Other search and rescue teams should remain where they are until directed to move. The Command Post notifies all search and rescue teams and directs assistance to the scene only as needed.
Make the subject as comfortable as possible and keep a constant watch. Talk with the subject; reassure him, while assessing mental condition and physical health.
In dealing with the subject, his mental health is as important as his physical health.
- Take care to speak positively, assure him he is safe and additional help is on the way.
- Any problems, questions about becoming lost should be withheld.
- Questions to gauge his mental health (i.e. questions you know the answer to) are necessary.
- Evacuation should be delayed (until the subject is stabilized) if injuries are suspected.
Often if the person is walked out, he may fail on the return journey. Keep a very close watch and litter evacuate. After the person is evacuated, medical personnel should assume responsibility of the patient.
Litter Evacuation
Before litter evacuating the subject, the medical authorities should give approval.
The litter must be packed to keep the subject comfortable. Foam pads, blankets and sleeping bags immobilize, comfort, and insulate the subject. The head must be well secured and padded. A baseball cap provides protection from twigs and allows the subject to see around him. The subject must be snug and secure, including the arms.
Carrying the litter can be difficult. Six people should carry the litter with additional people alternating about every five minutes. One person should clear the trail. The last person carries a radio, polices litter, and makes sure everybody is in front. The subject should be constantly reassured and informed. If he knows what is happening, he will feel much more secure.
Restrict all negative comments as they will affect the subject.
If the subject is deceased and resuscitation impossible, do not alter the environment or touch the body. The search becomes a criminal investigation. The area around the body (100 feet radius) must then be secured and access severely restricted. Extreme stress in the rescuers can sometimes develop and it must be treated (Critical Incident Stress Defusing).
