Can you carry a litter on uneven terrain safely?

Assessing Terrain

When navigating uneven terrain with a litter, assess the ground for potential hazards such as loose rocks, steep drop-offs, and uneven surfaces. Look for stable routes that minimize the risk of accidents or injuries. Consider creating a “litter trail” by clearing a path through dense vegetation or debris to ensure a smooth and safe passage.

Preparing the Litter

Before attempting to move the litter, ensure all patients are properly secured and stabilized. Use a minimum of two attendants per litter, with one person at each end and one in the middle. Use a “litter lock” or secure the patient’s limbs with straps to prevent movement during transport. Practice lifting and moving the litter with the same attendants to develop a seamless and efficient system.

Evacuating the Litter

When evacuating the litter, use a " bear crawl" or “inverted V” technique to navigate steep or uneven terrain. Position the litter attendants in a staggered formation, with one person in front, one in the middle, and one at the back. Communicate constantly and use hand signals to maintain control and coordination. Aim for a pace of 2-3 miles per hour to conserve energy and maintain patient stability.