The Harken’s Cascade Rescue team will explore patient packaging options for litter extrication from the backcountry. Utilizing a vacuum mattress for spinal protection and patient comfort, instructors will demonstrate the importance of best practices when preparing a subject for transport. The class will also delve into a few litter wheel options to determine the pros and cons of each configuration and navigate a short course with a wheeled litter. Helmet and gloves are recommended for participants who want to participate in the wheeled litter movement portion of the course.