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A rigid toboggan is best for transportation even when separate splints are used, but, because the splints are then independent of the bending of the toboggan, its rigidity is not essential. Severe injuries should, therefore, be transported on a rigid toboggan if possible, but the flexible type is usually quite satisfactory and is much easier to pull over rough terrain. If a long trip must be made over rough ground, guard rails may be constructed by tying the skis of the patient on edge along the toboggan sides. If an air mattress is available it will add comfort to the toboggan. It should not be inflated too much. Sweaters should be placed on the toboggan before the victim is lifted on so that they will be under as well as over him. In long hauls the injured man should be put in a sleeping bag. Narrow down bags are best and may be put on over splints if first turned inside out and then drawn up over the body from the feet. A wind- and snowproof cover, such as a tent, may be put on last if necessary. The injured man should be tied to the toboggan to save him muscular effort and anxiety and to hold wraps in place, unless the trip is to be short and along the level. The importance of keeping him warm cannot be overemphasized. |
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