Patient Packaging

TOPIC: PATIENT PACKAGING TIME REQUIRED: TWO HOURS MATERIALS: BLANKETS, STOKES BASKETS, SKED STRETCHER, CARABINERS, WEBBING, ROPE, REEVES SLEEVE, COMMERCIAL BASKET HARNESS REFERENCES: RESCUE TECHNICIAN, MOSBY PREPARATION...


          standing part in the victim’s instep

      c. Snug up the rope or webbing coming out of the foot stirrup

      d. Take one part of the rope or webbing to each side of the first “D” and around the large strap

         (do not allow rope to cross over the top rail except when completing the lashing)

      e. Continue the process of crossing the rope or webbing over the victim from feet to shoulders

          using the straps while making sure the rope or webbing is snug

      f. At the shoulders, form a split clove hitch around the rail on each side by having the large strap

         between the two turns of the clove hitch

      g. Finish each knot by putting a safety in the rope or webbing using an overhand knot

      h. Excess rope or webbing is placed beside the victim on the inside of the basket

B. Reeves Sleeve or SKED Stretcher

  1. Inspecting the stretcher

      a. Check to make sure the material is not damaged

      b. Check to make sure grommets and straps are in place

  2. Blanketing

      a. One blanket is sufficient for use with the SKED stretcher

      b. Place the blanket lengthwise in the stretcher

      c. Fold the upper corners on a 45-degree angle so that they do not cover the victim’s face

      d. Once the victim is placed in the stretcher, fold the two sides inward to cover the victim

  3. Lashing the stretcher

      a. Start at the top by connecting the two ends of each strap

      b. At the feet, fold the foot flap back covering the feet

      c. Feed the straps for the foot flap through the grommet on the respective side and connect the two

          ends (SKED) or connect the two ends of the strap (Reeves)

      d. Fold the head flap over to protect the victim’s face

      e. Wrap the dragging rope around the chest strap to hold the flap in place (watch that the edge of

           the flap does not hit the victim in the face) (SKED)

 

II. VERTICAL LOWERING (1-2)

A. Stokes Basket

  1. Form a figure eight knot approximately six feet from the end of the rope

  2. Wrap the rope around the rail of basket starting at right strap and going to left strap

  3. Reweave the working end of the rope back through the figure eight knot

  4. Attach a tag line to each side of basket near the lower end using a figure eight reweave knot  

      (NOTE: If only one tag line is used, the basket may rotate as the victim is being lowered)

B. Reeves Sleeve or SKED Stretcher

  1. Attach a rope to the ring on vertical strap using a figure eight reweave knot (Reeves Sleeve)

  2. Form a figure-eight-on-a-bight in the middle of the rope provided with the stretcher (SKED)

  3. Pass one end of the rope through grommet on each side at the head (SKED)

  4. Adjust the knot so that it is about six inches from the head of the stretcher (SKED)

  5. Continue to pass the rope through the open grommets on each side going from inside outward (do

      not cross the rope over the victim as it will drawn the stretcher tight around the victim) (SKED)

  6. At the foot, pass the rope through the open grommet and join the two ends of the rope together

      using a square knot or figure eight bend (SKED)

  7. Take the excess rope and go back to the last set of handles (SKED)

  8. Pass the rope through the respective handles and join the ends together using a square knot or

      figure eight bend (SKED)

  9. Attach a tag line to each side of the foot end of stretcher using a figure eight reweave (SKED)

NOTE: The victim should be lowered feet first only as they will slide out of the packaging device otherwise.

 

III. HORIZONTAL LOWERING (1-3)

A. Stokes Basket

  1. Attach a commercial harness in the “D” near shoulders and feet on the basket with the hooks

      pointing outward

  2. Adjust the ring on the harness so that it is centered over the basket or so that the head is slightly

      elevated

  3. Attach a figure eight reweave knot to the ring on the harness