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== Subject ==
{{prompt|What is this lesson plan about?}}
Moving the subject after they have been located.

== Authors ==	
{{prompt|List who wrote this lesson plan.}}

== Scope ==
{{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]]  
:* part of T1. First aid procedures related to relevant search environment.
: SAR Fundamentals Manual: Ch.26 "Evacuation"
: Basic SAR Skills Manual: Ch.23 "Rescue and Evacuation"
: include litter carry / patient packaging
: does not include spinal restriction / C-collar / backboard

== Prerequisites ==
{{prompt|What should students already know/have accomplished before the lesson is presented.}}

== Objectives ==
At the conclusion of this lesson the participants:
# can identify roles within an evacuation
# can reduce patient stress
# can package patient in stretcher
# can safely carry a patient in a stretcher through terrain difficulties

== Time Plan ==
Total Time: 45 minutes
* 2013-02: 25 min

See {{nbw|2016|10|26}}

add details about packaging
{{lesson slides start}}
{{lesson slide|00:00|3 min}}
[[Image:SAR Basics Evacuation.pdf|page=1|thumb]]
[[Image:SAR Basics Evacuation.pdf|page=2|thumb]]

Introduce topic title

Introduce Instructor

Present Objectives
# can identify roles within an evacuation
# can reduce patient stress
# can package patient in stretcher
# can safely carry a patient in a stretcher through terrain difficulties
{{lesson slide|00:03|3 min}}
[[Image:SAR Basics Evacuation.pdf|page=3|thumb]]
Roles in Evacuation

inner circle (medical) vs. outer circle (rescue)

* team leader
* first aider
* advocate
* stretcher bearers
* scouts
** scout out entire route
** avoid having to back track
** entire route doesn't need to be flagged, but does need to be obvious to the guide
* guide

Additional resources will be sent in
* up to 24 people required to sustain carry of stretcher in difficult terrain

{{lesson slide|00:06|2 min}}
[[Image:SAR Basics Evacuation.pdf|page=4|thumb]]
Medical Considerations

* take priority over most other aspects of evacuation
* continuing monitoring of vital signs
* access to injuries and extremity
* risk of vomiting
* hypothermia

{{lesson slide|00:08|2 min}}
[[Image:SAR Basics Evacuation.pdf|page=5|thumb]]
Subject Safety

* can't protect themselves
* situations that may be safe for the stretcher bearers may not be safe for the subject
** e.g. a slip, might mean stretcher bearer catches themselves with hands, subject has unprotected fall
* what are the risks?  how likely are they? how serious are they? how can they be mitigated?

{{lesson slide|00:10|3 min}}
[[Image:SAR Basics Evacuation.pdf|page=6|thumb]]
Subject Stress

* very scary being the subject
* losing control
* calm voices, no shouting, listening, not talking at the same time, avoid side conversations
** even if unconscious
* build rapport with subject, patient advocate
* use subject's name, introduce yourself, talk to subject
* engage subject in their own care
* sight lines, generally move feet first
* avoid lights in eyes
* dust, dirt, debris
** lower down, face up, more exposed
** safety glasses, face shield, clear plastic sheet
* claustrophobia
** arms in/out of packaging

{{lesson slide|00:13|2 min}}
[[Image:SAR Basics Evacuation.pdf|page=7|thumb]]
Subject Comfort

* pressure sores (can become medical issue)
** more issue for SAR than other training (longer periods)
** thermarest
** packing voids
** Padding, too much is almost enough
* hydration
* excretion

{{lesson slide|00:15|3 min}}
[[Image:SAR Basics Evacuation.pdf|page=8|thumb]]
Types of Stretchers

* wire basket stretcher (e.g. Stokes)
* polyethylene basket stretcher (ferno)
* two piece polyethylene basket stretcher
* attachable wheel
* mountain stretcher (e.g. Mariner)
* field litter

