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| + | == Aids == |
| {{Lesson plan/Header}} | | {{Lesson plan/Header}} |
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| == Subject == | | == Subject == |
| {{prompt|What is this lesson plan about?}} | | {{prompt|What is this lesson plan about?}} |
- | Moving the subject after they have been located.
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| == Authors == | | == Authors == |
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| == Scope == | | == Scope == |
| {{prompt|What is included in this lesson, what's not and why.}} | | {{prompt|What is included in this lesson, what's not and why.}} |
- | : Addresses part of [[Members:CSA/Z1625/Text/Searcher training curriculum/First aid and survival skills/First aid|CSA Z1625 4.4.1]]
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- | :* part of T1. First aid procedures related to relevant search environment.
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| : SAR Fundamentals Manual: Ch.26 "Evacuation" | | : SAR Fundamentals Manual: Ch.26 "Evacuation" |
| : Basic SAR Skills Manual: Ch.23 "Rescue and Evacuation" | | : Basic SAR Skills Manual: Ch.23 "Rescue and Evacuation" |
- | : include litter carry / patient packaging | + | : [include litter carry / perhaps patient packaging] |
- | : does not include spinal restriction / C-collar / backboard
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| == Prerequisites == | | == Prerequisites == |
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| == Objectives == | | == Objectives == |
| At the conclusion of this lesson the participants: | | At the conclusion of this lesson the participants: |
- | # can identify roles within an evacuation | + | # will be able to ... |
- | # can reduce patient stress
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- | # can package patient in stretcher
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- | # can safely carry a patient in a stretcher through terrain difficulties
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| == Time Plan == | | == Time Plan == |
- | Total Time: 40 minutes lecture, 30 minute practice | + | Total Time: 30 minutes |
- | * 2013-02: 25 min
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| {{lesson slides start}} | | {{lesson slides start}} |
| {{lesson slide|00:00|3 min}} | | {{lesson slide|00:00|3 min}} |
- | [[Image:SAR Basics Evacuation.pdf|page=1|thumb]]
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- | [[Image:SAR Basics Evacuation.pdf|page=2|thumb]]
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| Introduce topic title | | Introduce topic title |
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| Present Objectives | | Present Objectives |
- | # can identify roles within an evacuation
| + | {{lesson slide|00:03|}} |
- | # can reduce patient stress
| + | instructional points in normal font |
- | # can package patient in stretcher
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- | # can safely carry a patient in a stretcher through terrain difficulties
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- | {{lesson slide|00:03|1 min}} | + | |
- | [[Image:SAR Basics Evacuation.pdf|page=3|thumb]]
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- | [[Image:SAR Basics Evacuation.pdf|page=4|thumb]]
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- | '''Evacuation Concept
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- | | + | ''aids, exercises, activities in italic'' |
- | {{lesson slide|00:04|2 min}}
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- | [[Image:SAR Basics Evacuation.pdf|page=5|thumb]]
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- | [[Image:SAR Basics Evacuation.pdf|page=6|thumb]]
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- | ''Carry vs. ... | + | |
- | | + | |
- | * helicopter extraction
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- | * stay
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- | | + | |
- | {{lesson slide|00:06|3 min}}
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- | [[Image:SAR Basics Evacuation.pdf|page=7|thumb]]
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- | [[Image:SAR Basics Evacuation.pdf|page=8|thumb]]
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- | [[Image:SAR Basics Evacuation.pdf|page=9|thumb]]
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- | [[Image:SAR Basics Evacuation.pdf|page=10|thumb]]
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- | Roles in Evacuation
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- | | + | |
- | inner circle (medical) vs. outer circle (rescue)
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- | | + | |
- | * team leader
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- | * first aider
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- | * advocate
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- | * stretcher bearers
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- | * scouts
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- | ** scout out entire route
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- | ** avoid having to back track
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- | ** entire route doesn't need to be flagged, but does need to be obvious to the guide
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- | * guide
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- | | + | |
- | Additional resources will be sent in
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- | * up to 24 people required to sustain carry of stretcher in difficult terrain
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- | | + | |
- | {{lesson slide|00:09|2 min}}
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- | [[Image:SAR Basics Evacuation.pdf|page=11|thumb]]
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- | Medical Considerations
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- | | + | |
- | * take priority over most other aspects of evacuation
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- | * continuing monitoring of vital signs
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- | * access to injuries and extremity
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- | * risk of vomiting
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- | * hypothermia
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- | | + | |
- | {{lesson slide|00:11|2 min}}
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- | [[Image:SAR Basics Evacuation.pdf|page=12|thumb]]
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- | Subject Safety
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- | | + | |
- | * can't protect themselves
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- | * situations that may be safe for the stretcher bearers may not be safe for the subject
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- | ** e.g. a slip, might mean stretcher bearer catches themselves with hands, subject has unprotected fall
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- | * what are the risks? how likely are they? how serious are they? how can they be mitigated?
