humanitarian aspects of emergencies. The
    aim is to reduce the harmful effects of all hazards, including disasters.
    The emergency management has 4 phases. preparedness, response, mitigation,
    and recovery
    Emergency Preparedness is a research-based set of actions that are taken as
    precautionary measures in the face of potential disasters. These actions can include
    both physical preparations (such as emergency supplies depots, or adapting
    buildings to survive earthquakes) and trainings for emergency action. Preparedness
    is an important quality in achieving goals and in avoiding and mitigating negative
    outcomes.
    Disaster Mitigation is the ongoing effort to lessen the impact disasters have on
    people and property. Mitigation involves keeping homes away from floodplains,
    engineering bridges to withstand earthquakes, creating and enforcing effectives.
    building to protect property from sliding etc. Mitigation describes the ongoing effort
    at the federal, state, local and individual levels to lessen the impact of disasters
    upon families, homes, communities and economy.
    Recovery is those activities that continue beyond the emergency period to restore
    lifelines. Examples include providing temporary shelter, restoring power, critical
    stress debriefing for emergency responders and victims, job assistance, small

    business loans, and debris clearance

    Self-assessment 6.1.

    1) Mitigation in the disaster management cycle involves what activity?
    a) Prevention of disasters if possible
    b) Caring for the birds injured
    c) Responding to the disaster
    d) Preparing for litigation after the event
    2) Disasters can happen at any time. What is the first part of the disaster
    management cycle to consider?
    a) Response
    b) Litigation
    c) Recovery
    d) Preparation
    3) Most emergencies require urgent intervention to prevent a worsening of
    the situation
    a) Yes
    b) Not
    4) installing electricity destroyed after an earthquake strike is considered an
    activity of:
    a) Emergency Recovery
    b) Emergency preparedness
    c) Emergency mitigation
    d) Emergency litigation

    6.2. Local level search and rescue technique


    Analyze carefully the following images above and respond to the question aside.
    1) Explain the common features observed among people on this picture?
    2) What are different tasks are they doing?
    3) How do you find the place where they are performing their duties?
    4) What might be the cause of the situation observed on these pictures?
    Search and rescue is a technical activity rendered by a group of specially trained
    personnel, who rescue and attend to the casualties under adverse conditions,
    where life is at threat. Search and rescue is organized in close cooperation with
    the community and in a team approach. The search and rescue activities are
    undertaken in two ways such as community local rescuers and outside community
    rescuers.
    6.2.1 Community Local Rescuers
    With adequate safety measures, rescue immediately after any natural calamities
    such as cyclone, flood, earthquake and fire in a community.
    6.2.2 Outside Community Resources
    Circumstances where the situation is grave and the local rescuers do not have
    required efficiency and equipment, then specialist assistance from outside the
    community is required. The role of public health providers is to promote, protect,
    and improve the health of individuals and communities. The community rescuers
    shall have to be in readiness to respond quickly, when a cyclone, flood, earthquake
    and fire occur. The rescuers efficiency level has to be maintained thorough practice
    nd demonstrations /mock-drills during the non-disaster period. The rescue team
    should undergo standard training from time to time.
    6.2.3 Rescue workers
    An event requiring rescue operations will usually create three categories of rescue
    workers survivors, untrained personnel and trained personnel.
    a) Survivors
    The immediate reaction of survivors in a major incident, once discovered that they
    are not injured, is to help their neighbors and families. They often do not know
    what to do, but obviously it is a serious situation and thus they feel they must do
    something.
    b) untrained personnel
    The second ‘wave’ of rescue workers is drawn from people either witnessing the
    event from the immediate vicinity, or are drawn to the site by curiosity and a desire
    to assist the victims. Although not quite as emotionally involved as the survivors,
    the danger inherent in utilizing untrained personnel is still a factor which must be
    considered. On the positive side, they often bring necessary resources with them
    and can be effective if brought under control and properly supervised.
    c) Trained personnel
    The last group to arrive at the scene is the trained rescuers: Police, Fire, Civil
    Defense, etc. It takes some time for various emergency services to mobilize and
    arrive at the scene. The quicker they can arrive, the less time there will have
    been for the first two groups to aggravate the situation and create more dangers
    to surviving victims and themselves. The well-trained team will know what to do,
    and how to utilize the available resources and untrained personnel in efficiently
    carrying out the necessary tasks in a manner that will not further endanger
    anyone.
    6.2.4 Team composition
    Team composition will be determined by the various organizations within each
    area on the basis of safe accomplishment of set tasks. Regardless of the team
    composition, a team leader must be appointed. A team of 6 – 8 members is
    required for effective general rescue teamwork. It is essential that each safe
    shelter form a rescue group, comprising of 8 members; Team leader: 1, Skilled
    persons: 2 Members: 5
    -Activation
    Each team should have a call out system established, and have determined the
    time necessary to ensure a full team response. This system should include such
    details as:
    • Who calls out the team
    • Who will be responsible for them
    • Where to report
    • What functions the team will perform
    • What equipment to take
    • Likely duration of task or event.
    -Deployment
    On call-out, teams should state clearly to the organization requesting their support,
    details of accommodation and any feeding assistance that may be required.
    If practicable, each team should be self-sufficient in the provision of food for the
    first 24 hours.
    -Coordinated incident management system (CIMS)
    The Coordinated Incident Management System) provides the model for command,
    control, and coordination of an emergency response. It provides a means of
    coordinating the efforts of agencies as they work towards the common goal of