{{lesson slide|00:18|10 min}}
[[Image:SAR Basics Evacuation.pdf|page=9|thumb]]
[[Image:SAR Basics Evacuation.pdf|page=10|thumb]]
Order of Packaging - No backboard

''demonstrate packaging''

* stretcher
* burrito lashing laid out
* tarp open
* sleeping bag (open)
* thermarest (deflated)
* empty pockets
* patient
* pad hollows (neck, small of back, under knees, between legs)
* environmental protection
** close sleeping bag
** add blankets
** space blanket -- condensation issue
** fold tarp
** tie burrito lashing
** inflate thermarest
* stretcher lashing
** cross at chest, cross at hip, above knees, below knees
* faceshield / sunglasses

{{lesson slide|00:28|3 min}}
[[Image:SAR Basics Evacuation.pdf|page=11|thumb]]
Complex Packaging

spinal restrictions
* advanced or wilderness first aid skill
* thermarest goes between patient and backboard

rope rescue
* needed for >15° slope or unstable terrain
* improvised harness goes on patient
* stretcher lashing is more complicated

People with these higher level skills will be brought in to work with
you on packaging

{{lesson slide|00:31|6 min}}
[[Image:SAR Basics Evacuation.pdf|page=12|thumb]]
Carrying

* similar height on opposite sides
* Carry the litter level or, if not possible, head high unless medical control suggests otherwise
* use of webbing over outside shoulder
** don't tie yourself in
* safe lifting practice
** don't take stretcher bearer role if bad back, shoulder, wrist
** Lift with your legs (not your back)
* lift/lower called by person at head
** "on my call, we will lift"
** "anyone not ready?"  (ask in the negative)
** "one, two, lift"
* anyone can call a break

''exercise: short carry and lower''

{{lesson slide|00:37|7 min}}
[[Image:SAR Basics Evacuation.pdf|page=13|thumb]]
Moving

''exercise: resume the carry, adding complications of terrain to bring out the following points''

* Use of scout
* relief comes in from front
** exchange sides to relieve your tired arm
** pass forward
* obstacles/difficult terrain, stand still with firm footing and pass forward
* subject is vomiting
** place on ground and lift one side to near vertical

{{lesson slide|00:37|1 min}}
Questions
[[Image:SAR Basics Evacuation.pdf|page=14|thumb]]
{{lesson slides end}}

== Aids ==
{{prompt|What materials are needed or useful in presenting this lesson.}}
* slides {{document format links|SAR Basics Evacuation}}
* wire mesh stretcher
* webbing
** 6 x 5m
** 1 x 10+m or 2 x 7m
* improvised terrain or obstacles
== References ==
* [[/Restricted|non-publishable material]]
* {{link|Image:SAR Fund CJ Evacuation.pdf}}
* [[Training/Ideas/First aid]]
* {{link|Image:Members:Short History of Stretchers.pdf}}
<gallery>
Image:Members:Folding Military Field Litter.jpg
</gallery>
* BICO Module #3 Snowmobiler Basic Tx Principles (10 min video)

== Question bank ==
{{prompt|List of questions suitable for an review/exam of this section.}}
See {{subpage|Question bank}}

== Frequently Asked Questions ==
{{prompt|What are some of the questions that students typically ask.  Include the answers.}}

== Feedback ==
{{prompt|When has this lesson been presented.  What was the feedback.}}

== License ==
{{prompt|What can others do with this lesson?}}

Recommended license below.  Fill in the year and the author's name(s):

Copyright © 2013-2018, Chris Jorgensen, Brett Wuth.  
This work is licensed under a 
Creative Commons Attribution-NonCommercial 2.5 Canada License.
To view a copy of this license, visit 
http://creativecommons.org/licenses/by-nc/2.5/ca/
or send a letter to Creative Commons, 559 Nathan Abbott Way, Stanford, California 94305, USA.

