How To Assess If It's Safe To Move An Injured Person?

Assessing the Injury

Before moving an injured person, it’s essential to conduct a rapid assessment to identify potential hazards. Check for signs of spinal instability, such as numbness, tingling, or paralysis in the arms or legs. Also, ensure the person is breathing normally and not showing signs of airway obstruction. Use the AVPU scale to assess the person’s level of consciousness: A (alert), V (responsive to verbal commands), P (responsive to pain), or U (unresponsive). If the person is unresponsive or showing signs of spinal instability, it may not be safe to move them.

Moving the Injured Person

If the person is stable and it’s safe to move them, use the “MARCH” technique to ensure a smooth and controlled evacuation: M (move the person’s head and neck in a neutral position), A (align the body in a straight line), R (remove any constrictive clothing or equipment), C (clear the path of any obstacles), and H (handle the person gently and with care). When lifting the person, use a team approach with at least two people, and always lift with your knees, not your back.

Pain Management and Immobilization

During evacuation, manage pain with medication such as acetaminophen or ibuprofen, if available, and use immobilization techniques to prevent further injury. Apply a traction splint to the affected limb to maintain alignment and control any bleeding. For example, a traction splint on a broken femur should be set to maintain 90-100 degrees of flexion. Monitor the person’s vital signs and adjust your evacuation plan as needed to ensure their safety and comfort.