    stabilizing an incident and protecting life, property, and the environment.

    Self-assessment 6.2

    1) Mention the two ways/levels search and rescue activities are undertaken.
    2) Explain role of the three types of rescue workers.
    3) How is the rescue team composed?
    4) How does a rescue team coordinated.
    6.3. Introduction to basic rescue victim’s techniques
    Learning activity 6.3

    Analyze careful the following image below and respond to the questions that

    follow

    1) What is the purpose of the different activities depicted on the image above
    2) Distinguish different technique observed on the image above.
    6.3.1. The aim of rescue
    The aim of rescue is to save the greatest number of lives in the shortest possible
    time and to minimize further injury to people and damage to property.
    -Basic rescue evacuation techniques: Evacuation and safe rescuing of victim by
    applying simple manual techniques can save the life of the victim. Regular hands
    on practice and drills will help the rescuer to safe lives in quicker and safer manners
    Rescue drag and victim evacuation techniques,
    • Required to evacuate an injured person from an emergency scene to a
    location of safety.
    • Manual carries are tiring for the rescuer and involve the risk of increasing the
    severity of the casualty’s injury.
    • Choose the evacuation techniques that will be least harmful, both to rescuer
    and the victim.
    • Causalities carried carefully and correctly handled, otherwise their injuries
    may become more serious or possibly fatal.
    • Situation permitting, evacuation of a causality should be organized and unhurried.
    • Each movement should be performed as deliberately and gently as possible.
    All rescuers must be aware that the safety of the casualty is paramount even
    when immediate evacuation from a hazardous environment is necessary. A careful
    assessment must be made of the casualties’ injuries, condition, and possible
    entrapment, and a final check must be made to ensure that the casualty is actually
    ready to move and is not caught or entangled in some unseen object. Selection or
    sorting of casualties before evacuation of casualties where multiple casualties need
    attention, the rescuer will be required to select casualties for treatment and rescue
    by order of priority. This selection or sorting of casualties is known as triage.
    Rescuers may be called upon to perform the triage role at a rescue site as a specific
    task, or this may be a part of the overall reconnaissance element of a rescue. While
    moving fairly quickly from casualty to casualty, the rescuer performing triage must:
    • Quickly assess the condition of casualties and label them.
    • Place any unconscious person in a lateral recovery position – care for airway,
    breathing, and circulation.
    • Temporarily control any serious bleeding by the use of bystanders or other
    rescuers as necessary.
    • Choose the casualties with the greatest chance of survival.
    It must be noted that it will sometimes be necessary to treat and rescue casualties
    of relatively low priority in order to access and clear the way for treatment of high
    priority casualties. Additionally, the principle of ‘remove the casualty from the risk or
    remove the risk from the casualty’ should be adopted where a site hazard presents
    a risk to casualties being treated prior to rescue.
    -casualty sorting
    Before transporting the causalities, it is important to start by sorting them, in other
    of priority.
    Red: Priorities are displayed using a color code system.
    • Those victims who need immediate advanced medical treatment (within 1
    hour) to survive.
    • These victims would have first priority for transport to a medical facility, if
    available.
    Yellow: These victims have serious injuries, but are not life threatening. They will
    survive without advanced medical treatment and their situation can be maintained
    through proper basic emergency care.
    Green: Minor injuries that can be dealt with by first aid, or can wait for some time
    without treatment
    Black: Deceased, or who are unlikely to survive given the situation.
    NOTE: These colour codes may constantly change, as the assessment of the
    casualties and their injuries is an ongoing process. The victim’s colour code may
    change as the situation changes (e.g., the availability of transport, medical supplies,
    etc). In a major incident, be prepared to wait some time without either advanced
    care on-site, or transport to an appropriate facility. After removal, many casualties
    will have to be carried over piles of debris and uneven ground before being handed
    over to the ambulance service or first aid station. Whilst speed of removal is
    important, it must be consistent with safety and proper handling to prevent further
    injury.
    The technique used will depend on the immediate situation, the condition of
    casualties, types of injuries, and available equipment. Rescue leaders should
    conduct frequent exercises in the removal of casualties, using live people as
    casualties to give team members understanding and confidence in the various
    methods, enabling them to make decisions promptly in times of emergency. As
    important as learning methods; rescuers should experience the physical effort
    required in transporting casualties, either by stretchers or by some improvised
    method. The transportation of casualties over long distances is a very tiring task
    and requires fit personnel.
    There are many types of victim evacuation techniques but in our context, we shall
    focus on:
    • Ankle pull
    • Shoulder pull
    • One-person lift
    • Pack-strap car
    • Two-person arm carry
    • Two person carry by arms and legs
    • Chair carry
    • Improvised stretcher
    • Fireman’s carry and

