(1) Log Roll Method. (a) Place stretcher next to patient. Ensure head end of stretcher is adjacent to head of patient. Place all straps under stretcher. (b) Log roll patient and slide stretcher as far under patient as possible. Gently roll patient down onto stretcher. (c) Slide patient to center of stretcher. Be sure to keep patient’s spinal column as straight as possible. (d) Pull straps out from under stretcher and secure patient. (2) Slide Method. (a) Position foot end of stretcher at head of patient. (b) Have one rescuer straddle stretcher and support patient’s head, neck, and shoulders. (c) Grasp foot straps of stretcher and slide stretcher under patient. (d) Center patient on stretcher and secure patient. c. Secure Patient (1) Lift sides of stretcher and fasten the four cross straps to the buckles directly opposite the straps. (2) Feed foot straps thru unused grommets at foot end of stretcher, and then fasten the straps to the buckles. (3) For horizontal prepare stretcher for horizontal lift/ descent, use two nylon webbing straps rated at 9,000 pounds each. The head strap is 6” shorter than foot strap and is used at head end of stretcher only. (4) Insert one end of head strap thru lift slot at head end of stretcher. (5) Bring strap under stretcher and thru slot on opposite side of stretcher. (6) Equalize length of strap. Repeat procedure with other strap at foot end of stretcher. (7) Equalize all four straps and secure to large steel locking carabiner. NOTE: Use this procedure only after loading the patient and properly securing them in the stretcher. d. Prepare Stretcher for Vertical Lift/ Descent. NOTE: A 30-foot length of 3/ 8” static kernmantle rope with a figure 8 knot tied in the center is used to configure stretcher for vertical left/ descent. (1) Pass each end of the rope thru grommets at the head end of the stretcher. Pull the knot up against the stretcher. (2) Continue feeding rope thru unused grommets and carrying handles all the way to the foot end of the stretcher. Ensure both ends of rope are even. (3) Pass the rope ends thru grommets at the foot end of stretcher from the inside outward. Tie the ends of the rope together with a square knot. (4) Bring ends of rope up over end of stretcher. Pass thru carrying handles and secure with a square knot. Safety each side with an overhand knot. e. Use Carabiner to Complete Lift. Fasten a large locking carabiner on the Figure 8 located on the head end of the stretcher to accomplish the lift