== Reference Material ==
{{prompt|If you need to cite sources, do so here.}}

[1]

== Notes ==
{{prompt|Any additional notes, etc.}}

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@@ Line 28: / Line 28: @@
 == Time Plan ==
-Total Time: 40 minutes lecture, 30 minute practice
+Total Time: 45 minutes
 * 2013-02: 25 min
+See {{nbw|2016|10|26}}
+add details about packaging
 {{lesson slides start}}
 {{lesson slide|00:00|3 min}}
@@ Line 45: / Line 48: @@
 # can package patient in stretcher
 # can safely carry a patient in a stretcher through terrain difficulties
-{{lesson slide|00:03|1 min}}
+{{lesson slide|00:03|3 min}}
 [[Image:SAR Basics Evacuation.pdf|page=3|thumb]]
-[[Image:SAR Basics Evacuation.pdf|page=4|thumb]]
-'''Evacuation Concept
-{{lesson slide|00:04|2 min}}
-[[Image:SAR Basics Evacuation.pdf|page=5|thumb]]
-[[Image:SAR Basics Evacuation.pdf|page=6|thumb]]
-''Carry vs. ...
-* helicopter extraction
-* stay
-{{lesson slide|00:06|3 min}}
-[[Image:SAR Basics Evacuation.pdf|page=7|thumb]]
-[[Image:SAR Basics Evacuation.pdf|page=8|thumb]]
-[[Image:SAR Basics Evacuation.pdf|page=9|thumb]]
-[[Image:SAR Basics Evacuation.pdf|page=10|thumb]]
 Roles in Evacuation
@@ Line 81: / Line 67: @@
 * up to 24 people required to sustain carry of stretcher in difficult terrain
-{{lesson slide|00:09|2 min}}
+{{lesson slide|00:06|2 min}}
-[[Image:SAR Basics Evacuation.pdf|page=11|thumb]]
+[[Image:SAR Basics Evacuation.pdf|page=4|thumb]]
 Medical Considerations
@@ Line 91: / Line 77: @@
 * hypothermia
-{{lesson slide|00:11|2 min}}
+{{lesson slide|00:08|2 min}}
-[[Image:SAR Basics Evacuation.pdf|page=12|thumb]]
+[[Image:SAR Basics Evacuation.pdf|page=5|thumb]]
 Subject Safety
@@ Line 100: / Line 86: @@
 * what are the risks?  how likely are they? how serious are they? how can they be mitigated?
-* lower down, face up, more exposed
+{{lesson slide|00:10|3 min}}
-* safety glasses, face shield, clear plastic sheet
+[[Image:SAR Basics Evacuation.pdf|page=6|thumb]]
-{{lesson slide|00:13|2 min}}
-[[Image:SAR Basics Evacuation.pdf|page=13|thumb]]
-Subject Comfort
-* pressure sores (can become medical issue)
-** more issue for SAR than other training (longer periods)
-** thermarest
-** packing voids
-** Padding, too much is almost enough
-* hydration
-* excretion
-{{lesson slide|00:15|3 min}}
-[[Image:SAR Basics Evacuation.pdf|page=14|thumb]]
 Subject Stress
@@ Line 130: / Line 100: @@
 * avoid lights in eyes
 * dust, dirt, debris
+** lower down, face up, more exposed
+** safety glasses, face shield, clear plastic sheet
 * claustrophobia
 ** arms in/out of packaging
-{{lesson slide|00:18|3 min}}
+{{lesson slide|00:13|2 min}}
-[[Image:SAR Basics Evacuation.pdf|page=15|thumb]]
+[[Image:SAR Basics Evacuation.pdf|page=7|thumb]]
+Subject Comfort
+* pressure sores (can become medical issue)
+** more issue for SAR than other training (longer periods)
+** thermarest
+** packing voids