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- | | + | |
- | * lower down, face up, more exposed
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- | * safety glasses, face shield, clear plastic sheet
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- | | + | |
- | | + | |
- | {{lesson slide|00:13|2 min}}
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- | [[Image:SAR Basics Evacuation.pdf|page=13|thumb]]
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- | Subject Comfort
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- | | + | |
- | * pressure sores (can become medical issue)
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- | ** more issue for SAR than other training (longer periods)
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- | ** thermarest
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- | ** packing voids
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- | ** Padding, too much is almost enough
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- | * hydration
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- | * excretion
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- | | + | |
- | {{lesson slide|00:15|3 min}}
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- | [[Image:SAR Basics Evacuation.pdf|page=14|thumb]]
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- | Subject Stress
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- | | + | |
- | * very scary being the subject
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- | * losing control
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- | * calm voices, no shouting, listening, not talking at the same time, avoid side conversations
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- | ** even if unconscious
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- | * build rapport with subject, patient advocate
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- | * use subject's name, introduce yourself, talk to subject
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- | * engage subject in their own care
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- | * sight lines, generally move feet first
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- | * avoid lights in eyes
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- | * dust, dirt, debris
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- | * claustrophobia
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- | ** arms in/out of packaging
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- | | + | |
- | {{lesson slide|00:18|3 min}}
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- | [[Image:SAR Basics Evacuation.pdf|page=15|thumb]]
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- | Types of Stretchers
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- | | + | |
- | * wire basket stretcher (e.g. Stokes)
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- | * polyethylene basket stretcher (ferno)
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- | * two piece polyethylene basket stretcher
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- | * wheeled stretcher
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- | * mountain stretcher (e.g. Mariner)
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- | * field litter
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- | | + | |
- | {{lesson slide|00:21|23 min}}
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- | [[Image:SAR Basics Evacuation.pdf|page=16|thumb]]
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- | [[Image:SAR Basics Evacuation.pdf|page=17|thumb]]
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- | '''Order of Packaging - No backboard - theory
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- | | + | |
- | ''demonstrate packaging'' (add 10 minutes)
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- | | + | |
- | * stretcher
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- | * burrito lashing laid out
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- | * tarp open
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- | * sleeping bag (open)
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- | * thermarest (deflated)
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- | * empty pockets
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- | * patient
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- | * pad hollows (neck, small of back, under knees, between legs)
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- | * environmental protection
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- | ** close sleeping bag
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- | ** add blankets
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- | ** space blanket -- condensation issue
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- | ** fold tarp
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- | ** tie burrito lashing
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- | ** inflate thermarest
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- | * stretcher lashing
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- | ** cross at chest, cross at hip, above knees, below knees
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- | * faceshield / sunglasses
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- | | + | |
- | {{lesson slide|00:24|3 min}}
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- | [[Image:SAR Basics Evacuation.pdf|page=18|thumb]]
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- | Complex Packaging
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- | | + | |
- | spinal restrictions
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- | * advanced or wilderness first aid skill
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- | * thermarest goes between patient and backboard
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- | | + | |
- | rope rescue
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- | * needed for >15° slope or unstable terrain
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- | * improvised harness goes on patient
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- | * stretcher lashing is more complicated
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- | | + | |
- | People with these higher level skills will be brought in to work with
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- | you on packaging
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- | | + | |
- | {{lesson slide|00:27|1 min}}
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- | [[Image:SAR Basics Evacuation.pdf|page=19|thumb]]
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- | Carrying
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- | | + | |
- | * similar height on opposite sides
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- | * Carry the litter level or, if not possible, head high unless medical control suggests otherwise
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- | * use of webbing over outside shoulder
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- | ** don't tie yourself in
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- | | + | |
- | | + | |
- | {{lesson slide|00:28|2 min}}
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- | [[Image:SAR Basics Evacuation.pdf|page=20|thumb]]
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- | [[Image:SAR Basics Evacuation.pdf|page=21|thumb]]
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- | [[Image:SAR Basics Evacuation.pdf|page=22|thumb]]
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- | [[Image:SAR Basics Evacuation.pdf|page=23|thumb]]
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- | [[Image:SAR Basics Evacuation.pdf|page=24|thumb]]
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- | [[Image:SAR Basics Evacuation.pdf|page=25|thumb]]
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- | [[Image:SAR Basics Evacuation.pdf|page=26|thumb]]
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- | '''Rotation
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- | | + | |
- | {{lesson slide|00:30|1 min}}
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- | [[Image:SAR Basics Evacuation.pdf|page=27|thumb]]
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- | '''Carrying - cont.
