Pack Strap Carry: First Aid Guide
What Is a Pack Strap Carry?
A pack strap carry is an emergency casualty-moving technique that can be used to move a conscious or unconscious casualty a short or moderate distance when immediate movement is necessary.
It is a practical skill taught in some First Aid and emergency-response training programmes.
Important: A casualty should not be moved unnecessarily. If a head, neck or spinal injury is suspected, other appropriate emergency procedures should be followed rather than using a pack strap carry. The American Red Cross also cautions against using this technique when a head, neck or back injury is suspected.
5 Steps to Perform a Pack Strap Carry
1. Check the scene for safety
Make sure it is safe for both the First Aider and the casualty before attempting to move the person.
2. Position the casualty
If appropriate, help the casualty to a standing position. If the casualty is unconscious, assistance from a second responder may be needed to position the person safely.
3. Position yourself
Stand with your back toward the casualty. Bend your knees and position your shoulders so they fit into the casualty’s armpits.
4. Bring the casualty onto your back
Cross the casualty’s arms in front of you and carefully lean forward while bringing the casualty onto your back.
5. Secure the casualty and move to safety
Hold the casualty’s wrists securely and move carefully to a safe location.
Do not use a pack strap carry simply because you know the technique. The method of casualty movement should depend on the situation, the casualty’s condition and the rescuer’s level of training.
When Should a Pack Strap Carry Be Used?
A pack strap carry may be considered when a casualty needs to be moved away from an immediate danger and the technique is appropriate for the situation.
The priority is always:
Scene safety → Assess the casualty → Choose the appropriate method → Move only when necessary
When Should You Not Use It?
Do not use the pack strap carry when the casualty may have a head, neck or spinal injury. Appropriate emergency procedures should be followed according to the situation and the First Aider’s level of training.
LSPA’s current training material also advises against using the technique when the casualty has certain arm or wrist injuries.
Common Mistakes We See During First Aid Training
One common mistake is focusing on how to carry the casualty before asking whether the casualty should be moved at all.
A good First Aider does not simply remember a technique. The First Aider needs to assess the situation first and choose the safest appropriate response.
Watch the Demonstration
See our practical demonstration of the Pack Strap Carry:
[Watch the Pack Strap Carry as below]
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