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Foundations · Chapter 5 Not started
Moving, Lifting, and Transporting Patients
Body mechanics, emergency and non-emergency moves, and getting patients off the hill safely.
Key points
- Lift with your legs, keep the back straight and the load close to your body, and communicate every move with clear commands.
- Emergency moves (drags, rapid extrication) are justified only by immediate danger — fire, avalanche risk, inability to reach a critical patient.
- Non-urgent moves wait until assessment and stabilization are complete; suspected spine injuries get spinal motion restriction before movement.
- Common patrol moves include the extremity carry, direct ground lift, log roll, and BEAM/lift-and-slide onto a board or litter.
- Secure patients in the toboggan feet-first downhill on typical terrain, packaged against cold, with the airway monitored throughout transport.
- Know your limits: call for more rescuers rather than risking a drop or a back injury.
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