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- | * anyone can call a break
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- | | + | |
- | {{lesson slide|00:31|1 min}}
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- | [[Image:SAR Basics Evacuation.pdf|page=28|thumb]]
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- | '''Lift/Lower
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- | | + | |
- | * safe lifting practice
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- | ** don't take stretcher bearer role if bad back, shoulder, wrist
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- | ** Lift with your legs (not your back)
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- | * lift/lower called by person at head
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- | ** "on my call, we will lift"
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- | ** "anyone not ready?" (ask in the negative)
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- | ** "one, two, lift"
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- | | + | |
- | | + | |
- | {{lesson slide|00:32|1 min}}
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- | [[Image:SAR Basics Evacuation.pdf|page=29|thumb]]
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- | '''Carrying Straps
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- | | + | |
- | | + | |
- | ''exercise: short carry and lower''
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- | | + | |
- | {{lesson slide|00:33|2 min}}
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- | [[Image:SAR Basics Evacuation.pdf|page=30|thumb]]
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- | [[Image:SAR Basics Evacuation.pdf|page=31|thumb]]
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- | Moving
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- | | + | |
- | ''exercise: resume the carry, adding complications of terrain to bring out the following points''
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- | | + | |
- | * Use of scout
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- | * relief comes in from front
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- | ** exchange sides to relieve your tired arm
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- | ** pass forward
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- | * obstacles/difficult terrain, stand still with firm footing and pass forward
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- | * subject is vomiting
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- | ** place on ground and lift one side to near vertical
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- | | + | |
- | {{lesson slide|00:35|30 min}}
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- | '''Exercise
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- | | + | |
- | ''practice wrap
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- | | + | |
- | ''practice raise/lower
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- | | + | |
- | ''practice carry
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- | ''practice rotation
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- | ''navigate obstacles | + | |
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- | {{lesson slide|01:05|5 min}}
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- | Questions
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- | [[Image:SAR Basics Evacuation.pdf|page=14|thumb]]
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| {{lesson slides end}} | | {{lesson slides end}} |
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| == Aids == | | == Aids == |
| {{prompt|What materials are needed or useful in presenting this lesson.}} | | {{prompt|What materials are needed or useful in presenting this lesson.}} |
- | * slides {{document format links|SAR Basics Evacuation}} | + | * [[/Restricted|non-publishable material]] |
| * wire mesh stretcher | | * wire mesh stretcher |
| * webbing | | * webbing |
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| ** 1 x 10+m or 2 x 7m | | ** 1 x 10+m or 2 x 7m |
| * improvised terrain or obstacles | | * improvised terrain or obstacles |
- | == References ==
| + | |
- | * [[/Restricted|non-publishable material]]
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- | * {{link|Image:SAR Fund CJ Evacuation.pdf}}
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- | * [[Training/Ideas/First aid]]
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- | * {{link|Image:Members:Short History of Stretchers.pdf}}
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- | <gallery>
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- | Image:Members:Folding Military Field Litter.jpg
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- | </gallery>
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- | * BICO Module #3 Snowmobiler Basic Tx Principles (10 min video)
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| == Question bank == | | == Question bank == |
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| Recommended license below. Fill in the year and the author's name(s): | | Recommended license below. Fill in the year and the author's name(s): |
| | | |
- | Copyright © 2013-2018, Chris Jorgensen, Brett Wuth. | + | Copyright © YEAR, Author. |
| This work is licensed under a | | This work is licensed under a |
| Creative Commons Attribution-NonCommercial 2.5 Canada License. | | Creative Commons Attribution-NonCommercial 2.5 Canada License. |