How to Choose Patient Transport
Moving a casualty is a tactical and clinical decision at once. The right device depends on the threat, the terrain, and the distance — a one-person emergency drag out of a hot zone is a different problem than a multi-rescuer carry across broken ground to a vehicle. Match the tool to the phase of evacuation.
Transport options
| Device | Best for |
|---|
| Drag strap / rescue harness | Rapid one- or two-person extraction off the X under threat |
| Roll-up litter (SKED-type) | Compact carry that wraps the casualty for technical and confined-space rescue |
| Folding / pole litter | Stable multi-rescuer carry over distance |
| Soft / pole-less litter | Lightweight, packable carry for teams moving fast and light |
Stabilize, then move
- Control life threats first — hemorrhage and airway are managed before a non-emergent move.
- Package the casualty — secure limbs, splint fractures, and protect from the ground and weather for the trip.
- Plan for prolonged care — when evacuation is delayed, transport gear becomes the platform you reassess and treat from.
Planning evacuation capability? Match a litter to your terrain and team size, and carry a drag strap for the emergency move. Anchor the plan with the
trauma-response brief.
Frequently Asked Questions
What is the difference between a drag strap and a litter?
A drag strap or rescue harness is for a rapid one- or two-person extraction out of immediate danger. A litter is a carrying platform for moving a packaged casualty over distance with more stability and more rescuers.
What is a SKED or roll-up litter?
It is a flexible litter that wraps around the casualty and rolls up for compact storage. It excels in technical, confined-space, and drag-based rescue where a rigid litter won't fit.
When do you move a casualty versus treat in place?
Control immediate life threats such as major hemorrhage and airway first, then move. Under active threat, rapid extraction off the X may precede most treatment; in a stable scene, package and stabilize before a non-emergent move.
What should I consider for prolonged evacuation?
When evacuation is delayed, the transport platform becomes where you continue care. Plan for casualty packaging, insulation from ground and weather, secure fastening, and the ability to reassess and treat en route.
How many people does it take to carry a litter?
It depends on the litter, the terrain, and the distance. Short, smooth carries may need two; loaded carries over rough ground are safer and more sustainable with four or more rescuers rotating.
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