    • Blanket drag

    Rescue tools



    Self-assessment 6.3

    1) Explain the methods used to sort or selecting the victim evacuation in
    other of priority
    2) Outline the Rescue drag and victim evacuation techniques

    3) Mention and differentiate at least 2 different victim evacuation techniques

    6.4. Ankle pull


    a) Description

    Ankle pull evacuation technique is also known as ankle drag evacuation technique
    and is used to move a victim who is too large to carry or move in any or other way.
    Generally, the movement of a victim by lifting part of their body as the other part
    drags is often used when a carry isn’t possible or practical. Regardless of whether
    you carry or drag a victim to safety, you must remember to keep your own safety
    a high priority. It doesn’t sound heroic to say, but it does no good for anyone if you
    injure yourself and become part of the problem rather than the solution.
    Things to consider before deciding to use ankle pull technique.
    • How many victims are in need of rescue?
    • How many rescuers are available?
    • What are the capabilities and conditions of the rescuers?
    • What is the size and condition of the victim(s)?
    • What is the safety and stability of the environment?
    The feet drag is a last resort. Moving a victim in this manner will most certainly be
    uncomfortable for the victim and will likely cause greater injury. It’s a “life over limb”
    technique. This can really be accomplished only if the victim is unconscious because
    of the pain of dragging their torso and head along the ground. To perform ankle pull
    evacuation technique, the rescuer has to grasp firmly the ankles of victim and move
    backward, victim’s arms should be crossed aver his/her chest, the rescuer pulls the
    victim to safety in a straight line. The technique should not be used if the victim is

    suspected to have a spinal cord injury, head or neck injuries.


    Self-assessment 6.4
    In simulation lab or in classroom make pairs and perform the ankle pull victim’s
    evacuation technique.

    6.5. Shoulder pull


    a) Description
    The shoulder pull technique is a one-man rescue technique used to evacuate the
    causality from the danger area to the safe area or from the incident area to the
    hospital. Because in this procedure the rescuers use his own hand, therefore it
    does not require equipments. However, for trauma patients, it is always advised to
    evacuate them using equipment that allows stabilization of the whole body and safe
    handling of the injured in vertical and horizontal planes because maximum care
    must be taken to avoid to worsen an unstable trauma. The head-neck-chest axis
    must be kept straight to protect the spine, and the first responders must keep the
    patient’s body stable (no movement of the feet) before the pull.
    The shoulder pull is preferred to the ankle pull. It supports the head of the victim.
    The negative is that it requires the rescuer to bend over at the waist while pulling.
    b) Procedure
    • Grasp the victim by the clothing under the shoulders.
    • Keep your arms on both sides of the head.
    • Support the head.
    • Try to keep the pull as straight and in-line as possible
    • Pull the victim
    Self-assessment 6.5
    In group of 2 go in the skills lab and perform the technique of shoulder pull on

