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• When rescuers take breaks for water, food or personal relief, the patient should also
be given such opportunities as well.

This section highlights a few patient packaging techniques which NPS rescuers have
found very useful with personal field experience. This is not meant to be a complete
collection of all known packaging techniques. Additionally, successfully packaging an
injured subject routinely requires some level of improvisation based upon the unique
circumstances of the incident (Figure 233).

YOSEMITE LITTER PACKAGING

The Yosemite Litter Packaging technique is ideal for a patient not wearing a climbing
harness, such as a trail carryout. This method utilizes several nylon runners to very
securely limit any patient movement inside the litter (Figure 234). Alternative packaging
techniques, which lace the patient in with one extremely long runner, do not permit
isolated adjustments or simple patient access without compromising the entire system.
Use two 5.5 m (18 ft) runners for the "figure eight" wraps through the groin and over the
shoulders (Figure 235). Finish with several additional circumferential cross straps (3.5
m / 12 ft), which secure the patient by locking them down in the rescue litter. These
circumferential straps should be secured to the lower litter bar in order to prevent lateral
any patient movement Avoid positioning cross straps directly over the knees or
excessive tension that restricts patient breathing.

Figure 234- Yosemite litter packaging. Here the pre-existing manufactured cross-tie straps on the
litter were incorporated in the patient packaging.

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