Emergency Rescue Transfer
Bureau of Fire Protection-Special
Rescue Unit
Competency Training for Volunteer Fire
Brigades
19 May 2012
BASED ON NFPA 1001 5.3.11 5.3.12
Learning Objective
To be able to know the techniques of
ERT;
To be able to know the different types of
transfers;
Introduction
An ambulatory or semi ambulatory victim
may only require help to walk to safety. The
victim is not moved before treatment is
provided unless there is an immediate danger
to the victim or to rescuers.
ERT is required when:
There is fire or danger of fire in the immediate area.
Explosives or other hazardous material are involved.
It is impossible to protect the accident scene.
The victim is in cardiac arrest and must be moved to a different area (to
a firm surface for instance) so that the rescuer can administer
Cardiopulmonary Resuscitation (CPR).
Correct Lifting Techniques
Rescuer’s muscle power is the primary
power source when lifting, hauling or
push loads during rescue operation and
incorrect lifting techniques can cause
serious risk of spinal or abdominal injury
and therefore proper lifting techniques
must be learned.
Correct Lifting-Single Rescuer
Legs and thigh muscles should be used for safe lifting. Good
body mechanics is important.
Breathe-in deeply and consciously stop your breathing firmly
before exerting force.
Make a distance between the weight to be lifted and your feet
as short as possible before producing force. This suggests that
you will lift the weight bending your knee sufficiently with
your spine made as close to vertical posture as possible.
Abstain from over estimating your physical strength. The
human body must be considered to begin aging at the age of
25.
Picking the Victim
If time is sufficient, put the patient in a supine position before doing
the different carrying techniques.
Picking the Victim
As the rescuer assists the patient
to sit, his left leg must support the
patient’s back.
Picking the Victim
One-Man Assist to Walk
1. Place the patient’s
arm over your shoulder
while the other hand
holds the
waist of the patient
using his/her clothing.
2. Place your right foot
behind the patient’s left
foot for the support in
stepping forward.
NOTE: The patient’s shoulder must not be raised higher than his/her shoulder to
prevent further injuries.
Two-Man Assist to Walk
Cradle in Arms ( Lover’s
Carry)
From the Straddle position, tell the patient to
sit onto your lap after you have positioned
yourself on his/her side one leg kneeled down
while the patient sits on the other.
Place your right arm at the patient’s back for
support while the other one inserted beneath
the patient’s knees.
Cradle in Arms ( Lover’s
Carry)
Keeping the back straight, stand up
and start to walk towards safety.
Note:
Effective for carrying conscious
patients or very small adult.
Pack Strap Carry
From the straddle position, place your
right arm in front of the patient while
your left hand maintains its grasp on
the patient’s left arm as you transfer
your right hand in front and holds the
patient’s right arm.
Pack Strap Carry
Totally place yourself in front the patient
making him/her leaning at your back.
Make the patient’s arms wrap around your
shoulder and cross the arms in front of you
grabbing his/her left wrist with your right hand
vice versa
NOTE: Note: Used for tall patient as well as heavy patient for short
distance transfer.
Piggy Back Carry
From the straddle position and after
donning the pack strap carry, grab the
patient’s both legs under his/her knees and
again reach for the patient’s two hands
maintaining its crossed position.
Note: Used for long distance emergency
transfer of patient.
Fireman’s Carry
After doing the straddle position, the rescuer kneels with his right
knee in front of the patient while his left hand lets go of the
patient’s left wrist and holds the right wrist of the patient.
The rescuer releases his grip on the patients right wrist and inserts
his right arm in between the patient’s legs. The rescuer advises his
patient to lie down on his shoulder.
After which, rescuer slides his right arm in
between the patient’s legs. He must join his right and left arm and
stands up observing the proper body lifting posture.
Fireman’s Carry with Assist
Fireman’s Carry with Assist
Shoulder Drag
After the step #4 on how to pick up a patient,
rescuer must search for any obstacles using his foot as he drag the patient back in case of
poor visibility.
Clothes Drag
After putting the patient into a supine position, place both of your arms behind the patient’s head
supporting it with your fore arm and the patient’s collar grabbed by both of your hands. Drag
the patient backward as you search for obstruction using your feet and by looking backward as
well.
Inclined Drag
After step#4, drag the patient down the
stairs.
Make sure that the patient’s legs
are parallel to the stairs while being
dragged down to avoid further injury
that can be caused by sudden impact of
the legs or feet on each
steps.
Foot Drag
After step#1 on how to pick up the victim,
place both of the patient’s arms upward.
2. Rescuer positions himself at the foot part
of the patient.
3. Hold both ankles with your hands, one
hand under, holding the patient’s
left ankle and the other hand over the
patient’s ankle.
4. Apply this technique only on a smooth
ground.
Four-Hand Seat
From straddle position, one rescuer
advises the patient to sit on his lap,
afterwards calls another rescuer for
assistance.
The two rescuers half kneeled,
prepositioned their hands, holding
one wrist with another, forming a
square like position.
Four Hand Seat
The rescuers disassembles their
hands and re-assembles it behind the
patient’s thighs and advise the
patient to hold onto their shoulders.
Both rescuers lift the patient with
coordination.
Arms as a Lifter
1. Same as the latter technique
except that only the two arms are
used, holding each other’s wrist and
placed under the patient’s knees.
2. The other arms support the
patient’s back. The commands are
similar with the latter technique.
Chair as a Lifter
Chair as a Lifter
Chair as a Lifter
Extremity Carry
Extremity Carry
Bearers Along Side
Bearers Along Side
Bearers Along Side
Hammock Carry
Four/Six Man Carry
Four/Six Man Carry
Spine Board Carry
Scoop Stretcher
Scoop Stretcher
Scoop Stretcher
Scoop Stretcher
Scoop stretcher
Gurney/wheeled cot
Questions?