    each other

    6.6. One-person lifting


    One-person transport methods
    • Fireman’s Carry- the easiest way to transport a light and smaller victim.
    • Piggy Back- when the victim is conscious.
    • Pack Strap Carry- when the victim is smaller than the first aider.
    • Shoulder Drag- used when the floor is smooth, short distance transport.
    • Fireman’s Drag or Tied-hands Crawl- used when the first aider and the victim
    must crawl underneath a low structure.
    • Blanket Drag- used when the victim is seriously injured and should not be
    lifted.
    Factors to Consider before lifting the causality by one-person lift:
    • Weight and height of the victim
    • Status of the victim (conscious or unconscious)
    • Environment (safe, floor is smooth, narrow or wide)
    • Special need considerations (injuries of the victims)
    A single person who cannot walk but who does not need to be on a litter (one with,
    for example, a broken ankle, mild exhaustion, or acute mountain sickness) may
    be carried on the back of a strong rescuer using a rope seat. This is fashioned by
    passing a long 1 inch (2.5 cm) rope or strap across the victim’s back and under his
    arms, then crossing the rope in front of his chest.
    The victim is loaded piggyback onto the rescuer’s back, and the rope ends are
    passed forward over the shoulders of the rescuer, under his arms, and around to
    the rescuer’s back, then between and through the victim’s legs from the front, and
    around the outside of the victim’s legs just under the buttocks, to be tied snugly
    in front of the rescuer’s waist. Such a rope seat is far preferable to a standard
    fireman’s carry, which is very fatiguing. A blanket drag is only good for very short
    distances, such as to pull a person quickly away from an immediate hazard.

    One rescuer handling technique



    Application activity 6.6
    1) What are the factors to Consider before lifting the causality by one-person
    lift?
    2) In Fire Fighters Carry, the victim is carried over one _________.
    a) knee
    b) arm
    c) shoulder
    d) leg
    3) Go in the simulation lab, pair yourself and perform the one-person lift

    arms carry technique for victim evacuation.

    6.7. Pack- strap car victim evacuation technique
    Learning activity 6.7

    Analyze carefully the following images and respond to the questions below:


    1) The victim evacuation technique illustrated above is appropriate to a)
    unconscious patient, b) conscious patient, c) adult causality.
    2) describe in a stepwise approach the technique of pack-strap as observed

    on the illustrate A, B and C above.

    a) Description
    The pack-strap car is a rescue technique using no equipment for appropriate
    victim evacuation; the pack-strap car technique involves only one rescuer handling
    maneuvers to evacuate the causality from one area to another for appropriate care.
    This technique is used on the conscious casualty with no fractures of the extremities.
    b) Procedure
    • The rescuer turns his/her back to the standing casualty.
    • The rescuer after turning the back to the causality brings the causality’s arms
    over his/her shoulders to cross his/her chest.
    • The arms of causality must be kept straight as possible, the armpits over the
    shoulders of rescuer.
    • The rescuer holds casualty’s wrists, bends, and pulls the person onto his/her

    back.

    Self-assessment 6.7


    In your class make groups of two students one student will play the role of
    casualty while the second one will play the role of rescuer then perform the
    “pack- strap car” victim’ evacuation technique modeling on the illustrate above.
    After performing the first round exchange the role and reperform the “pack-strap

    car” victim’s evacuation technique

    6.8. Two person arms carry
    Two-person arms carry is a technique for victim evacuation which involve two
    rescuers to drag the victim in a safe place using their hands. Both conscious and
    unconscious victims can be carried with this technique. Two person carry involve
    human crutch/two person drag technique, two handed seat technique and fourhanded
    seat technique.
    6.8.1. Human crutch/two-person drag
    a) Description

    For the conscious victim, this carry allows the victim to swing their leg using the
    rescuers as a pair of crutches. For the unconscious victim, it is a quick and easy
    way to move a victim out of immediate danger

    b) Procedure


    Self-assessment 6.8.1

    In your groups model from the illustrate above and perform the technique of
    human crutch /two-person drag
    6.8.2. Two Handed- seat technique
    a) Description
    This technique is for carrying a victim for longer distances. This technique can
    support an unconscious victim.

    b) Procedure


    Self-assessment 6.8.2

    Pair yourself in groups of two and perform the technique of two handed- seat for
    victim evacuation modeling from the illustrate above
    6.8.3 Four handed- seat
    a) Description
    This technique is for carrying conscious and alert victims in a moderate distance.
    The victim must be able to stand unsupported and hold themselves upright during
    transport.

    b) Procedure


    Self-assessment 6.8.3

    Pair yourself in groups of 3 then model from the image above and perform the
    technique of four handed seat for victim evacuation.

