What is an effective method for moving a casualty quickly if spinal injury is not suspected?

• A. Two-person drag, fireman’s carry, or improvised carry depending on terrain and conditions
• B. Full body carry only
• C. Walking with patient on back
• D. Vehicle extraction only

Answer: (A)

Getting a casualty moving quickly when you don’t suspect a spinal injury means choosing methods that are fast, versatile, and workable with the resources you have. A two-person drag, fireman’s carry, or an improvised carry fits that need because each option can be matched to the situation on the ground.

If you have two rescuers and solid footing, a two-person drag pulls the casualty to safety with good control while keeping both rescuers engaged and ready for changes in conditions. If you’re alone or terrain favors it, the fireman’s carry lets a single rescuer move the person quickly, balancing the weight across the body so you can navigate obstacles and keep moving toward safety. When standard equipment isn’t available, an improvised carry using a sheet, jacket, or blanket provides a fast, practical way to lift and move someone without delaying action for gear.

These approaches maximize speed and adaptability. In contrast, walking with the patient on the back is slow and impractical for rapid movement, and relying on vehicle extraction only or a rigid full-body carry lacks the flexibility needed for varying terrain and rescue team size.