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Patient Packaging and Litter Transport

Patient Packaging and Litter Transport. CMRU - November 15, 2006 Todd Shechter/Chris Davis. Points to cover. Review of CMRU equipment Patient Packaging Litter transport HEATPAC: Personal Heater. Review of CMRU Equipment. Folding litter Sleeping bag Bivy sack blankets Pad

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Patient Packaging and Litter Transport

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  1. Patient Packaging and Litter Transport CMRU - November 15, 2006 Todd Shechter/Chris Davis

  2. Points to cover • Review of CMRU equipment • Patient Packaging • Litter transport • HEATPAC: Personal Heater

  3. Review of CMRU Equipment • Folding litter • Sleeping bag • Bivy sack • blankets • Pad • (subject’s clothes/pack/sack/pad) • (our clothes/pack/sack/pad)

  4. Patient Packaging • Litter is main tool - developed in 1895 by Charles Stokes • Remain secure in the litter, any of five positions: • horizontal • on their side • feet down • head down • face down • Normal position: horizontal or feet down • Start with splinting/wound management • Padding beneath patient, litter pads are not enough

  5. Patient Packaging - 2 • Tarp, blanket, or bivy in litter -- our litter is not their last transport mechanism • Ask if need to pee/poop before loading • Padding, padding, padding: • Under knees, between legs, along sides, around head • Not under neck • Never leave subject unattended, always have plan if need to tip subject • Strap subject in tight, don’t depend on seat belts

  6. Patient Packaging - 3 • On-going care: pedal pulse/vitals • Ask subject if they feel numbness/tingling/hot spots (indicates straps too tight or loose)

  7. Litter transport • Rescuer on head is in charge. • Before lift, ask “is anyone not ready?” • Feet first, rescuer on head can see forward • People to clear trail/rotate out • Straps to adjust height • Snow travel: webbing/ropes to help pull

  8. HEATPAC: Personal Heater • Used for warming hypothermic subjects • Works by warming air and circulating through tubes • Charcoal fuel element, D-cell battery, match to start • Start with vent open, close after 10 min • 20 minutes to reach operating temp • Lasts 8-12 hours • Exhaust to open air if possible • Do not use in confined spaces (in vehicle)

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