    6.9. Two person carry by arms and legs


    Two persons carry by arms and legs technique is a method of victim evacuation
    where one rescue holds the victim legs and the other one hold the arms to drag the
    victims out of danger.
    a) Things to consider before attempting the two arms and legs carry
    technique

    • Explain the Procedure to the casualty. If the casualty is conscious, tell him
    what you are going to do. The explanation will help to calm his fears and will
    help you to get his cooperation.
    • Perform necessary measures before transporting. Make sure the casualty
    is breathing properly, open wounds have been dressed and bandaged, and
    fractures have been splinted before transporting the casualty.
    • Have one person in charge. One person must give the instructions to the
    remainder of the team so actions will be performed in union.
    b) Precautions:
    • Do not transport a casualty with a suspected fracture of the neck or back
    unless a life-threatening hazard is in the immediate area. Wait until medical
    personnel arrive.
    • Go slowly to avoid further injury. If the injured person is able to talk, check in
    frequently to make sure they are comfortable throughout the process.
    • In the event the injured person is unconscious, you may want to tie their
    hands loosely together at the wrists. This can make the carrying process
    easier.
    • Do not use anything thin or sharp to tie the person’s hands this could cut their
    wrists.

    c) Procedure



    Self-assessment 6.9

    1) What do you need to consider before evacuating a victim with arms and
    legs.
    2) Describe what the Fore and Aft method involves in two person carry by
    arms and legs evacuation technique.

    6.10. Chair carry technique


    a) Description

    A chair carry technique is a method often used to move a sick or injured person
    away from a position of danger. The casualty is seated on a chair and a chair is
    carried by two rescuers. The two-person seat carry requires a second responder.
    This carry can be used by any person who is conscious and not seriously injured.
    This method is prohibited if the casualty is suspected to have head, neck or spinal
    injuries.
    A chair carry method is a victim’s evacuation methods which doesn’t require
    equipments; only an appropriate chair is used.
    This is a good method for carrying victims up and down stairs or through narrow or

    uneven areas.

    b) Procedure


    Self-assessment 6.10

    In your class make groups of three students. One student will play the role of
    causality while the two others will play the role of rescuers then perform the “chair
    carry” victim’ evacuation technique. After performing the first round exchange
    the role and reperform the “chair carry” victim’s evacuation technique. Every

    student should play the role of rescuer.

    6.11. Improvised stretchers


    A stretcher is a light frame made from two long poles with a cover of soft materials
    stretched between them, used for carrying people who are ill, injured, or dead.
    Causality evacuation from the danger area to the safe area or from the incident
    area to the hospital is crucial to save life. However, in some situation there may be
    insufficient stretchers for the number of casualties involved. Therefore, improvised
    stretchers have to be used to carry victims.

    There are many methods of improvisation








    Self-assessment 6.11

    1) What are the materials needed to make a blanket stretcher

    2) Describe the process of making a stretcher with a door.

    6.12. Fire man’s carry technique


    a) Description

    A fireman’s carry or fireman’s lift is a technique allowing one person to carry
    another person without assistance. It requires placing the carried person across the
    shoulders of the carrier. This technique is for carrying a victim in longer distances.
    It is very difficult to get the person up to this position from the ground. Getting the
    victim into position requires a very strong rescuer or an assistant.
    Fireman’s carry technique was commonly used by firefighters to carry injured
    or unconscious people away from danger, but has been replaced in firefighting due
    to the drawback that smoke and heat are greater higher up, and may be fatal to the
    person being carried. The «fireman›s carry» technique is still taught for use outside
    firefighting. Soldiers use this technique to carry the wounded. Lifeguards are
    sometimes trained to use the fireman›s carry.
    b) Advantage
    Carrying someone in this manner has several advantages over other methods
    of moving another person. The subject’s torso is fairly level, which helps prevent
    further injuries. When the subject’s weight is evenly distributed over both shoulders,
    it is easier to carry them for a longer distance mainly 15 meters or more.
    The fireman’s carry is preferred over a single-shoulder carry if someone is seriously
    hurt or if the person must be carried for a considerable amount of time. A person
    being carried over one shoulder would experience more shaking as his or her body
    is hanging more freely over the carrier’s shoulder. Also, blood would be unevenly
    distributed if someone was hanging upside-down over the carrier›s shoulder for an
    extended period of time. This could also be a very uncomfortable position for the
    carried person if he or she is still conscious.
    The fireman’s carry allows a soldier to carry an injured comrade securely using only
    one hand, leaving their other hand free to carry and fire their weapon if required
    c) Disadvantages
    In firefighting, smoke and heat are greater higher up, and may be fatal to the person
    being carried. The person carried is largely outside the rescuer’s field of vision,
    and almost all vital areas are out of the rescuer’s view. Thus, dangerous changes
    in their condition can be missed, and an inexperienced rescuer can inadvertently
    create or further compound injuries via collision with obstacles. Furthermore, the
    rescuer’s obstructed peripheral vision puts both persons at risk if the incident that
    caused the injury is still ongoing (fire, combat, public disturbances, etc.). It is also
    harder to get a patient onto a rescuers shoulders than it is to drag a patient by their
    shoulders.
    The fireman’s carry presents severe hazards if the person being carried has or may

    have a spinal injury, and should be avoided.


