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{{Lesson plan/Header}}
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== Aids ==
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Slide show
== Subject ==
== Subject ==
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{{prompt|What is this lesson plan about?}}
 
Moving the subject after they have been located.
Moving the subject after they have been located.
== Authors ==
== Authors ==
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{{prompt|List who wrote this lesson plan.}}
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Chris Jorgensen
== 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.}}
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: 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.
 
: 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"
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: include litter carry / patient packaging
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: [include litter carry / perhaps patient packaging]
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: 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:
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# can identify roles within an evacuation
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# will be able to ...
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# 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 ==
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Total Time: 40 minutes lecture, 30 minute practice
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Total Time: 30 minutes
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* 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}}
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[[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
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# can identify roles within an evacuation
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{{lesson slide|00:03|}}
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# can reduce patient stress
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instructional points in normal font
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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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{{lesson slide|00:03|1 min}}
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[[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''
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{{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. ...
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* 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}}
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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.}}
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* slides {{document format links|SAR Basics Evacuation}}
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* [[/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
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== References ==
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* [[/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):
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Copyright © 2013-2018, Chris Jorgensen, Brett Wuth.
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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.

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