+** Padding, too much is almost enough
+* hydration
+* excretion
+{{lesson slide|00:15|3 min}}
+[[Image:SAR Basics Evacuation.pdf|page=8|thumb]]
 Types of Stretchers
@@ Line 140: / Line 124: @@
 * polyethylene basket stretcher (ferno)
 * two piece polyethylene basket stretcher
-* wheeled stretcher
+* attachable wheel
 * mountain stretcher (e.g. Mariner)
 * field litter
-{{lesson slide|00:21|23 min}}
+{{lesson slide|00:18|10 min}}
-[[Image:SAR Basics Evacuation.pdf|page=16|thumb]]
+[[Image:SAR Basics Evacuation.pdf|page=9|thumb]]
-[[Image:SAR Basics Evacuation.pdf|page=17|thumb]]
+[[Image:SAR Basics Evacuation.pdf|page=10|thumb]]
-'''Order of Packaging - No backboard - theory
+Order of Packaging - No backboard
-''demonstrate packaging'' (add 10 minutes)
+''demonstrate packaging''
 * stretcher
@@ Line 170: / Line 154: @@
 * faceshield / sunglasses
-{{lesson slide|00:24|3 min}}
+{{lesson slide|00:28|3 min}}
-[[Image:SAR Basics Evacuation.pdf|page=18|thumb]]
+[[Image:SAR Basics Evacuation.pdf|page=11|thumb]]
 Complex Packaging
@@ Line 186: / Line 170: @@
 you on packaging
-{{lesson slide|00:27|1 min}}
+{{lesson slide|00:31|6 min}}
-[[Image:SAR Basics Evacuation.pdf|page=19|thumb]]
+[[Image:SAR Basics Evacuation.pdf|page=12|thumb]]
 Carrying
@@ Line 194: / Line 178: @@
 * use of webbing over outside shoulder
 ** don't tie yourself in
-{{lesson slide|00:28|2 min}}
-[[Image:SAR Basics Evacuation.pdf|page=20|thumb]]
-[[Image:SAR Basics Evacuation.pdf|page=21|thumb]]
-[[Image:SAR Basics Evacuation.pdf|page=22|thumb]]
-[[Image:SAR Basics Evacuation.pdf|page=23|thumb]]
-[[Image:SAR Basics Evacuation.pdf|page=24|thumb]]
-[[Image:SAR Basics Evacuation.pdf|page=25|thumb]]
-[[Image:SAR Basics Evacuation.pdf|page=26|thumb]]
-'''Rotation
-{{lesson slide|00:30|1 min}}
-[[Image:SAR Basics Evacuation.pdf|page=27|thumb]]
-'''Carrying - cont.
-* anyone can call a break
-{{lesson slide|00:31|1 min}}
-[[Image:SAR Basics Evacuation.pdf|page=28|thumb]]
-'''Lift/Lower
 * safe lifting practice
 ** don't take stretcher bearer role if bad back, shoulder, wrist
@@ Line 222: / Line 185: @@
 ** "anyone not ready?"  (ask in the negative)
 ** "one, two, lift"
+* anyone can call a break
-{{lesson slide|00:32|1 min}}
-[[Image:SAR Basics Evacuation.pdf|page=29|thumb]]
-'''Carrying Straps
 ''exercise: short carry and lower''
-{{lesson slide|00:33|2 min}}
+{{lesson slide|00:37|7 min}}
-[[Image:SAR Basics Evacuation.pdf|page=30|thumb]]
+[[Image:SAR Basics Evacuation.pdf|page=13|thumb]]
-[[Image:SAR Basics Evacuation.pdf|page=31|thumb]]
 Moving
@@ Line 246: / Line 203: @@
 ** place on ground and lift one side to near vertical
-{{lesson slide|00:35|30 min}}
+{{lesson slide|00:37|1 min}}
-'''Exercise
-''practice wrap
-''practice raise/lower
-''practice carry
-''practice rotation
-''navigate obstacles
-{{lesson slide|01:05|5 min}}
 Questions
 [[Image:SAR Basics Evacuation.pdf|page=14|thumb]]