(c) Pivot the casualty's body as the assistant lifts the casualty's legs
onto the seat. You and the assistant must work in unison to prevent additional injury to
(3) Have the assistant help you lay the casualty on the long spine board in a
slow and gentle manner. The casualty's trunk is now in a horizontal position.
(4) Have the assistant help you to lift the casualty's body and legs and slide
the long spine board beneath the casualty's entire body. If the casualty is properly
secured to a short spine board and there is not enough room to lift the casualty, slide
the casualty onto the long spine board.
i. Remove Casualty From Vehicle. Once the casualty has been positioned on
the long spine board, remove the casualty from the vehicle.
(1) Have the assistant join you at your door. You should be on one side of
the long spine board (right or left) and the assistant should be on the other side.
Lift the long spine board and remove the casualty from the vehicle.
j. Secure Casualty to Long Spine Board.
(1) Secure the short spine board to the long spine board. If possible, line up
the strap holes of the short spine board with the holes of the long spine board and
secure the two boards together. Do not remove the short spine board.
(2) Secure the casualty to the long spine board using available straps,
cravats, or strips of cloth.
(3) Assess the casualty's pulse, motor, and sensory each time after the
casualty is moved and after the casualty has been secured to the long spine board.
TRANSPORTING A CASUALTY WITH A SPINAL INJURY
Record the treatment given the casualty on a U.S. Field Medical Card and
attach the card to the casualty's clothing. Open a standard litter and place it on the
ground near the casualty. Have at least four bearers lift the long spine board in
unison, move the casualty over the litter, and gently lower the long spine board in the
middle of the litter in unison. Keep the board and the casualty as level as possible
during the procedure. Evacuate the casualty using an appropriate four-man litter carry
as described in Subcourse MD0001, Evacuation in the Field. If a litter is not available,
the casualty can be evacuated using the long spine board as the litter. If a short spine
board has been applied, the casualty must be placed on a long spine board or litter
before being evacuated.