    Self assessment 6.12

    Go to the playground, pair yourself in groups of two of the same weight the

    perform the technique of fireman’s carry.

    6.13 Blanket drag technique


    1) Explain the material observed on the first above image.
    2) Outline the advantages of victim evacuation technique observed on the
    above image?
    a) Description
    The blanket drag technique also known as “blanket lift or blanket carry” technique
    is an effective method for loading or moving a casualty in a confined space. This
    technique can be used to transport suspected spinal injured casualties with correct
    immobilization of the spine and with particular attention paid to the head and neck.
    This ‘blanket carry’ can also be used as an improvised stretcher for carries over
    moderate distances. This technique involves four or six rescuers.
    b) Procedure
    • Make a stretcher ready using one blanket.
    • Roll a blanket lengthways for half of its width and lay the rolled section along
    the side of the casualty (casualty flat on back).
    • 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.
    • With the rolled up section of the blanket now under the center 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 their back.
    • The sides of the blanket are rolled up close to the casualty’s body to provide
    handgrips for the bearers.
    • On the order from the leader, the casualty is lifted waist high, and carried to
    the stretcher.
    • On the order from the leader, the casualty is lowered onto the stretcher.
    • The blanketing is then completed with one blanket, leaving the lifting blanket

    in position.

    Self assessment 6.13

    In your class, make groups of seven students. One student will play the role of
    casualty while other students will be rescuers; then perform the “Blanket drag”

    evacuation technique

    End unit assessment 6

    From question 1-9; Select the bests answer, only one option is accepted:
    1) It is critical to know background information about the patient you are
    transporting because:
    a) It helps you remain proactive in the prevention of injury
    b) It can help you do your job better
    c) Such information can help to diagnose the patient
    d) You might have to relay the information to someone else
    2) A technique/method where rescuer 1 grasps the victim from behind at the
    midsection while the other rescuer grasping the outside of the knees is.
    a) Two-Person Carry by arms and legs
    b) Ankle Pull
    c) Blanket Drag
    d) Two Handed Seat
    3) The following are the methods in carrying and transporting a victim
    EXCEPT?
    a) fighters carry
    b) shoulder pull
    c) ankle pull
    d) chair carry
    4) In Fire Fighters Carry, the victim is carried over one _________
    a) knee
    b) arm
    c) shoulder

    d) leg

    5) What technique/method is shown in the image below?


    a) Four handed seat
    b) One-person carry
    c) Ankle pull
    d) Shoulder pull
    6) Which of the following technique is the best in moving downstairs a
    causality who has head or spinal injuries.
    a) Blanket drag
    b) Chair carry
    c) Rope carry
    d) Crutch carry
    7) A technique/method of carrying where in rescuers get on both sides of the
    victim is.
    a) Hammock Carry
    b) Chair Carry
    c) Three Person Carry
    d) Two Handed Seat
    8) This carry allows the victim to swing their leg using the rescuers as a pair
    of crutches.
    a) Blanket Drag
    b) Human Crutch
    c) Hammock Carry
    d) Crawling Technique
    9) What type of carry is desirable for picking up persons and carrying abreast
    in a straight for passing through a narrow place?
    a) Four-man carry
    b) Three-man hammock carry
    c) six-man carry
    d) Three man carry from one side
    Open questions
    1) What are the precautions to consider before carrying the causalities with
    two arms?
    2) Explain the method of two-handed seat:
    3) Describe the steps to follow when performing the technique of human
    crutch Carry?
    Clarify things to consider before attempting carrying the victim with two arms
    and legs. 5) List and explain the methods used to sort or selecting the
    victim evacuation in other of priority
    6) Explain with description the technique of fireman’s carry.

    7) Describe the method of blanket drag technique for victim evacuation

    UNIT 5 FIRST AID CARE OF THE SELECTED EMERGENCY CONDITIONS OF SELECTED BODY SYSTEMSUNIT 7 NURSING ASSESSMENT OF CARDIO VASCULAR SYSTEM