EVACUATION

Upon arrival our location, there is the possibility that the patient was found to be removed. In a dangerous situation quickly and alert action is essential. Handling the wrong person will cause further injury or new injury.

The things that must be considered when moving the patient:
 Conduct an assessment of the difficulties that may occur when moving the patient.
 Plan the movement before lifting the patient, including how to move it.
 Do not try to lift and lower the patient if not sure he could control it.
 Always start from the imposition of a balanced position and keep in balance.
 Use the leg muscle power, avoid the imposition of back muscles.
 The position of the back should be straight when lifting patients.
 Strive to move the load tight as possible with the auxiliary body.
 Do the overall movement and try to support each other's body parts.
 If you can reduce the distance or height to go through the patient.
 Improve the position and gradually lift.
 Strive working groups, continue to communicate and do the coordination.

Kind - kind of transfer of the patient
1. Emergency removal
This action is only done if:
a. There is a direct danger to the patient, for example:
 Fire or fire hazard.
 blast or explosion hazard.
 It is difficult to safeguard patients from harm in the environment.
 Building an unstable.
 The car overturned.
 The crowd is restless period.
 hazardous materials (chemicals, toxic and other wastes).
 oil spills.
 extreme weather.
b. Gain entrance or to reach other people.
b. When lifesaving measures can not be done because the patient's position is not suitable for the treatment or the need to reposition the patient, for example, will perform CPR.
Greatest danger in an emergency removal is triggered spinal injury.

Some kind of emergency removal
• Offer the patient's shirt
• Offer a blanket
• Interest in cloth / sheet material
• Interest in the armpit / arm

The technique is attractive shirt etc. sufferers.
2. Transfer of normal / not an emergency
If there is no immediate danger to the patient, the patient was transferred only when everything is ready and the patient completed addressed, namely:
a. Complete the initial assessment was done.
b. Pulse and breathing are stable and within normal limits.
c. No external bleeding is not controlled or no indication of internal bleeding.
d. Absolutely no spinal or neck injury, and injury is not in the neck area.
e. All fractures had mobilized.

Some guidelines to position the patient is:
 Patients with shock, placed in the shock position if no evidence of injury to the leg above (broken bones) and spinal injuries.
 People with respiratory problems, position sitting or half sitting.
 Patients with abdominal pain, put to bed one side with legs bent.
 Patients who vomited - vomiting comfortable position and watch the airway.
 Patients with trauma, especially suspect spinal injury must be stabilized and immobilisasi with a long spinal board.
 Patients with no response and was not found or is not suspected spinal injuries or other serious injury stable tilted position / recovery.
 Position the comfortable, if the injury does not interfere.